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Proc-Type: 2001,MIC-CLEAR
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FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of Check this box if no longer (Print or Type Responses) 1. Name and Address of Reporting Person* Ellerbrook Niel C. 2. Issuer Name and Tickler or Trading Symbol Old National Bancorp ONB 6. Relationship of Reporting Person(s) to Issuer X Director 10% Owner Officer (give title below) Other (specify below) (Last) (First) (Middle) 11626 Oak Meadow 3. I.R.S. Identification Number of ###-##-#### 4. Statement for Month/Day/Year 7. Individual or Joint/Group Filing (Check Applicable Line) 5. If Amendment, Date of X Form filed by One Reporting Person (Street) Form filed by More than One Reporting Person (City) (State) (Zip) Table I ¾
Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned 1. Title of Security 2. Transaction Date (Month/ Day/Year) 2A. Deemed Execution Date, if any (Month/Day/ Year) 3. Transaction 4. Securities Acquired (A) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) 6. 7. Code V Amount (A) or Price Common stock 10/16/2002 P 500.000 A 24.5000 500.000 D D Niel Ellerbrook
Washington, DC 20549
1934, Section 17(a) of the Public Utility Holding Company Act of
1935 or Section 30(h) of the Investment Company Act of 194
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OMB Number: 3235-0287
Expires: January 31, 2005
Estimated average burden
hours per response...0.5
subject to Section 16. Form 4 or
Form 5 obligations may continue.
See Instruction 1(b).
(Check all applicable)
Reporting Person, if an entity
(voluntary)
Original (Month//Day/Year)
(Instr. 3)
Code
(Instr.8)
or Disposed of (D)
(Instr. 3, 4 and 5)
(Instr. 3 and 4)
Form: Direct
(D) or
Indirect (I)
(Instr. 4)
Indirect
Beneficial
Ownership
(Instr. 4)
(D)
FORM 4 (continued) |
Table II `
Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of |
2. Conversion |
3. Trans- action Date (Month/ Date/ Year) |
3A. Deemed Execution Date, if any (Month/ Date/Year) |
4. Transaction |
5. Number of |
6. Date Exercisable |
7. Title and Amount of |
8. Price of |
9. Number of Derivative (Instr. 4) |
10. Ownership or Indirect (I) |
11. Nature of |
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Code |
V |
(A) |
(D) |
Date |
Expiration |
Title |
Amount or |
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Explanation of Responses: |
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**Signature of Reporting Person |
Date |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
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* |
If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
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** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations. |
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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, see Instruction 6 for procedure. |
Last Update: 09/05/2002
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