SEC Form 5 · accession 0000805676-19-000030
PARK NATIONAL CORP /OH/ · PRK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David L Trautman
Officer — President & CEO · Director
Period of report
Dec 31, 2018
Accepted (ET)
Feb 8, 2019 · 12:43 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 Shares | holding | — | — | — | 27,865 | D | ||
| Common SharesF1 | holding | — | — | — | 13,934 | I | KSOP | |
| Common Shares | holding | — | — | — | 13,230 | I | Joan Y., spouse | |
| Common SharesF2 | holding | — | — | — | 2,833 | I | David L. Trautman Managing Agency Account | |
| Common Shares | holding | — | — | — | 822 | I | Joan Y., Rollover Plan | |
| Common Shares | holding | — | — | — | 346 | I | Joan Y., beneficiary of The James J. Young Inherited IRA |
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 | 1,339 | 1,339 | D |
Explanation of responses
- F1Includes an aggregate of 413.698 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 2,833.445 common shares. The number shown in this Form 5 reflects the addition of 0.051 common share for the correct total of 2,833.496 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.