-----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, AZa8Psp+TkrRTZcFD12IMkHOb7m8ybTH1NvdRiXaKYHB23Qbgqvo9E0XC6o7OwDs 9ZfZ+0UZ0nWH5JDbufzKcg== 0000712534-04-000101.txt : 20040702 0000712534-04-000101.hdr.sgml : 20040702 20040702112549 ACCESSION NUMBER: 0000712534-04-000101 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040701 FILED AS OF DATE: 20040702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLARK THOMAS B CENTRAL INDEX KEY: 0001012744 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: 04897925 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: 7657471500 MAIL ADDRESS: STREET 1: 200 EAST JACKSON STREET CITY: MUNCIE STATE: IN ZIP: 47305 4 1 f4tbc070104_ex.xml X0202 4 2004-07-01 0 0000712534 FIRST MERCHANTS CORP FRME 0001012744 CLARK THOMAS B 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 Beneficially Owned Direct: 2,563 Larry R. Helms (Confirming Statement on File) 2004-07-02 -----END PRIVACY-ENHANCED MESSAGE-----