Sec Form 5 Filing - DELAWDER DAN @ PARK NATIONAL CORP /OH/ - 2021-12-31

Insider filing report for Changes in Beneficial Ownership
"Insiders might sell their shares for any number of reasons, but they buy them for only one: they think the price will rise"
- Peter Lynch
What is insider trading>>
FORM 5
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Expires: November 30, 2011
Estimated average burden hours per response... 0.5
1. Name and Address of Reporting Person
DELAWDER DAN
2. Issuer Name and Ticker or Trading Symbol
PARK NATIONAL CORP /OH/ [ PRK]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
50 N. THIRD STREET
3. Date of Earliest Transaction (MM/DD/YY)
12/31/2021
(Street)
NEWARK, OH43055
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Shares 56,507( 1 ) D
Common Shares 27,347.804( 1 )( 2 ) I KSOP( 1 )( 2 )
Common Shares 8,199.962( 3 ) I C. Daniel DeLawder Managing Agency Account( 3 )
Common Shares 50,232 I Diane S., spouse
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
PBRSUs ( 4 ) ( 4 ) ( 4 ) Common Shares 1,062.5 1,062.5 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
DELAWDER DAN
50 N. THIRD STREET
NEWARK, OH43055
X
Signatures
/s/ Brady T. Burt, Attorney-in-Fact for C. Daniel DeLawder 02/10/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Reflects the transfer of 777 common shares of Park National Corporation ("Park") from being held and beneficially owned indirectly through the reporting person's account under the Park National Corporation Employees Stock Ownership Plan (the "KSOP") to being held and beneficially owned directly by the reporting person as a result of the reporting person receiving a required minimum distribution from the KSOP on Nov. 30, 2021.
( 2 )Includes 255.045 common shares of Park acquired by the reporting person within the KSOP since the most recent reportable transaction date of October 25, 2021 through the remainder of the fiscal year ended December 31, 2021.
( 3 )The number shown in this Form 5 compared to the reporting person's Form 4 dated Oct. 25, 2021, which reported 8,199.953 common shares, reflects the addition of 0.009 common share of Park for the correct total of 8,199.962 common shares beneficially owned indirectly in the C. Daniel DeLawder Managing Agency Account.
( 4 )These 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, 2022.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.