-----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, UgryoW+ArFlVicf/gsk7hm9V3h1I41z+5W9G3gTTVuNC68vB9f3Cu6d48c03GdAx iiB2AJeBtr8q0Vx69qTjhw== 0000712534-04-000024.txt : 20040206 0000712534-04-000024.hdr.sgml : 20040206 20040206105929 ACCESSION NUMBER: 0000712534-04-000024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040206 FILED AS OF DATE: 20040206 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BIEBERICH DENNIS A CENTRAL INDEX KEY: 0001120828 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17071 FILM NUMBER: 04572188 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 f4dab020604_ex.xml X0201 4 2004-02-06 0 0000712534 FIRST MERCHANTS CORP FRME 0001120828 BIEBERICH DENNIS A 200 E JACKSON ST PO BOX 792 MUNCIE IN 47308-0792 1 0 0 0 Common Stock 2004-02-06 4 M 0 489.80 0.00 A 53295.80 D Common Stock 2004-02-06 4 D 0 489.80 25.01 D 52806 D Deferred Stock Units 2004-02-06 4 M 0 489.80 25.01 D 2004-02-06 2004-02-06 Common Stock 489.80 625.94 D Non-Derivative Securities Owned Indirect equals 33,650. Nature of Indirect Beneficial Ownership: Spouse Conversion Price of Derivative Security is 1 for 1 Employee Stock Option-Right to Buy equals 11,586 shares. Reporting person received $858.83 from accumulated dividends on year 2001 deferred stock units. Larry R. Helms (Confirming Statement on File) 2004-02-06 -----END PRIVACY-ENHANCED MESSAGE-----