-----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, AFxm0cOQ7pUtNhanW8sCZ8cZOb9NBCn13TcV9iBAKY91wp28/90jhxCL16xYckrd FSp6sWsdZndj+Wtjf4iacw== 0000712534-03-000193.txt : 20031223 0000712534-03-000193.hdr.sgml : 20031223 20031223094328 ACCESSION NUMBER: 0000712534-03-000193 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031219 FILED AS OF DATE: 20031223 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COX MICHAEL L CENTRAL INDEX KEY: 0001012745 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17071 FILM NUMBER: 031069529 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 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 f4122303_ex.xml X0201 4 2003-12-19 0 0000712534 FIRST MERCHANTS CORP FRME 0001012745 COX MICHAEL L 200 E JACKSON ST PO BOX 792 MUNCIE IN 47308-0792 0 1 0 1 President Chief Executive Officer Common Stock 2003-12-19 4 G 0 20 D 13749 D Gift by reporting person of ten (10) shares of common stock to each of his two (2) grandchildren. Employee Stock Option (Right to Buy) equals: 111,339 shares. Deferred units equal: 2,231.46 shares. 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 distributed on September 12, 2003. Fractionsl 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 divi dend. Larry R. Helms (Confirming Statement on File) 2003-12-23 -----END PRIVACY-ENHANCED MESSAGE-----