-----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, R/iBiHvZ3A5Sh5MzhdW35mvAN9qOhSAZLe3uFq48ribyfezXHFFBkJ5fwixm/waQ 9txo2YH4evBYC6gWUgOo+g== 0000712534-04-000134.txt : 20040809 0000712534-04-000134.hdr.sgml : 20040809 20040809114913 ACCESSION NUMBER: 0000712534-04-000134 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040806 FILED AS OF DATE: 20040809 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BIEBERICH DENNIS A CENTRAL INDEX KEY: 0001120828 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17071 FILM NUMBER: 04960052 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 f4dab080604_ex.xml X0202 4 2004-08-06 1 0000712534 FIRST MERCHANTS CORP FRME 0001120828 BIEBERICH DENNIS A 200 E JACKSON ST PO BOX 792 MUNCIE IN 47308-0792 1 0 0 0 Common Stock 2004-08-06 4 G 0 500 D 52470 D 100 shares gifted to St. Marks Methodist Church and 100 shares were gifted to Youth for Christ of Adams, Jay & Wells Counties. 150 shares were gifted to each of reporting persons adult children. Non-Derivative Securities Owned Indirect: 33,650. Nature of Indirect Beneficial Ownership: Spouse Deferred Stock units Owned Direct: 625.94 Employee Stock Option - Right to Buy equals 15,586. Reporting person retired from Board of Directors on April 22, 2004. Larry R. Helms (Confirming Statement on File) 2004-08-09 -----END PRIVACY-ENHANCED MESSAGE-----