0000805676-24-000069.txt : 20240419 0000805676-24-000069.hdr.sgml : 20240419 20240419164935 ACCESSION NUMBER: 0000805676-24-000069 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240331 FILED AS OF DATE: 20240419 DATE AS OF CHANGE: 20240419 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miller Matthew R CENTRAL INDEX KEY: 0001565840 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 24858478 MAIL ADDRESS: STREET 1: 50 NORTH THIRD STREET CITY: NEWARK STATE: OH ZIP: 43055 FORMER NAME: FORMER CONFORMED NAME: Miller Matther R DATE OF NAME CHANGE: 20130103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PARK NATIONAL CORP /OH/ CENTRAL INDEX KEY: 0000805676 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] ORGANIZATION NAME: 02 Finance 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 wk-form4a_1713559764.xml FORM 4/A X0508 4/A 2024-03-31 2024-04-02 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001565840 Miller Matthew R 50 N. THIRD STREET NEWARK OH 43055 1 1 0 0 President 0 Common Shares 2024-03-31 4 A 0 1687.5 A 1687.5 D Common Shares 2024-03-31 4 F 0 771.649 135.85 D 915.851 D Common Shares 2024-03-31 4 M 0 1518.75 A 2434.601 D Common Shares 2024-03-31 4 F 0 694.46 135.85 D 1740.141 D Common Shares 2024-04-11 5 J 0 E 1740.141 D 0 D Common Shares 2024-04-11 5 J 0 E 1740.141 A 8314.872 I Matthew R. Miller Managing Agency Account Common Shares 5008.628 I KSOP PBRSUs 2024-03-31 4 M 0 1518.75 D Common Shares 1518.75 0 D PBRSUs 2024-03-31 4 A 0 1687.5 A Common Shares 1687.5 1687.5 D Effective March 31, 2024 (the "2021 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, 2021. 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 1,687.50 common shares shown in the first row in Table I) on the 2021 PBRSU Certification Date and the other 50% to vest on the first anniversary of the 2021 PBRSU Certification Date (shown in the second row in Table II as a derivative security). In the April 2, 2024 Form 4, an estimated number of Park common shares was reported as being withheld by Park in order to satisfy the tax withholding obligations of the reporting person that arose upon the vesting of the PBRSUs which were not subject to the service-based vesting requirement described in footnote (1) and the vesting of the PBRSUs that had been subject to the service-based vesting requirement described in footnote (3), as applicable. This amendment reports the correct number of common shares withheld. These PBRSUs converted into common shares of Park National Corporation on a one-for-one basis upon satisfaction of a service-based vesting requirement on March 31, 2024. Reflects the transfer in April 2024 of 1,740.141 common shares of Park, previously beneficially owned directly by the reporting person, to the Matthew R. Miller Managing Agency Account, where they are now beneficially owned indirectly. Between January 1 and March 31, 2024, the reporting person acquired 113.831 common shares under the Park National Corporation Employees Stock Ownership Plan (the "KSOP"). The information in this report is based on a KSOP plan statement dated as of March 31, 2024. /s/ Brady T. Burt, Attorney-in-Fact for Matthew R. Miller 2024-04-19