0000034782-22-000030.txt : 20220210
0000034782-22-000030.hdr.sgml : 20220210
20220210105149
ACCESSION NUMBER: 0000034782-22-000030
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211231
FILED AS OF DATE: 20220210
DATE AS OF CHANGE: 20220210
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: 22611948
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_164450829421093.xml
FORM 5
X0306
5
2021-12-31
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
2021-11-30
5
G
0
25770
0
D
509003
D
Common Stock
2021-11-30
5
G
0
25769
0
D
2539538
I
By Spouse
Common Stock
2021-12-01
5
G
0
3
0
D
2539535
I
By Spouse
Common Stock
2021-12-06
5
G
0
1095
0
A
2540630
I
By Spouse
Common Stock
59295
I
By 401(k)
Common Stock
125893
I
By Corporation
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, 2021 and December 31, 2021, Mr. Murphy acquired a total of 1,578 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, 2021.
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
2022-02-10