0000034782-19-000026.txt : 20190204
0000034782-19-000026.hdr.sgml : 20190204
20190204105118
ACCESSION NUMBER: 0000034782-19-000026
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190201
FILED AS OF DATE: 20190204
DATE AS OF CHANGE: 20190204
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: 19562355
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_154929546404647.xml
FORM 4
X0306
4
2019-02-01
0
0000034782
1ST SOURCE CORP
SRCE
0001217074
OZARK TIMOTHY K
333 N. CANAL ST
UNIT 3605
CHICAGO
IL
60606
1
0
0
0
Common Stock
2019-02-01
4
A
0
286
45.44
A
30367
D
/s/ John B. Griffith, Attorney-in-Fact
2019-02-04