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