-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, TgXk8IW/uLGX5LurGR7Kde5tYMJdDXKgG/teKsVexVpzDCON/YFRRP8FwEAI6Zc5 Sm7myiVFeNBLTILkI92+tA== 0000927089-03-000321.txt : 20031223 0000927089-03-000321.hdr.sgml : 20031223 20031223140916 ACCESSION NUMBER: 0000927089-03-000321 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031219 FILED AS OF DATE: 20031223 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROBERTS RAY DONN CENTRAL INDEX KEY: 0001220168 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27905 FILM NUMBER: 031070455 BUSINESS ADDRESS: STREET 1: C/O MUTURAL FIRST FINANCIAL INC STREET 2: 110 EAST CHARLES ST CITY: MUNCIE STATE: IN ZIP: 473052400 BUSINESS PHONE: 7657472800 MAIL ADDRESS: STREET 1: 110 EAST CHARLES ST CITY: MUNCIE STATE: IN ZIP: 473052400 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-12-19 0 0001094810 MUTUALFIRST FINANCIAL INC MFSF 0001220168 ROBERTS RAY DONN 110 EAST CHARLES ST MUNCIE IN 473052400 1 0 0 0 Common Stock 2003-12-19 4 M 0 8700 14.5 A 56700 D Common Stock 2003-12-19 4 F 0 4958 24.44 D 51742 D Common Stock 50000 I Spouse Common Stock 3842 I ESOP Stock Option (Right to Purchase) 14.5 2003-12-19 4 M 0 8700 0 D 2016-01-12 Common Stock 8700 78300 D The Option is scheduled to vest in three equal annual installments beginning January 12, 2001, the date of grant. /s/ R. Donn Roberts 2003-12-23 -----END PRIVACY-ENHANCED MESSAGE-----