0000908834-11-000182.txt : 20110706 0000908834-11-000182.hdr.sgml : 20110706 20110706164139 ACCESSION NUMBER: 0000908834-11-000182 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110701 FILED AS OF DATE: 20110706 DATE AS OF CHANGE: 20110706 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: 11953742 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 2011-07-01 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 2011-07-01 4 A 0 5000 0 A 89823 D Common Stock 16808 I By 401(k) Common Stock 20392 I By Immediate Family /s/ John B. Griffith, Attorney-in-Fact 2011-07-06