-----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, PBdLww3V7rCeyj2AhCPEOq6K+FgEQjOKv1yqWIJNe4SdgMnRkvtea3U5Eykk7KE9 FoMNkCgYm1m+0bGrzd6fDw== 0001037418-03-000005.txt : 20030304 0001037418-03-000005.hdr.sgml : 20030304 20030218095910 ACCESSION NUMBER: 0001037418-03-000005 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021231 FILED AS OF DATE: 20030214 DATE AS OF CHANGE: 20030304 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: ASTRIKE GEORGE W CENTRAL INDEX KEY: 0001037418 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 711 MAIN STREET BOXT CITY: JASPER STATE: IN ZIP: 47546 MAIL ADDRESS: STREET 1: LEGRE& BARNES STREET 2: 9100 KEYSTONE GROSING SUITE 800 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GERMAN AMERICAN BANCORP CENTRAL INDEX KEY: 0000714395 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 351547518 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15877 FILM NUMBER: 03570181 BUSINESS ADDRESS: STREET 1: 711 MAIN ST STREET 2: P O BOX 810 CITY: JASPER STATE: IN ZIP: 47546 BUSINESS PHONE: 8124821314 MAIL ADDRESS: STREET 1: 711 MAIN STREET CITY: JASPER STATE: IN ZIP: 47546 FORMER COMPANY: FORMER CONFORMED NAME: GAB BANCORP DATE OF NAME CHANGE: 19950510 5 1 edgar.htm 5 Form 5

FORM 5

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

OMB APPROVAL

    Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
    Form 3 Holdings Reported
X Form 4 Transactions Reported

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

OMB Number: 3235-0362
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Filed By
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www.section16.net



1. Name and Address of Reporting Person*

ASTRIKE GEORGE W

2. Issuer Name and Ticker or Trading Symbol
GERMAN AMERICAN BANCORP

6. Relationship of Reporting Person(s)
to Issuer (Check all applicable)
X Director                                       10% Owner
X Officer (give title below)          Other (specify below)

CHAIRMAN OF THE BOARD                             

(Last)      (First)     (Middle)

3347 LAKESIDE DR
 

3. I.R.S. Identification Number
of Reporting Person,
if an entity (voluntary)

###-##-####

4. Statement for
Month/Year
12/2002

(Street)

JASPER, IN 47546

5. If Amendment,
Date of Original
(Month/Year)
 
7. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
    Form filed by More than One Reporting Person

(City)     (State)     (Zip)

Table I — Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security
(Instr. 3)

2. Trans-
action
Date
(Month/ Day/
Year)

2A. Deemed
Execution
Date,
if any
(Month/Day/
Year)

3. Trans-
action Code
(Instr. 8)

4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 & 5)

5. Amount of
Securities
Beneficially
Owned at End of Issuer's
Fiscal year
(Instr. 3 & 4)

6. Owner-
ship Form:
Direct (D)
or Indirect (I)
(Instr. 4)

7. Nature of Indirect
Beneficial Ownership
(Instr. 4)

Amount

(A)
or
(D)

Price

COMMON STOCK

4/9/02

 

F

11046

D

$16.75

 

D

 

COMMON STOCK

4/9/02

 

M

6833

A

$14.63

 

D

 

COMMON STOCK

4/9/02

 

M

5830

A

$14.59

 

D

 

COMMON STOCK

6/3/02

 

A

876

A

$16.45

25020(1)

D

 

COMMON STOCK

 

 

 

 

 

 

1041(1)

I

HELD IN IRA

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).

Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number

FORM 5 (continued)

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security

(Instr. 3)

2. Conver-
sion or
Exercise
Price of Derivative Security

3. Trans-
action Date

(Month/
Day/
Year)

3A. Deemed
Execution
Date,
if any
(Month/
Day/
Year)

4. Trans-
action
Code

(Instr. 8)

5. Number of Derivative Securities Acquired (A) or Disposed of (D)

(Instr. 3, 4 & 5)

6. Date Exercisable
and Expiration
Date
(Month/Day/
Year)

7. Title and Amount of Underlying Securities
(Instr. 3 & 4)

8. Price of Derivative Security
(Instr. 5)

9. Number of
Derivative
Securities
Beneficially
Owned
at End of Year
(Instr. 4)

10. Owner-
ship Form
of Deriv-
ative
Security:
Direct (D)
or Indirect (I)
(Instr. 4)

11. Nature of Indirect Beneficial Ownership
(Instr. 4)

(A)

(D)

Date Exer-cisable

Expira-
tion
Date

Title

Amount or Number of
Shares

NON-EMPLOYEE DIRECTOR STOCK OPTION (RIGHT TO BUY)

$16.45

6/3/02

 

A

1000(2)

 

6/3/02

6/3/12

COMMON STOCK

1000

 

1050(3)

D

 

NON-EMPLOYEE DIRECTOR STOCK OPTION (RIGHT TO BUY)

$16.75

4/9/02

 

A

11046(2)

 

4/9/03

4/19/03

COMMON STOCK

11046

 

11598(4)

D

 

NON-EMPLOYEE DIRECTOR STOCK OPTION (RIGHT TO BUY)

$14.63

4/9/02

 

M

 

6833(5)

1/6/97

4/19/03

COMMON STOCK

6833

 

0

D

 

NON-EMPLOYEE DIRECTOR STOCK OPTION (RIGHT TO BUY)

$14.59

4/9/02

 

M

 

5830(5)

1/28/97

4/19/03

COMMON STOCK

5830

 

0

D

 

Explanation of Responses:

(1) Reflects additional shares acquired pursuant to a five percent stock dividend to shareholders of record November 30, 2002 and payable on December 15, 2002.
(2) Options granted under the German American Bancorp Long-Term Equity Incentive Plan
(3) Reflects adjustment for additional shares issued pursuant to a five percent stock dividend to shareholders of record November 30, 2002 and payable on December 15, 2002. The exercise price is adjusted also in connection with the five percent stock dividend to a price of $15.67
(4) Reflects adjustment for additional shares issued pursuant to a five percent stock dividend to shareholders of record November 30, 2002 and payable on December 15, 2002. The exercise price is adjusted also in connection with the five percent stock dividend to a price of $15.95.(5) The options that were exercised were granted under the German American Bancorp 1992 Long-Term Equity Plan.

  By: /s/ Mark A Schroeder POA for George Astrike
              
**Signature of Reporting Person
2/14/03
Date

**Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed.
          If space is insufficient, See Instruction 6 for procedure.

Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

 

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