0000034782-16-000081.txt : 20160209 0000034782-16-000081.hdr.sgml : 20160209 20160209121252 ACCESSION NUMBER: 0000034782-16-000081 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151231 FILED AS OF DATE: 20160209 DATE AS OF CHANGE: 20160209 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: MURPHY CHRISTOPHER J III CENTRAL INDEX KEY: 0001217073 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06233 FILM NUMBER: 161398160 MAIL ADDRESS: STREET 1: P O BOX 1602 CITY: SOUTH BEND STATE: IN ZIP: 46634 5 1 wf-form5_145503796126395.xml FORM 5 X0306 5 2015-12-31 0 0 0 0000034782 1ST SOURCE CORP SRCE 0001217073 MURPHY CHRISTOPHER J III PO BOX 1602 SOUTH BEND IN 46634 1 1 1 0 Chairman, CEO Common Stock 2015-09-18 5 G 0 154 0 D 530645 D Common Stock 2015-09-24 5 G 0 302 0 D 530343 D Common Stock 2015-09-18 5 G 0 375 0 D 1299382 I By Spouse Common Stock 2015-09-24 5 G 0 81 0 D 1299301 I By Spouse Common Stock 2015-12-29 5 G 0 16200 0 D 1283101 I By Spouse Common Stock 51278 I By 401(k) Common Stock 125893 I By Corporation Common Stock 438131 I By ERCO II Partnership Common Stock 282119 I By ERCO III Partnership Common Stock 214770 I By Ltd. Partnership Common Stock 584600 I By LLC 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. Murphy increased by 48,254 shares. 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 indirectly by spouse increased by 118,159 shares. Mr. Murphy disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that Mr. Murphy is the beneficial owner of the securities for purposes of Section 16 or for any other purpose. Between January 1, 2015 and December 31, 2015, Mr. Murphy acquired a total of 5,760 shares of 1st Source Corporation common stock under the 401(k) Plan through normal contributions and a 10% stock dividend declared by 1st Source Corporation on July 22, 2015, payable to all holders of record of common stock on August 15, 2015. The information in this report is based on a plan statement dated as of December 31, 2015. 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 by Mr. Murphy indirectly by corporation increased by 11,444 shares. 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 by Mr. Murphy indirectly by ERCO II Partnership increased by 39,830 shares, the amount of shares held indirectly by ERCO III Partnership increased by 25,647 shares, and the amount of shares held indirectly by Ltd. Partnership increased by 19,524 shares. Mr. Murphy disclaims beneficial ownership of those shares held by the partnership exceeding his pecuniary interest, and this report shall not be deemed an admission that Mr. Murphy is the beneficial owner of such excess shares for purposes of Section 16 or for any other purpose. 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 by Mr. Murphy indirectly by LLC increased by 53,145 shares. Mr. Murphy's spouse is a voting member, and Mr. Murphy is a non-voting member, of the LLC. Mr. Murphy disclaims beneficial ownership of those shares held by the LLC exceeding his pecuniary interest, and this report shall not be deemed an admission that Mr. Murphy is the beneficial owner of such excess shares for purposes of Section 16 or for any other purpose. /s/ John B. Griffith, Attorney-in-Fact 2016-02-09