-----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, JIK7fcm7VOKv+7L+tl5EkobNEJGqtqFM0pVh4VXe8Zd0D2XGDWVsExtXUBjFVNzc HAznV1c7SL0ej6XOvw2Pdg== 0000927089-04-000001.txt : 20040105 0000927089-04-000001.hdr.sgml : 20040105 20040105164151 ACCESSION NUMBER: 0000927089-04-000001 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040105 FILED AS OF DATE: 20040105 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: BOTTS PATRICK C CENTRAL INDEX KEY: 0001220147 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-27905 FILM NUMBER: 04505619 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/A 1 primary_doc.xml PRIMARY DOCUMENT X0201 4/A 2004-01-05 2003-12-17 0 0001094810 MUTUALFIRST FINANCIAL INC MFSF 0001220147 BOTTS PATRICK C 110 EAST CHARLES ST MUNCIE IN 473052400 1 1 0 0 President and COO Common Stock 2003-12-17 4 A 0 10000 0 A 19500 D Common Stock 2155 I ESOP Common Stock 360 I Spouse Common Stock 600 I UTMA Stock Option 25.66 2003-12-17 4 A 0 18354 0 A 2013-12-17 Common Stock 18354 28354 D Stock Option 25.66 2003-12-17 4 A 0 11646 0 A 2018-12-17 Common Stock 11646 40000 D Stock Option 14.5 2011-01-12 Common Stock 10000 10000 D Reflects the grant of restricted stock under the Company's Recognition and Retention Plan, which vests in five equal annual installments beginning March 20, 2005. The option is scheduled to vest in five equal annual installments beginning January 12, 2005. The option is scheduled to vest in five equal annual installments beginning January 12, 2001, the date of grant. /s/ Patrick C. Botts 2004-01-05 -----END PRIVACY-ENHANCED MESSAGE-----