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