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Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
Originator-Key-Asymmetric:
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MIC-Info: RSA-MD5,RSA,
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0000927089-03-000286.txt : 20031112
0000927089-03-000286.hdr.sgml : 20031111
20031112124538
ACCESSION NUMBER: 0000927089-03-000286
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20031030
FILED AS OF DATE: 20031112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MCVICKER JERRY DEAN
CENTRAL INDEX KEY: 0001269369
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27905
FILM NUMBER: 03992430
MAIL ADDRESS:
STREET 1: 110 EAST CHARLES STREET
CITY: MUNCIE
STATE: IN
ZIP: 47305-2400
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MUTUALFIRST FINANCIAL INC
CENTRAL INDEX KEY: 0001094810
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 371392810
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 110 E CHARLES STREET
CITY: MUNCIE
STATE: IN
ZIP: 47305
BUSINESS PHONE: 7657472800
MAIL ADDRESS:
STREET 1: 110 E CHARLES STREET
CITY: MUNCIE
STATE: IN
ZIP: 47305
FORMER COMPANY:
FORMER CONFORMED NAME: MFS FINANCIAL INC
DATE OF NAME CHANGE: 19990910
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0201
4
2003-10-30
0
0001094810
MUTUALFIRST FINANCIAL INC
MFSF
0001269369
MCVICKER JERRY DEAN
110 EAST CHARLES STREET
MUNCIE
IN
47305-2400
1
0
0
0
Common Stock
2003-10-30
4
M
0
18774
10.87
A
30168
D
Common Stock
2003-10-30
4
S
0
9300
28.8
D
20868
D
Common Stock
2003-10-30
4
S
0
2774
28.35
D
18094
D
Common Stock
2003-10-31
4
S
0
1900
28.48
D
16194
D
Common Stock
2003-11-03
4
S
0
500
28.27
D
15694
D
Common Stock
2003-11-03
4
S
0
400
28
A
15294
D
Common Stock
2003-11-03
4
S
0
100
28.27
D
15194
D
Common Stock
2003-11-04
4
S
0
500
27.6
D
14694
D
Common Stock
2003-11-04
4
S
0
1300
27.55
D
13394
D
Common Stock
2003-11-05
4
S
0
500
27.25
D
12894
D
Common Stock
2003-11-07
4
S
0
1500
27.25
D
11394
D
Common Stock
10000
I
Spouse
Stock Option (Right to Purchase)
10.87
2003-10-30
4
M
0
18774
0
D
2006-09-01
Common Stock
18774
0
D
Stock Option (Right to Purchase)
14.5
2016-01-12
Common Stock
5000
5000
D
Held in spouse's Individual Retirement Account (IRA).
The reporting person was previously a director for Marion Capital Holdings, Inc. This option, which is fully exercisable, was assumed by MutualFirst Financial, Inc. as part of the merger between MutualFirst and Marion Capital Holdings.
The option is scheduled to vest in five equal annual installments beginning January 12, 2001, the date of grant.
/s/ Rosalie A. Petro, attorney-in-fact
2003-11-11
EX-99
3
poa-vicker.htm
POWER OF ATTORNEY
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that Jerry D. McVicker whose signature
appears below constitutes and appoints David W. Heeter and Rosalie A. Petro, or either of them,
his true and lawful attorneys-in-fact and agents, with full power of substitution and re-substitution, for him and his name, place and stead, in any and all capacities, to sign any report
filed pursuant to Section 16 of the Securities Exchange Act of 1934, as amended, including any
Form 3, Form 4 or Form 5 and all amendments to any such documents, if any, and to file the
same, with any exhibits thereto, with the Securities and Exchange Commission (or other
appropriate governmental authority for such purpose), granting unto said attorneys-in-fact and
agents full power and authority to do and perform each and every act and thing requisite and
necessary to be done, as fully to all intents and purposes as he might or could do in person,
hereby ratifying and confirming all said attorneys-in-fact and agents or their substitutes or
substitute may lawfully do or cause to be done by virtue hereof.
Effective Date: November 1, 2003 |
/s/ Jerry D. McVicker
|
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