0000908834-12-000352.txt : 20121203
0000908834-12-000352.hdr.sgml : 20121203
20121203103609
ACCESSION NUMBER: 0000908834-12-000352
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121129
FILED AS OF DATE: 20121203
DATE AS OF CHANGE: 20121203
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FITZPATRICK DANIEL B
CENTRAL INDEX KEY: 0000939167
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-06233
FILM NUMBER: 121236382
MAIL ADDRESS:
STREET 1: 4220 EDISON LAKES PKWY
STREET 2: C/O QUALITY DINING INC
CITY: MISHAWAKA
STATE: IN
ZIP: 46545
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
X0306
4
2012-11-29
0000034782
1ST SOURCE CORP
SRCE
0000939167
FITZPATRICK DANIEL B
PO BOX 1602
SOUTH BEND
IN
46634
1
0
0
0
Common Stock
2012-11-29
4
S
0
17274
21.12
D
25726
D
Common Stock
5500
I
By immediate family
/s/ John B. Griffith, Attorney-in-Fact for Daniel B. Fitzpatrick
2012-11-29