-----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, TwzZxnECCj8jsiPgY2lRbX1wqE2JpR+h0D2+Leb2QbX4s1kC85r10zue+HVhzTp3 ChhpTS5La9HCwaTLlah7xw== 0000908834-10-000018.txt : 20100122 0000908834-10-000018.hdr.sgml : 20100122 20100122145646 ACCESSION NUMBER: 0000908834-10-000018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100121 FILED AS OF DATE: 20100122 DATE AS OF CHANGE: 20100122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: QUALEY ALLEN RUSSELL CENTRAL INDEX KEY: 0001217076 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06233 FILM NUMBER: 10541700 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 4 1 edgar.xml PRIMARY DOCUMENT X0303 4 2010-01-21 0000034782 1ST SOURCE CORP SRCE 0001217076 QUALEY ALLEN RUSSELL P.O. BOX 1602 SOUTH BEND IN 46634 0 1 0 0 Executive Vice President Common Stock 2010-01-21 4 D 0 2782 0 D 78763 D Common Stock 15415 I By 401(k) Common Stock 20392 I By Immediate Family Between January 1, 2009 and December 31, 2009, Mr. Qualey acquired a net 835 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, 2009. /s/ John B. Griffith, Attorney-in-Fact 2010-01-22 -----END PRIVACY-ENHANCED MESSAGE-----