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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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0000927089-04-000090.txt : 20040224
0000927089-04-000090.hdr.sgml : 20040224
20040224155901
ACCESSION NUMBER: 0000927089-04-000090
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20040224
FILED AS OF DATE: 20040224
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: CAMPBELL STEVEN RAY
CENTRAL INDEX KEY: 0001220149
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27905
FILM NUMBER: 04624991
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
2004-02-24
0
0001094810
MUTUALFIRST FINANCIAL INC
MFSF
0001220149
CAMPBELL STEVEN RAY
110 EAST CHARLES ST
MUNCIE
IN
473052400
0
1
0
0
Senior Vice President
Common Stock
2004-02-23
4
F
0
900
25.05
D
9706
D
Common Stock
3201
I
E.S.O.P.
Stock Option (right to purchase)
14.5
2011-01-12
Common Stock
25000
20000
D
The options are scheduled to vest in 3 equal annual installments beginning 1-12-01, the date of the grant.
/s/ Rosalie A. Petro, attorney in fact
2004-02-24
EX-99
3
campbell.htm
POWER OF ATTORNEY
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that STEVEN R. CAMPBELLL whose signature appears below constitutes and appoints R. Donn Roberts 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 in 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 Commisison (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 con
firming all said attorneys-in-fact and agents or their substitutes or substitute may lawfully do or cause to be done by virtue hereof.
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