-----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, ABNvW7qTPEXbIqwtbkrXLHaNU5FfVzvyhCOeAsEWqhX1KWwyPq3/KzbLcyau4zoa 92TLA2APvuZ3IrQEume3RA== 0000712534-04-000030.txt : 20040206 0000712534-04-000030.hdr.sgml : 20040206 20040206111001 ACCESSION NUMBER: 0000712534-04-000030 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: 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: 04572234 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 f4mlc020604_ex.xml X0201 4 2004-02-06 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 2004-02-06 4 M 0 1456.76 0.00 A 15205.76 D Common Stock 2004-02-06 4 D 0 1456.76 25.01 D 13749 D Deferred Stock Units 2004-02-06 4 M 0 1456.76 25.01 D 2004-02-06 2004-02-06 Common Stock 1456.76 1075.40 D Conversion Price of Derivative Security is 1 for 1 Employee Stock Option-Right to Buy equals 111,339 shares. Reporting person received $2,554.30 from accumulated dividends on year 2001 deferred stock units. Larry R. Helms (Confirming Statement on File) 2004-02-06 -----END PRIVACY-ENHANCED MESSAGE-----