0000712534-17-000067.txt : 20170216 0000712534-17-000067.hdr.sgml : 20170216 20170216093223 ACCESSION NUMBER: 0000712534-17-000067 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20170130 FILED AS OF DATE: 20170216 DATE AS OF CHANGE: 20170216 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HARDWICK MARK K CENTRAL INDEX KEY: 0001170817 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17071 FILM NUMBER: 17616637 MAIL ADDRESS: STREET 1: POST OFFICE BOX 792 CITY: MUNICE STATE: IN ZIP: 47308-0792 4 1 wf-form4_148725552984512.xml FORM 4 X0306 4 2017-01-30 0 0000712534 FIRST MERCHANTS CORP FRME 0001170817 HARDWICK MARK K 200 E JACKSON STREET MUNCIE IN 47305 0 1 0 1 CFO & COO Executive Vice President Phantom Stock 2017-01-30 4 A 0 11.838 38.71 A Common Stock 11.838 1853.698 D Each share of phantom stock is the economic equivalent of one share of FRME common stock. The shares of phantom stock will be settled in cash or shares of FRME common stock, at the reporting person's election, upon separation from First Merchants. Jennifer Mainord (Confirming Statement on File) 2017-02-16 EX-24 2 hardwick.htm CONFIRMING STATEMENT HARDWICK 110316
CONFIRMING STATEMENT

    This statement confirms that the undersigned, Mark K. Hardwick, has authorized and designated, Jennifer Mainord and Addison Nicoll, to execute and file on the undersignedTMs behalf, all Form 3, 4, and 5 (including amendments thereto) that the undersigned may be required to file with the U.S. Securities and Exchange Commission as a result of the undersignedTMs ownership of or transactions in securities of First Merchants Corporation.  The authority of Jennifer Mainord and Addison Nicoll under this statement shall continue until the undersigned is no longer required to file Form 3, 4, and 5 with regard to the undersigned ownership or transactions in securities of First Merchants Corporation, unless earlier revoked in writing.  The undersigned acknowledges Jennifer Mainord and Addison Nicoll are not assuming any of the undersignedTMs responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.

Date: November 3, 2016                _/s/ Mark K. Hardwick_