-----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, GKSRiqMbMWsiFNquAeAr3f+4POrKGv8lpb1jRCXQQMyYktuP5xToWXE292/4ERre +6x5YDAr8OC5U8JuYPLjeA== 0000712534-04-000149.txt : 20041007 0000712534-04-000149.hdr.sgml : 20041007 20041007164409 ACCESSION NUMBER: 0000712534-04-000149 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041006 FILED AS OF DATE: 20041007 DATE AS OF CHANGE: 20041007 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDERSON STEFAN S CENTRAL INDEX KEY: 0001012742 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: 041070618 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 f4ssa1004_ex.xml X0202 4 2004-10-06 0 0000712534 FIRST MERCHANTS CORP FRME 0001012742 ANDERSON STEFAN S 200 E JACKSON ST PO BOX 792 MUNCIE IN 47308-0792 1 0 0 1 Chairman - Board of Directors Common Stock 2004-10-06 5 G 0 200 D 75377 D Gift of reporting person to Ball Memorial Hospital Foundation of 200 shares. Common stock owned indirect by spouse 2,071 shares. Non-employee director stock option - right to buy - 6,946 shares. Employee stock option - right to buy - 23,616 shares. Larry R. Helms (Confirming Statement on File) 2004-10-07 -----END PRIVACY-ENHANCED MESSAGE-----