-----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, VFZnqp7T94o73cXCvv9OpTPnH4evS0wy8oIwD1EuND8HMukluY2WhF74mLrOqn0E sP677iH71YZPA3EL9YCMDg== 0000712534-05-000031.txt : 20050207 0000712534-05-000031.hdr.sgml : 20050207 20050207092903 ACCESSION NUMBER: 0000712534-05-000031 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050204 FILED AS OF DATE: 20050207 DATE AS OF CHANGE: 20050207 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: 05579061 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: 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 f4mlc020705_ex.xml X0202 4 2005-02-04 0 0000712534 FIRST MERCHANTS CORP FRME 0001012745 COX MICHAEL L 200 E JACKSON ST PO BOX 792 MUNCIE IN 47308-0792 0 1 0 1 President Chief Executive Officer Common Stock 2005-02-04 4 M 0 774.70 0.00 A 31032.1307 D Common Stock 2005-02-04 4 D 0 774.70 28.30 D 30257.4307 D Deferred Stock Units 2005-02-04 4 M 0 774.70 28.30 D 2005-02-04 2005-02-04 Common Stock 774.70 877.38 D Conversion price of derivative security is 1 for 1. Employee Stock Option - Right to Buy equals 110,973 shares. Reporting person received $1,408.48 from accumulated dividends on year 2002 deferred stock units. Larry R. Helms (Confirming Statement on File) 2005-02-07 -----END PRIVACY-ENHANCED MESSAGE-----