-----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, WCn5qb+DTfRAS6TAuQ/idm03PAcXzVhQ6aG+wB7Xhe+Gs+60vj3q5VgYbi74Z9Xm gc1Tvte6wJn7K7VqWaJ9cg== 0000712534-04-000124.txt : 20040702 0000712534-04-000124.hdr.sgml : 20040702 20040702122146 ACCESSION NUMBER: 0000712534-04-000124 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: LORENTSON JEFFREY B CENTRAL INDEX KEY: 0001281742 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17071 FILM NUMBER: 04898348 BUSINESS ADDRESS: STREET 1: PO BOX 792 CITY: MUNCIE STATE: IN ZIP: 47308-0792 MAIL ADDRESS: STREET 1: PO BOX 792 CITY: MUNCIE STATE: IN ZIP: 47308-0792 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 f4jbl070104_ex.xml X0202 4 2004-07-01 0 0000712534 FIRST MERCHANTS CORP FRME 0001281742 LORENTSON JEFFREY B PO BOX 792 MUNCIE IN 47308-0792 0 1 0 0 Corporate Controller Employee Stock Option (Right to Buy) 25.595 2004-07-01 4 A 0 2400 0.00 A 2006-07-01 2014-06-30 Common 2400 6705 D Non-Derivative Securities beneficially Owned Direct: 140 Deferred Stock Units Owned Direct: 128.26 Larry R. Helms (Confirming Statement on File) 2004-07-02 -----END PRIVACY-ENHANCED MESSAGE-----