-----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, QdkiIByHYvDXCwtRuXsBU5hnq5JZ+kYVSvm3cPg32BCBq9kmwS5r6ky6XjvGS1no xGwUmPWO0b+ZYwMRGM5sow== 0000712534-04-000103.txt : 20040702 0000712534-04-000103.hdr.sgml : 20040702 20040702112919 ACCESSION NUMBER: 0000712534-04-000103 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: 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: 04897952 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 f4mlc070104_ex.xml X0202 4 2004-07-01 0 0000712534 FIRST MERCHANTS CORP FRME 0001012745 COX MICHAEL L 200 E JACKSON ST PO BOX 792 MUNCIE IN 47308-0792 1 1 0 1 President Chief Executive Office Employee Stock Option (Right to Buy) 25.595 2004-07-01 4 M 0 15000 0.00 A 2006-07-01 2014-06-30 Common 15000 110971 D Non-Derivative Securities Beneficially Owned Direct: 29,902 Deferred stock units owned by reporting person equals 1075.4 Larry R. Helms (Confirming Statement on File) 2004-07-02 -----END PRIVACY-ENHANCED MESSAGE-----