0000034782-21-000071.txt : 20210604 0000034782-21-000071.hdr.sgml : 20210604 20210604153453 ACCESSION NUMBER: 0000034782-21-000071 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210603 FILED AS OF DATE: 20210604 DATE AS OF CHANGE: 20210604 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AFFLECK-GRAVES JOHN F CENTRAL INDEX KEY: 0001297755 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06233 FILM NUMBER: 21996280 MAIL ADDRESS: STREET 1: 3820 EDISON LAKES PARKWAY CITY: MISHAWAKA STATE: IN ZIP: 46545 FORMER NAME: FORMER CONFORMED NAME: Affleck-Graves John DATE OF NAME CHANGE: 20191120 FORMER NAME: FORMER CONFORMED NAME: Afleck-Graves John DATE OF NAME CHANGE: 20040720 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_162283528178651.xml FORM 4 X0306 4 2021-06-03 0 0000034782 1ST SOURCE CORP SRCE 0001297755 AFFLECK-GRAVES JOHN F PO BOX 1602 SOUTH BEND IN 46634 1 0 0 0 Common Stock 2021-06-03 4 A 0 1646 49.08 A 8070 D John B. Griffith, Attorney-in-Fact 2021-06-04