0000034782-15-000052.txt : 20151103 0000034782-15-000052.hdr.sgml : 20151103 20151103165331 ACCESSION NUMBER: 0000034782-15-000052 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151102 FILED AS OF DATE: 20151103 DATE AS OF CHANGE: 20151103 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Khan Najeeb A CENTRAL INDEX KEY: 0001518800 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06233 FILM NUMBER: 151194350 MAIL ADDRESS: STREET 1: PO BOX 1602 CITY: SOUTH BEND STATE: IN ZIP: 46634 4 1 wf-form4_144658760115859.xml FORM 4 X0306 4 2015-11-02 0 0000034782 1ST SOURCE CORP SRCE 0001518800 Khan Najeeb A PO BOX 1602 SOUTH BEND IN 46634 1 0 0 0 Common Stock 2015-11-02 4 A 0 203 33.12 A 8809 D Common Stock 1 I By child On July 22, 2015, 1st Source Corporation declared a 10% stock dividend payable to all holders of record of common stock on August 15, 2015. As a result, the amount of shares of common stock held directly by Mr. Khan increased by 782 shares. /s/ John B. Griffith, Attorney-in-Fact 2015-11-03