-----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, RPjf7sV2BHszb1JsxFOlm1Nn0AVgYYTPFPPxeF1qXsSdSHsDvy3Zzntl6/4FyPYZ PF4AERXnBfJiwNQ7zrRDuQ== 0000927089-04-000402.txt : 20041116 0000927089-04-000402.hdr.sgml : 20041116 20041116163711 ACCESSION NUMBER: 0000927089-04-000402 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041116 FILED AS OF DATE: 20041116 DATE AS OF CHANGE: 20041116 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: 041149901 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 X0202 4 2004-11-16 0 0001094810 MUTUALFIRST FINANCIAL INC MFSF 0001220168 ROBERTS RAY DONN 110 EAST CHARLES ST MUNCIE IN 473052400 1 0 0 0 Common Stock 2004-11-16 4 F 0 8008 23.72 D 43734 D Common Stock 2004-11-16 4 M 0 13100 14.5 A 56834 D Common Stock 50000 I Spouse Common Stock 4704 I ESOP Stock Option (Right to Purchase) 14.5 2004-11-16 4 M 0 13100 0 D 2016-01-12 Common Stock 13100 65200 D Reflects allocation for 2003 under Issuer's Employee Stock Ownership Plan. The Option is scheduled to vest in three equal annual installments beginning January 12, 2001, the date of the grant. /s/ R. Donn Roberts 2004-11-16 -----END PRIVACY-ENHANCED MESSAGE-----