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