0000034782-17-000079.txt : 20170803 0000034782-17-000079.hdr.sgml : 20170803 20170803105526 ACCESSION NUMBER: 0000034782-17-000079 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170802 FILED AS OF DATE: 20170803 DATE AS OF CHANGE: 20170803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: OZARK TIMOTHY K CENTRAL INDEX KEY: 0001217074 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06233 FILM NUMBER: 171003735 MAIL ADDRESS: STREET 1: P O BOX 1602 CITY: SOUTH BEND STATE: IN ZIP: 46634 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 4 1 wf-form4_150177211212522.xml FORM 4 X0306 4 2017-08-02 0 0000034782 1ST SOURCE CORP SRCE 0001217074 OZARK TIMOTHY K 368 W. HURON STREET SUITE 200 CHICAGO IL 60610 1 0 0 0 Common Stock 2017-08-02 4 A 0 318 48.62 A 27994 D /s/ John B. Griffith, Attorney-in-Fact 2017-08-03