0000805676-19-000085.txt : 20191030 0000805676-19-000085.hdr.sgml : 20191030 20191030115903 ACCESSION NUMBER: 0000805676-19-000085 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190726 FILED AS OF DATE: 20191030 DATE AS OF CHANGE: 20191030 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DEROBERTS JAMES R CENTRAL INDEX KEY: 0001634615 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 191178635 MAIL ADDRESS: STREET 1: 50 N THIRD STREET CITY: NEWARK STATE: OH ZIP: 43055 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PARK NATIONAL CORP /OH/ CENTRAL INDEX KEY: 0000805676 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 311179518 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 50 NORTH THIRD ST CITY: NEWARK STATE: OH ZIP: 43055 BUSINESS PHONE: 6143498451 MAIL ADDRESS: STREET 1: P O BOX 3500 CITY: NEWARK STATE: OH ZIP: 43058-3500 4/A 1 wf-form4a_157245112815311.xml FORM 4/A X0306 4/A 2019-07-26 2019-07-29 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001634615 DEROBERTS JAMES R 50 N. THIRD STREET NEWARK OH 43055 1 0 0 0 Common Shares 2019-07-26 4 J 0 0 0 A 1600 D Common Shares 900 I By Chartwell Family Group, Inc. Common Shares 400 I By UBS IRA Account Common Shares 2019-07-26 4 P 0 3200 94 A 3200 I James R DeRoberts Trust Managing Agency 3,200 common shares were incorrectly reported in the reporting person's original Form 4 as having been acquired pursuant to Rule 16b-3(d) directly. Instead, these common shares were acquired in an open market purchase indirectly through the James R. DeRoberts Trust Managing Agency. /s/ James R. DeRoberts by Brady T. Burt, POA 2019-10-30