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Proc-Type: 2001,MIC-CLEAR
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Form 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, (Print or Type Responses) 1. Name and Address of Reporting 2. Date of Event OCTOBER 1, 2002 4. Issuer Name and Tickler or Trading Symbol OLD NATIONAL BANCORP ONB (Last) (First) (Middle) 3. I.R.S. Identification Number of ###-##-#### 5. Relationship of Reporting Person(s) to Issuer 6. If Amendment, Date of X Director 10% Owner (Street) EVANSVILLE IN 47725 Officer (give title Other (specify 7. Individual or Joint/Group Filing X Form filed by One Reporting Person (City) (State) (Zip) Form filed by More than One Reporting Person Table I ¾
Non-Derivative Securities Beneficially Owned 1. Title of Security 2. Amount of Securities Beneficially Owned 3. Ownership Form: Direct (D) or Indirect (I) 4. Nature of Indirect Beneficial Ownership Common Stock 000.000
Washington, DC 20549
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(h) of the Investment Company Act of 1940
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Person*
Requiring Statement
(Month/Day/Year)
Reporting Person, if an entity
(voluntary)
(Check all applicable)
Original (Month/Day/Year)
below)
below)
(Check Applicable Line)
(Instr. 4)
(Instr. 4)
(Instr. 5)
(Instr. 5)
FORM 3 (continued) |
Table II ¾ Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) |
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1.Title of Derivative Security |
2.Date Exer- |
3. Title and Amount of Securities Underlying |
4. Conver- |
5. Owner- |
6. Nature of Indirect |
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Date |
Expira- |
Title |
Amount |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
Explanation of Responses: |
**Signature of Reporting Person |
Date |
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* |
If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
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** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
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Note: |
File three copies of this Form, one of which must be manually signed. If space is insufficient, |
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See Instruction 6 for procedure. |