0000911916-16-000445.txt : 20160310 0000911916-16-000445.hdr.sgml : 20160310 20160310115116 ACCESSION NUMBER: 0000911916-16-000445 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20151008 FILED AS OF DATE: 20160310 DATE AS OF CHANGE: 20160310 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Murphy Carmen C CENTRAL INDEX KEY: 0001668375 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06233 FILM NUMBER: 161496863 MAIL ADDRESS: STREET 1: 1237 EAST JEFFERSON BOULEVARD CITY: SOUTH BEND STATE: IN ZIP: 46617 3 1 edgar.xml PRIMARY DOCUMENT X0206 3 2015-10-08 0 0000034782 1ST SOURCE CORP SRCE 0001668375 Murphy Carmen C 1237 EAST JEFFERSON BOULEVARD SOUTH BEND IN 46617 0 0 1 0 Common Stock 151117 D Common Stock 1642535 I By Spouse Common Stock 584600 I By LLC Common Stock 283897 I By Trust Common Stock 646582 I By Trust Common Stock 17246 I By Trust Common Stock 43132 I By Trust Common Stock 41640 I By Trust Common Stock 115684 I By Trust Common Stock 708289 I By Trust Common Stock 147255 I By Trust Common Stock 229930 I By Trust Common Stock 1598 I By Trust Common Stock 6228 I By Trust Common Stock 228382 I By Trust Includes 530,343 shares of common stock held directly by Mr. Murphy, 51,279 shares of common stock held indirectly by Mr. Murphy under the 1st Source Corporation 401(k) Plan, 125,893 shares of common stock held indirectly by Mr. Murphy through a corporation and 935,020 shares of common stock held indirectly by Mr. Murphy through three limited partnerships. Mrs. Murphy disclaims beneficial ownership of these shares of common stock, and this report on Form 3 shall not be deemed an admission that Mrs. Murphy is the beneficial owner of these shares of common stock for purposes of Section 16 or for any other purpose. Mrs. Murphy is a voting member of the LLC. Mrs. Murphy disclaims beneficial ownership of those shares of common stock held by the LLC exceeding her pecuniary interest, and this report shall not be deemed an admission that Mrs. Murphy is the beneficial owner of such excess shares of common stock for purposes of Section 16 or for any other purpose. Indirect through the 1957 E. L. Morris FBO Carmen C. Murphy Trust. Indirect through the 1959 E. L. Morris FBO Carmen C. Murphy Trust. Indirect through the E. M. Raclin FBO Carmen C. Murphy Trust. Indirect through a 1965 E. L. Morris FBO E. M. Raclin and Carmen C. Murphy Trust. Indirect through a second 1965 E. L. Morris FBO E. M. Raclin and Carmen C. Murphy Trust. Indirect through the Carmen C. Murphy Charitable Annuity Trust. Indirect through the Ella Morris Trust FBO Carmen C. Murphy. Indirect through the Ernestine M. Raclin Charitable Irrevocable Trust FBO Carmen C. Murphy. Indirect through the 1960 Ernestine M. Raclin Irrevocable Trust FBO Carmen C. Murphy. Indirect through the Ella Morris Charitable Trust FBO Carmen C. Murphy. Indirect through the Ella Morris Irrevocable Charitable Living Trust FBO Carmen C. Murphy. Indirect through the 1965 Ernestine M. Raclin Irrevocable Trust FBO Carmen C. Murphy. Mrs. Murphy has the power to direct the trustee with respect to the disposition of the reported shares of common stock. Mrs. Murphy disclaims beneficial ownership of these shares of common stock except to the extent of her pecuniary interest therein, and the inclusion of these shares of common stock in this Form 3 shall not be deemed an admission of beneficial ownership of all of the reported shares of common stock for purposes of Section 16 or for any other purpose. Exhibit 24 - Power of Attorney /s/ John B. Griffith, Attorney-in-Fact for Carmen C. Murphy (power of attorney filed herewith) 2016-03-09 EX-24 2 poa-murphy.htm POWER OF ATTORNEY - CARMEN C. MURPHY
POWER OF ATTORNEY

For Executing a Form ID and Forms 3, 4, 5 and 144



The undersigned hereby appoints each of Christopher J.

Murphy III and John B. Griffith, signing singly, as her

true and lawful attorney-in-fact, for such period of time

that the undersigned is required to file reports pursuant

to Section 16(a) of the Securities Exchange Act of 1934,

as amended (the "Exchange Act"), or Rule 144 of the Securities

Act of 1933, as amended (the "Securities Act"), due to her

affiliation with 1st Source Corporation, an Indiana

corporation,unless earlier revoked by the undersigned in a

signed writing delivered to the foregoing attorneys-in-fact,

to:



(1) execute for and on behalf of the undersigned a Form ID

application for access codes to file on EDGAR and Forms 3,

4, 5 and 144 and any amendments to previously filed forms in

accordance with Section 16(a) of the Exchange Act or Rule 144

of the Securities Act and the rules thereunder;



(2) do and perform any and all acts for and on behalf of the

undersigned which may be necessary or desirable to complete

the execution of any such Form ID and Forms 3, 4, 5 and 144

and the timely filing of such form with the United States

Securities and Exchange Commission and any other authority

as required by law; and



(3) take any other action of any type whatsoever in

connection with the foregoing which, in the opinion of such

attorney-in-fact, may be of benefit to, in the best interest

of, or legally required by, the undersigned, it being

understood that the documents executed by such attorney-in-fact

on behalf of the undersigned pursuant to this Power of Attorney

shall be in such form and shall contain such terms and

conditions as such attorney-in-fact may approve in her

discretion.



The undersigned hereby grants to each such attorney-in-fact

full power and authority to do and perform all and every act

and thing whatsoever requisite, necessary and proper to be

done in the exercise of any of the rights and powers herein

granted, as fully to all intents and purposes as the

undersigned could do if personally present, with full power

of substitution or revocation, hereby ratifying and confirming

all that such attorney-in-fact, or her substitute or substitutes,

shall lawfully do or cause to be done by virtue of this Power

of Attorney and the rights and powers herein granted.  The

undersigned acknowledges that the foregoing attorneys-in-fact,

in serving in such capacity at the request of the undersigned,

are not assuming any of the undersigned's responsibilities to

comply with Section 16 of the Exchange Act or Rule 144 of the

Securities Act.



IN WITNESS WHEREOF, the undersigned has caused this Power of

Attorney to be executed as of this 1st day of March, 2016.



/s/ Carmen C. Murphy

Signature