0001127602-22-003637.txt : 20220208 0001127602-22-003637.hdr.sgml : 20220208 20220208083320 ACCESSION NUMBER: 0001127602-22-003637 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220208 DATE AS OF CHANGE: 20220208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PICHON EMILY E CENTRAL INDEX KEY: 0001189410 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11487 FILM NUMBER: 22599386 MAIL ADDRESS: STREET 1: LAKELAND FINANCIAL CORPORATION STREET 2: P.O. BOX 1387 CITY: WARSAW STATE: IN ZIP: 46581-1387 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LAKELAND FINANCIAL CORP CENTRAL INDEX KEY: 0000721994 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 351559596 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 202 E CENTER ST STREET 2: P O BOX 1387 CITY: WARSAW STATE: IN ZIP: 46581-1387 BUSINESS PHONE: 5742676144 MAIL ADDRESS: STREET 1: 202 E CENTER ST STREET 2: PO BOX 1387 CITY: WARSAW STATE: IN ZIP: 46581 5 1 form5.xml PRIMARY DOCUMENT X0306 5 2021-12-31 0 0 0000721994 LAKELAND FINANCIAL CORP LKFN 0001189410 PICHON EMILY E LAKELAND FINANCIAL CORPORATION P.O. BOX 1387 WARSAW IN 46581-1387 1 Common Stock 2021-07-17 5 J 0 10 0 A 10 I By Spouse Common Stock 13263 D Phantom Stock Common Stock 831 831 D The reporting person became a beneficial owner of these 10 shares as a result of marriage, and disclaims beneficial ownership of such shares. Each phantom stock unit exersises into 1 share of Common Stock. Phantom stock is exercisable after the directors' retirement as a Board member. Phantom shares expire after the directors' retirement as a Board member. /s/ Matt VanDeWielle, Attorney-in-Fact 2022-02-08