-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Q+6ffSwLfklfjTvRY3C8YqogC/lNzn/NCGLR3dvMHfOno8O8SGi/9nAkeyF7dfLY 5p2GGvNpoOOpMkPyQtQQjA== 0000034782-96-000002.txt : 19960216 0000034782-96-000002.hdr.sgml : 19960216 ACCESSION NUMBER: 0000034782-96-000002 CONFORMED SUBMISSION TYPE: 10-C PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19960215 FILED AS OF DATE: 19960215 SROS: NASD FILER: 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 FILING VALUES: FORM TYPE: 10-C SEC ACT: 1934 Act SEC FILE NUMBER: 000-06233 FILM NUMBER: 96520984 BUSINESS ADDRESS: STREET 1: 100 N MICHIGAN ST CITY: SOUTH BEND STATE: IN ZIP: 46601 BUSINESS PHONE: 2192352702 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 10-C 1 FORM 10-C Securities and Exchange Commission Washington, DC 20549 Report by issuer of securities quoted on the Nasdaq Stock Market, filed pursuant to section 13 or 15(d) of the Securities Exchange Act of 1934 and Rule 13a-17 or 15d-17 thereunder. Exact name of issuer as specified in charter: 1st Source Corporation Address of principal executive offices: 100 N. Michigan Street South Bend, Indiana 46601 Issuer's telephone number (including area code): (219) 235-2702 I. Change in Number of Shares Outstanding Indicate any change (increase or decrease) of five percent or more in the number of shares outstanding: 1. Title of security 1st Source Corporation - Common 2. Number of shares outstanding before the change 11,896,095 3. Number of shares outstanding after the change 12,490,900 4. Effective date of change February 15, 1996 5. Method of change 5% Stock Dividend Specify method (such as merger, acquisition, exchange, distribution, stock split, reverse split, acquisition of stock for treasury, etc.) Give brief description of transaction II. Change in Name of Issuer 1. Name prior to change 2. Name after change 3. Effective date of charter amendment changing name 4. Date of shareholder approval of change, if required February 15, 1996 Larry E. Lentych /s/ Chief Financial Officer Date Officer's Signature and Title -----END PRIVACY-ENHANCED MESSAGE-----