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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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0000927089-05-000510.txt : 20051222
0000927089-05-000510.hdr.sgml : 20051222
20051222171851
ACCESSION NUMBER: 0000927089-05-000510
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20051221
FILED AS OF DATE: 20051222
DATE AS OF CHANGE: 20051222
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Richardson Lynne D
CENTRAL INDEX KEY: 0001341643
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27905
FILM NUMBER: 051282986
BUSINESS ADDRESS:
BUSINESS PHONE: 7657472800
MAIL ADDRESS:
STREET 1: C/O MUTUALFIRST FINANCIAL INC
STREET 2: 110 E CHARLES STREET
CITY: MUNCIE
STATE: IN
ZIP: 47305
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
X0202
4
2005-12-21
0
0001094810
MUTUALFIRST FINANCIAL INC
MFSF
0001341643
Richardson Lynne D
C/O MUTUALFIRST FINANCIAL INC
110 E CHARLES STREET
MUNCIE
IN
47305
1
0
0
0
Common Stock
0
D
Stock Option (Right to Purchase)
22
2005-12-21
4
A
0
5000
0
A
2005-12-31
2015-12-31
Common Stock
5000
5000
D
/s/ Rosalie A. Petro, POA
2005-12-22
EX-99
2
poa-richardson.htm
POWER OF ATTORNEY
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that Lynne D. Richardson 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.
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