0000034782-16-000083.txt : 20160209 0000034782-16-000083.hdr.sgml : 20160209 20160209121322 ACCESSION NUMBER: 0000034782-16-000083 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: KAPSON CRAIG A CENTRAL INDEX KEY: 0001281342 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06233 FILM NUMBER: 161398165 MAIL ADDRESS: STREET 1: P.O. BOX 1602 CITY: SOUTH BEND STATE: IN ZIP: 46634 5 1 wf-form5_145503799117507.xml FORM 5 X0306 5 2015-12-31 0 0 0 0000034782 1ST SOURCE CORP SRCE 0001281342 KAPSON CRAIG A PO BOX 1602 SOUTH BEND IN 46634 1 0 0 0 Common Stock 17869.40 D Common Stock 1454.70 I By Spouse Common Stock 15917 I By Corporation 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. Kapson increased by 1,624 shares, the amount of shares held indirectly by spouse increased by 132 shares, and the amount of shares held indirectly by corporation increased by 1,447 shares. /s/ John B. Griffith, Attorney-in-Fact 2016-02-09