0000034782-16-000088.txt : 20160209
0000034782-16-000088.hdr.sgml : 20160209
20160209121454
ACCESSION NUMBER: 0000034782-16-000088
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: Seitz James R
CENTRAL INDEX KEY: 0001524978
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-06233
FILM NUMBER: 161398176
MAIL ADDRESS:
STREET 1: PO BOX 1602
CITY: SOUTH BEND
STATE: IN
ZIP: 46634
5
1
wf-form5_145503808289508.xml
FORM 5
X0306
5
2015-12-31
0
0
0
0000034782
1ST SOURCE CORP
SRCE
0001524978
Seitz James R
P.O. BOX 1602
SOUTH BEND
IN
46634
0
1
0
0
President
Common Stock
40167
D
Common Stock
21628
I
By 401(k)
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. Seitz increased by 3,651 shares.
Between January 1, 2015 and December 31, 2015, Mr. Seitz acquired a total of 2,587 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 common stock on August 15, 2015. The information in this report is based on a plan statement dated as of December 31, 2015.
/s/ John B. Griffith, Attorney-in-Fact
2016-02-09