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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 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 (Month/Day/Year) |
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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Sizemore James Daniel 50 NORTH THIRD STREET NEWARK, OH 43055 |
X |
David L. Trautman, by Power of Attorney for J. Daniel Sizemore | 03/13/2007 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Received in exchange for 474 Vision Shares in connection with the Merger. On the effective date of the Merger, the closing price of the Vision Shares was $23.30 per share and the closing price of the Park Shares was $92.25 per share. |
(2) | Received in exchange for 119,973 shares of Common Stock ("Vision Shares") of Vision Bancshares, Inc. ("Vision") in connection with merger (the "Merger") of Vision into Park National Corporation ("Park"). Each Vision Share was exchanged for 0.2475 common shares of Park (the "Park Shares"). On the effective date of the Merger, the closing price of the Vision Shares was $23.30 per share and the closing price of the Park Shares was $92.25 per share. |
(3) | Received in exchange for 3,118 Vision Shares in connection with the Merger. On the effective date of the Merger, the closing price of the Vision Shares was $23.30 per share and the closing price of the Park Shares was $92.25 per share. |
(4) | The reported securities are held by Gulf Shores Investment Group, LLC, a limited liability company of which the reporting person is a member. The reporting person disclaims beneficial ownership of the Park Shares held by Gulf Shores Investment Group, LLC except to the extent of the reporting person's pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities so disclaimed for purposes of Section 16 or for any other purpose. |