0001179110-15-014119.txt : 20151019
0001179110-15-014119.hdr.sgml : 20151019
20151019160846
ACCESSION NUMBER: 0001179110-15-014119
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151008
FILED AS OF DATE: 20151019
DATE AS OF CHANGE: 20151019
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: Carmichael Stanley Clark
CENTRAL INDEX KEY: 0001655973
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-06233
FILM NUMBER: 151164330
MAIL ADDRESS:
STREET 1: 1510 71ST ST.
CITY: FENNVILLE
STATE: MI
ZIP: 49408
3
1
edgar.xml
FORM 3 -
X0206
3
2015-10-08
0
0000034782
1ST SOURCE CORP
SRCE
0001655973
Carmichael Stanley Clark
1510 71ST ST.
FENNVILLE
MI
49408
0
0
0
1
10% Group Member
Common Stock
9125
D
Common Stock
2703
I
See footnotes
Common Stock
30618
I
See footnotes
Common Stock
708291
I
See footnotes
Common Stock
147257
I
See footnotes
Common Stock
229932
I
See footnotes
Common Stock
1598
I
See footnotes
Common Stock
6229
I
See footnotes
Common Stock
228383
I
See footnotes
Indirect through E.L. Morris fbo S.C. Carmichael Trust.
Indirect through S.C. Carmichael Charitable Annuity Trust.
Indirect through E.L. Morris Trust FBO Stanley Clark Carmichael Family.
Indirect through Ernestine M. Raclin Charitable Irrev Trust FBO Stanley Clark Carmichael Family.
Indirect through Ernestine M. Raclin Irrevocable Trust FBO Stanley Clark Carmichael Family.
Indirect through Ella Morris Charitable Trust FBO Stanley Clark Carmichael Family.
Indirect through E.L. Morris Irrev Charitable Living Trust FBO Stanley Clark Carmichael Family.
Indirect through Ernestine M. Raclin Irrevocable Trust FBO Stanley Clark Carmichael Family.
The reporting person has the power to direct the trustee with respect to the disposition of the reported securities. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all of the reported securities for purposes of Section 16 or for any other purpose.
/s/ Stanley Clark Carmichael
2015-10-19