0000805676-21-000073.txt : 20210412
0000805676-21-000073.hdr.sgml : 20210412
20210412171216
ACCESSION NUMBER: 0000805676-21-000073
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210331
FILED AS OF DATE: 20210412
DATE AS OF CHANGE: 20210412
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DELAWDER DAN
CENTRAL INDEX KEY: 0001201379
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13006
FILM NUMBER: 21821381
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_161826192197502.xml
FORM 4/A
X0306
4/A
2021-03-31
2021-04-02
0
0000805676
PARK NATIONAL CORP /OH/
PRK
0001201379
DELAWDER DAN
50 N. THIRD STREET
NEWARK
OH
43055
1
0
0
0
Common Shares
2021-03-31
4
A
0
1062.50
A
57253.78
D
Common Shares
2021-03-31
4
F
0
324.02
129.30
D
56929.76
D
Common Shares
27396.308
I
KSOP
Common Shares
6550.193
I
C. Daniel DeLawder Managing Agency Account
Common Shares
50232
I
Diane S., spouse
PBRSUs
2021-03-31
4
A
0
1062.50
0
A
Common Shares
1062.5
1062.50
D
Effective March 31, 2021 (the "2018 PBRSU Certification Date"), the Executive Committee of the Board of Directors of Park National Corporation ("Park") certified the level of achievement with respect to the performance criteria for the three-fiscal-year performance period applicable to performance-based restricted stock units ("PBRSUs") granted to the reporting person effective January 1, 2018. The PBRSUs convert into Park common shares on a one-for-one basis. The PBRSUs earned based on the performance level achieved are also subject to a service-based vesting requirement with 50% vesting (resulting in the right to receive the 1,062.50 common shares shown in the first row in Table I) on the 2018 PBRSU Certification Date and the other 50% to vest on the first anniversary of the 2018 PBRSU Certification Date (shown in the first row in Table II as a derivative security).
On April 2, 2021, the reporting person filed a Form 4 (the "April 2, 2021 Form 4") which reported an estimated number of common shares as being beneficially owned by the reporting person following the reported transaction. This amendment reports the correct number of common shares.
In the April 2, 2021 Form 4, the reporting person did not have available the number of common shares withheld by Park National Corporation in order to satisfy the tax withholding obligations that arose upon the vesting of the PBRSUs. This amendment reports the number of common shares withheld.
Between January 1 and March 31, 2021, the reporting person acquired 499.169 common shares of Park under the Park National Corporation Employees Stock Ownership Plan (the "KSOP"). The information in this report is based on a plan statement dated as of March 31, 2021.
These PBRSUs were earned based on the performance level achieved as described in footnote (1) and are also subject to service-based vesting pursuant to which they are to vest on the first anniversary of the 2018 PBRSU Certification Date. Each PBRSU represents the right to receive one Park common share upon satisfaction of the service-based vesting requirement.
/s/ C. Daniel DeLawder by Brady T. Burt, POA
2021-04-12