-----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, WVS0n3SRV55V45rQG0dJBuqbNHh6LtrXVxoAkObCNUdLTTKdbg12odAP+vcMtZED 1elCxTn+UNVq2sTRf/a9Bg== 0000034782-05-000036.txt : 20050517 0000034782-05-000036.hdr.sgml : 20050517 20050517170412 ACCESSION NUMBER: 0000034782-05-000036 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050513 FILED AS OF DATE: 20050517 DATE AS OF CHANGE: 20050517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: QUALEY ALLEN RUSSELL CENTRAL INDEX KEY: 0001217076 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06233 FILM NUMBER: 05839460 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 qua216.xml X0202 4 2005-05-13 0 0000034782 1ST SOURCE CORP SRCE 0001217076 QUALEY ALLEN RUSSELL P.O. BOX 1602 SOUTH BEND IN 46634 0 1 0 0 Executive Vice President Common Stock 2005-05-13 4 F 0 4807 0 D 58329.00 D Common Stock 2005-05-13 4 M 0 8675 12.44 A 67004.00 D Common Stock 12048.00 I By 401(k) Common Stock 18539.00 I By Immediate Family Stock Option (Right to Buy)1996 12.44 2005-05-13 4 M 0 8675 0 D 1997-07-31 2006-07-31 Common Stock 8675.00 8000.00 D By: Kristin Pruitt, Attorney-in-fact 2005-05-17 -----END PRIVACY-ENHANCED MESSAGE-----