-----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, CbxVpr0BEOvchttC7RaB3KAIsAG+jGF6ntriM0PHXDkBB/Vbyp5qW05D0rKRaGtZ /k6/CRV1ew+Vx+GmgwwMag== 0000034782-04-000048.txt : 20040527 0000034782-04-000048.hdr.sgml : 20040527 20040527151821 ACCESSION NUMBER: 0000034782-04-000048 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040525 FILED AS OF DATE: 20040527 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JONES WELLINGTON D III CENTRAL INDEX KEY: 0001217071 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06233 FILM NUMBER: 04834928 MAIL ADDRESS: STREET 1: P O BOX 1602 CITY: SOUTH BEND STATE: IN ZIP: 46634 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: 1ST SOURCE CORP CENTRAL INDEX KEY: 0000034782 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 351068133 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 NORTH MICHIGAN STREET CITY: SOUTH BEND STATE: IN ZIP: 46601 BUSINESS PHONE: 5742352702 MAIL ADDRESS: STREET 1: P O BOX 1602 STREET 2: P O BOX 1602 CITY: SOUTH BEND STATE: IN ZIP: 46634 FORMER COMPANY: FORMER CONFORMED NAME: FBT BANCORP INC DATE OF NAME CHANGE: 19820818 4 1 jon184.xml X0202 4 2004-05-25 0 0000034782 1ST SOURCE CORP SRCE 0001217071 JONES WELLINGTON D III P.O. BOX 1602 SOUTH BEND IN 46634 0 1 0 0 President Common Stock 2004-05-25 4 F 0 2517 22.58 D 186483.00 D Common Stock 2004-05-25 4 M 0 4569 12.44 A 191052.00 D Common Stock 23926.00 I By 401(k) Common Stock 22471.00 I By Spouse Stock Option (Right to Buy)1996 12.44 2004-05-25 4 M 0 4569 0 D 1997-07-31 2006-07-31 Common Stock 4569.00 0.00 D This figure represents the correct balance of shares of common stock held by Mr. Jones at the end of all transactions as of 5/25/04. This information is based upon a plan statement as of December 31, 2003. By: John B. Griffith, Attorney-in-fact 2004-05-27 -----END PRIVACY-ENHANCED MESSAGE-----