-----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, JPduN4mwx5uDH7nkuqXR2iqCq+W8RLckjC0YnlzcjQtchaxpsuPrZmNu6gX/N24K T9JQHGkDFNWOwx4PymIG+g== 0000712534-09-000217.txt : 20091002 0000712534-09-000217.hdr.sgml : 20091002 20091002110135 ACCESSION NUMBER: 0000712534-09-000217 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090930 FILED AS OF DATE: 20091002 DATE AS OF CHANGE: 20091002 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLARK THOMAS B CENTRAL INDEX KEY: 0001012744 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: 091100820 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 clark10022009_ex.xml X0303 4 2009-09-30 0 0000712534 FIRST MERCHANTS CORP FRME 0001012744 CLARK THOMAS B 200 EAST JACKSON STREET MUNCIE IN 47305 1 0 0 0 Deferred Stock Units 2009-09-30 4 A 0 807.30 0 A Common 807.3 2839.01 D Non-Derivative Securities Beneficially owned Direct: 9,456 Conversion price of derivative security is 1 for 1. The deferred stock units become payable in common stock at the election of the reporting person on January 1, 2012. Non-Employee director stock option (right to buy) = 10,756 shares Larry R. Helms (Confirming Statement on File) 2009-10-02 -----END PRIVACY-ENHANCED MESSAGE-----