0000034782-17-000033.txt : 20170214 0000034782-17-000033.hdr.sgml : 20170214 20170214141425 ACCESSION NUMBER: 0000034782-17-000033 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170214 DATE AS OF CHANGE: 20170214 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 IV CENTRAL INDEX KEY: 0001518801 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06233 FILM NUMBER: 17606940 MAIL ADDRESS: STREET 1: PO BOX 1602 CITY: SOUTH BEND STATE: IN ZIP: 46634 5 1 wf-form5_148709964043213.xml FORM 5 X0306 5 2016-12-31 0 0 0 0000034782 1ST SOURCE CORP SRCE 0001518801 Murphy Christopher J IV PO BOX 1602 SOUTH BEND IN 46634 1 0 0 0 Common Stock 2016-12-19 5 G 0 225 0 D 84780 I By Trust Common Stock 11133 I By Spouse Common Stock 10685 I By Child Common Stock 13379 I By 2nd Child On July 22, 2015, 1st Source Corporation declared a 10% stock dividend payable to all holders of common stock on August 15, 2015. As a result, the 700 shares of common stock held indirectly by Mr. Murphy's spouse that he reported on an amended Form 3 filed on February 8, 2017 increased by 70 shares. /s/ John B. Griffith, Attorney-in-Fact 2017-02-14