-----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, B0Arq00s00Qf3ZytUKoOfCb+7jSMUt68l5yvG8icP+c6wj2UFfOfuAJIxSRXADS/ tuwLOViVMXJ8nPYDTo+7gg== 0000712534-05-000025.txt : 20050203 0000712534-05-000025.hdr.sgml : 20050203 20050203115011 ACCESSION NUMBER: 0000712534-05-000025 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050201 FILED AS OF DATE: 20050203 DATE AS OF CHANGE: 20050203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MCAULIFFE THOMAS CENTRAL INDEX KEY: 0001161507 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17071 FILM NUMBER: 05572081 BUSINESS ADDRESS: STREET 1: 100 EAST WILSON BRIDGE ROAD CITY: WORTINGTON STATE: OH ZIP: 43085 BUSINESS PHONE: 6148488700 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: 1230 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 f4tm020305_ex.xml X0202 4 2005-02-01 0 0000712534 FIRST MERCHANTS CORP FRME 0001161507 MCAULIFFE THOMAS 4187 OLENTANGY BLVD COLUMBUS OH 43214 1 0 0 0 Deferred Stock Units 2005-02-01 4 A 0 335.77 28.30 A 2007-02-01 2007-02-01 Common Stock 335.77 596.80 D Conversion price of derivative security is 1 for 1. Beneficially owned securities: 8,398. Nature of beneficial ownership: Cust. UGMA-Minor sons. Employee Stock Options - Right to Buy equals 9,200 shares. Common stock owned direct equals 58,636 shares. Larry R. Helms (Confirming Statement on File) 2005-02-03 -----END PRIVACY-ENHANCED MESSAGE-----