0000034782-20-000021.txt : 20200213 0000034782-20-000021.hdr.sgml : 20200213 20200213095932 ACCESSION NUMBER: 0000034782-20-000021 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191231 FILED AS OF DATE: 20200213 DATE AS OF CHANGE: 20200213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MURPHY CHRISTOPHER J III CENTRAL INDEX KEY: 0001217073 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06233 FILM NUMBER: 20607410 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 5 1 wf-form5_158160595464444.xml FORM 5 X0306 5 2019-12-31 0 0 0 0000034782 1ST SOURCE CORP SRCE 0001217073 MURPHY CHRISTOPHER J III PO BOX 1602 SOUTH BEND IN 46634 1 1 1 0 Chairman, CEO Common Stock 2019-10-28 5 G 0 5000 0 D 510871 D Common Stock 2019-10-28 5 G 0 5000 0 D 2550788 I By Spouse Common Stock 55901 I By 401(k) Common Stock 125893 I By Corporation Common Stock 438131 I By ERCO II Partnership Common Stock 282119 I By ERCO III Partnership Common Stock 214770 I By Ltd. Partnership Common Stock 584600 I By LLC Mr. Murphy disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that Mr. Murphy is the beneficial owner of the securities for purposes of Section 16 or for any other purpose. Between January 1, 2019 and December 31, 2019, Mr. Murphy acquired a total of 1,326 shares of 1st Source Corporation common stock under the 401(k) Plan. The information in this report is based on a plan statement dated as of December 31, 2019. Mr. Murphy disclaims beneficial ownership of those shares held by the partnership exceeding his pecuniary interest, and this report shall not be deemed an admission that Mr. Murphy is the beneficial owner of such excess shares for purposes of Section 16 or for any other purpose. Mr. Murphy's spouse is a voting member, and Mr. Murphy is a non-voting member, of the LLC. Mr. Murphy disclaims beneficial ownership of those shares held by the LLC exceeding his pecuniary interest, and this report shall not be deemed an admission that Mr. Murphy is the beneficial owner of such excess shares for purposes of Section 16 or for any other purpose. /s/ John B. Griffith, Attorney-in-Fact 2020-02-13