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