0000034782-19-000113.txt : 20191122
0000034782-19-000113.hdr.sgml : 20191122
20191122160249
ACCESSION NUMBER: 0000034782-19-000113
CONFORMED SUBMISSION TYPE: 3/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110630
FILED AS OF DATE: 20191122
DATE AS OF CHANGE: 20191122
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Seitz James R
CENTRAL INDEX KEY: 0001524978
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-06233
FILM NUMBER: 191241493
MAIL ADDRESS:
STREET 1: PO 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
3/A
1
wf-form3a_157445655413746.xml
FORM 3/A
X0206
3/A
2011-06-30
2011-07-06
0
0000034782
1ST SOURCE CORP
SRCE
0001524978
Seitz James R
P.O. BOX 1602
SOUTH BEND
IN
46634
0
1
0
0
Executive Vice President
Common Stock
17916
D
Common Stock
16622
I
By 401(k)
Includes 180 shares owned by Mr. Seitz that were omitted from his original Form 3, and also were omitted from the 13 Form 4 and two Form 5s that he filed after his original Form 3.
/s/ John B. Griffith, Attorney-in-Fact
2019-11-22