-----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, VCWybcJLPduVFvMIHsgc5+4nSKf+aSafg4GplyxHsiq3x2M8SXgymmE0GsYpiCPk D3s/mFNGACiSNdcqGBYK6Q== 0000712534-03-000187.txt : 20031205 0000712534-03-000187.hdr.sgml : 20031205 20031205094418 ACCESSION NUMBER: 0000712534-03-000187 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031203 FILED AS OF DATE: 20031205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BOEHNING RICHARD A CENTRAL INDEX KEY: 0001170818 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17071 FILM NUMBER: 031039250 MAIL ADDRESS: STREET 1: POST OFFICE BOX 792 CITY: MUNICE STATE: IN ZIP: 47308-0792 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST MERCHANTS CORP CENTRAL INDEX KEY: 0000712534 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 351544218 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 200 E JACKSON ST STREET 2: PO BOX 792 CITY: MUNCIE STATE: IN ZIP: 47308-0792 BUSINESS PHONE: 3177471500 MAIL ADDRESS: STREET 1: 200 EAST JACKSON STREET CITY: MUNCIE STATE: IN ZIP: 47305 4 1 f4120503_ex.xml X0201 4 2003-12-03 0 0000712534 FIRST MERCHANTS CORP FRME 0001170818 BOEHNING RICHARD A 220 SHEFFIELD ROAD WEST LAFAYETTE IN 47906 1 0 0 0 Common Stock 2003-12-03 4 P 0 2000 25.11 A 7865 D Securities owned indirect equals 5,586. Nature of indirect beneficial ownership: TTEE U/A DTD 12/02/80 Albrecht Family Trust Non-employee stock option-right to buy-2,315. On August 12, 2003, the Board of Directors of First Merchants Corporation declared a stock dividend payable to all holders of record of common stock on August 29, 2003 of one share of common stock for each 20 shares of common stock outstanding to be distruibuted on September 12, 2003. Fractional shares were distributed in cash. Pursuant to anti-dilution provisions of First Merchants Corporation's various stock option plans options previously reported were also adjusted to reflect the stock div idend. Larry R. Helms (Confirming Statement on File) 2003-12-05 -----END PRIVACY-ENHANCED MESSAGE-----