-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, L6TDR3rKZ4rO4IlVIfI0VD7QU4OSslfNIGFwqmWHHSqYnQY2UOvIU39/eMgfblZP /xypjjveCEobEPJrV1413Q== 0001137680-04-000003.txt : 20040121 0001137680-04-000003.hdr.sgml : 20040121 20040121173305 ACCESSION NUMBER: 0001137680-04-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040121 FILED AS OF DATE: 20040121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HORIZON BANCORP /IN/ CENTRAL INDEX KEY: 0000706129 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 351562417 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 515 FRANKLIN SQ CITY: MICHIGAN CITY STATE: IN ZIP: 46360 BUSINESS PHONE: 2198790211 MAIL ADDRESS: STREET 1: 515 FRANKLIN SQ CITY: MICHIGAN CITY STATE: IN ZIP: 46360 FORMER COMPANY: FORMER CONFORMED NAME: CITIZENS MICHIANA FINANCIAL CORP DATE OF NAME CHANGE: 19861021 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PAIRITZ PETER L CENTRAL INDEX KEY: 0001137688 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10792 FILM NUMBER: 04536080 BUSINESS ADDRESS: STREET 1: 617 GREENTREE DR CITY: MICHIGAN STATE: IN ZIP: 46360 BUSINESS PHONE: 2198793043 MAIL ADDRESS: STREET 1: 3557 WEST WAVERLY RD CITY: LAPORTE STATE: IN ZIP: 46350 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2004-01-21 0 0000706129 HORIZON BANCORP /IN/ HBNC 0001137688 PAIRITZ PETER L 3557 WEST WAVERLY RD LAPORTE IN 46350 1 0 0 0 Common Stock 1663 D Common Stock 3750 I Profit sharing account Common Stock 900 I As custodian Reflects additional shares acquired pursuant to the Horizon Bancorp 3-for-2 stock split on November 3, 2003. This form is being filed soley to report the increase in shares resulting from the stock split. Spouse holds shares as custodian. /s/ Peter L. Pairitz 2004-01-21 James H. Foglesong, Attorney in Fact 2004-01-21 -----END PRIVACY-ENHANCED MESSAGE-----