-----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, UfwaU8+VCF0SYRQLAchLpmqOViMxr/A2iQTbzAZesoM712Dmeo8nl9GA/5+DAgGR AqfZbyqhxK/EVZT0MMHEcw== 0000712534-04-000018.txt : 20040203 0000712534-04-000018.hdr.sgml : 20040203 20040203135401 ACCESSION NUMBER: 0000712534-04-000018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040130 FILED AS OF DATE: 20040203 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: 04562144 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 f4mlc0204_ex.xml X0201 4 2004-01-30 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 Deferred Stock Units 2004-01-30 4 A 0 300.70 25.54 A 2006-01-30 2006-01-30 Common Stock 300.70 2532.16 D Conversion Price of Derivative Security is 1 for 1 Employee Stock Option-Right to Buy equals 111,339 shares. Common Stock Directly Owned equals 13,749 shares. Larry R. Helms (Confirming Statement on File) 2004-02-03 -----END PRIVACY-ENHANCED MESSAGE-----