SEC Form 5 · accession 0000805676-19-000022
PARK NATIONAL CORP /OH/ · PRK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brady T Burt
Officer — Chief Financial Officer
Period of report
Dec 31, 2018
Accepted (ET)
Feb 8, 2019 · 12:37 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000805676
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common SharesF1 | holding | — | — | — | 5,133 | I | KSOP | |
| Common SharesF2 | holding | — | — | — | 1,180 | I | Brady T. Burt Managing Agency Account | |
| Common Shares | holding | — | — | — | 0 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PBRSUsF3 | — | holding | — | — | — | — | — | Common Shares | 669 | 669 | D |
Explanation of responses
- F1Includes an aggregate of 263.041 common shares of Park National Corporation ("Park") acquired by the reporting person within the Park National Corporation Employees Stock Ownership Plan (the "KSOP") since the most recent reportable transaction date of March 31, 2018 through the remainder of the fiscal year ended December 31, 2018.
- F2Correction from the number included in the reporting person's Form 4 dated April 2, 2018 of 1,180.369 common shares. The number shown in this Form 5 reflects the addition of 0.020 common share for the correct total of 1,180.389 common shares.
- F3These performance-based restricted stock units ("PBRSUs") convert into Park common shares on a one-for-one basis upon satisfaction of a service-based vesting requirement pursuant to which they are to vest on March 31, 2019.