0000927089-11-000217.txt : 20110922 0000927089-11-000217.hdr.sgml : 20110922 20110922110438 ACCESSION NUMBER: 0000927089-11-000217 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110921 FILED AS OF DATE: 20110922 DATE AS OF CHANGE: 20110922 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Levy Edward C CENTRAL INDEX KEY: 0001315104 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27905 FILM NUMBER: 111102504 MAIL ADDRESS: STREET 1: 316 SOUTH EDDY STREET CITY: SOUTH BEND STATE: IN ZIP: 46617 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 X0304 4 2011-09-21 0 0001094810 MUTUALFIRST FINANCIAL INC MFSF 0001315104 Levy Edward C 316 SOUTH EDDY STREET SOUTH BEND IN 46617 1 0 0 0 Common Stock 2011-09-21 4 P 0 300 7.4 A 9410 D Stock Option (Right to Buy) 9.85 2008-07-18 2015-09-30 Common Stock 12950 12950 D Received in the Merger in exchange for an option to purchase 5,000 shares of MFB common stock at an exercise price of $25.50. /s/ Rosalie A. Petro POA for Edward C. Levy 2011-09-22