-----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, QGtMWQYhtv09JEoDwMpM9WypUKWhEmCq4QgOs5nNILZFdluWJyAg5pH409F4/3U3 iemrvXDaxYgo/hd7DWtjaw== 0000712534-04-000097.txt : 20040702 0000712534-04-000097.hdr.sgml : 20040702 20040702103959 ACCESSION NUMBER: 0000712534-04-000097 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040701 FILED AS OF DATE: 20040702 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: 7657471500 MAIL ADDRESS: STREET 1: 200 EAST JACKSON STREET CITY: MUNCIE STATE: IN ZIP: 47305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRACKEN FRANK A CENTRAL INDEX KEY: 0001012743 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: 04897629 BUSINESS ADDRESS: STREET 1: 10 LONGS PEAK DRIVE STREET 2: PO BOX 5000 CITY: BROOMFIELD STATE: CO ZIP: 80021-2510 BUSINESS PHONE: 303-460-2586 MAIL ADDRESS: STREET 1: 10 LONGS PEAK DRIVE STREET 2: PO BOX 5000 CITY: BROOMFIELD STATE: CO ZIP: 80021-2510 4 1 f4fab070104_ex.xml X0202 4 2004-07-01 0 0000712534 FIRST MERCHANTS CORP FRME 0001012743 BRACKEN FRANK A 200 E JACKSON ST PO BOX 792 MUNCIE IN 47308-0792 1 0 0 0 Non-Employee Director Stock Option (Right to Buy) 25.595 2004-07-01 4 A 0 1157 0.00 A 2005-01-01 2014-06-30 Common 1157 11114 D Non-Derivative Securities Benefically Owned Direct: 82,425.38. Includes 7.13, 7.579, 7.98 and 8.312 shares acquired in September and December of 2003 and March and June of 2004, respectively under the FMC dividend reinvestment plan. Beneficially Owned Securities: 4,825. Nature of Indirect Ownership: Spouse 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. 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 dividend. Larry R. Helms (Confirming Statement on File) 2004-07-02 -----END PRIVACY-ENHANCED MESSAGE-----