-----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, AfEfFeSy9IrT7+j/4v8jvVrVmpnpUb1xwhLOBkr8dnoLED+6JhYku9Z3perPJM1A +r1qa1RuVlAdTnSh2Ec3Zw== 0001207199-05-000003.txt : 20051219 0001207199-05-000003.hdr.sgml : 20051219 20051219143229 ACCESSION NUMBER: 0001207199-05-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20051215 FILED AS OF DATE: 20051219 DATE AS OF CHANGE: 20051219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FUERSCHBACH RAYMOND G CENTRAL INDEX KEY: 0001207199 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09047 FILM NUMBER: 051272176 BUSINESS ADDRESS: BUSINESS PHONE: 7818786100 MAIL ADDRESS: STREET 1: C/O INDEPENDENT BANK CORP STREET 2: 288 UNION STREET CITY: ROCKLAND STATE: MA ZIP: 02370 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INDEPENDENT BANK CORP CENTRAL INDEX KEY: 0000776901 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 042870273 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 288 UNION STREET CITY: ROCKLAND STATE: MA ZIP: 02370 BUSINESS PHONE: 7818786100 MAIL ADDRESS: STREET 1: 288 UNION STREET CITY: ROCKLAND STATE: MA ZIP: 02370 4 1 edgardoc.xml PRIMARY DOCUMENT X0202 4 2005-12-15 0 0000776901 INDEPENDENT BANK CORP INDB 0001207199 FUERSCHBACH RAYMOND G 288 UNION STREET ROCKLAND MA 02370 0 1 0 0 Senior Vice President Common Stock 7575 D Non-Qualified Stock Option (right to buy) 28.895 2005-12-15 4 A 0 7500 0 A 2005-12-15 2012-12-14 Common Stock 7500 7500 D Incentive Stock Option (right to buy) 9.375 2006-12-24 Common Stock 5425 5425 D Incentive Stock Option (right to buy) 11.9063 2010-12-20 Common Stock 7125 7125 D Incentive Stock Option (right to buy) 12.4063 2009-12-22 Common Stock 7450 7450 D Incentive Stock Option (right to buy) 17.25 2008-12-22 Common Stock 5900 5900 D Incentive Stock Option (right to buy) 17.7188 2007-12-17 Common Stock 5625 5625 D Incentive Stock Option (right to buy) 20.125 2011-12-19 Common Stock 7233 7233 D Incentive Stock Option (right to buy) 23.47 2012-12-19 Common Stock 5390 5390 D Incentive Stock Option (right to buy) 30.14 2013-12-11 Common Stock 3370 3370 D Non-Qualified Stock Option (right to buy) 20.125 2011-12-19 Common Stock 567 567 D Non-Qualified Stock Option (right to buy) 23.47 2012-12-19 Common Stock 2210 2210 D Non-Qualified Stock Option (right to buy) 30.14 2013-12-11 Common Stock 2705 2705 D Non-Qualified Stock Option (right to buy) 34.18 2005-12-15 2014-12-09 Common Stock 7500 7500 D Non-Qualified Stock Options granted under the Independent Bank Corp. 2005 Employee Stock Plan (2005 Plan). The Options granted on 12/15/05 vest immediately and will expire on December 14, 2012, unless earlier terminated in accordance with Stock Option Agreement. Granted under the 1987 Plan, 1,809 shares shall first become exercisable on 6/27/97, 1,808 shares shall first become exercisable on 1/2/98, and the remaining 1,808 shares shall first become exercisable on 1/2/99. The Option will expire on 12/24/06, subject to the earlier termination provisions noted above. Granted under the 1997 Plan. 2,375 shares shall first become exercisable on 6/22/01, 2,375 shares shall first become exercisable on l/2/02, and the remaining 2,375 shares shall first become exercisable on l/2/03. The Option will expire on 12/20/10, subject to the earlier termination provisions noted above. Granted under the 1997 Plan. 2,484 shares shall first become exercisable on 6/24/00, 2,484 shares shall first become exercisable on 1/2/01, and the remaining 2,482 shares shall first become exercisable on 1/2/02. The Option will expire on 12/22/09 subject to the earlier termination provisions noted above. Granted under the Independent Bank Corp. 1997 Employee Stock Option Plan (1997 Plan). 1,967 shares pursuant to the Option shall first become exercisable on 6/24/99, 1,967 shares shall first become exercisable on 1/2/00, and the remaining 1,966 shares shall first become exercisable on 1/2/01. The Option will expire on 12/22/08 subject to the earlier termination provisions noted above. Granted under the Independent Bank Corp. 1997 Employee Stock Option Plan (1997 Plan). 1,875 shares pursuant to the Option shall first become exercisable on 6/19/98, 1,875 shares shall first become exercisable on 1/2/99, and the remaining 1,875 shares shall first become exercisable on 1/2/00. The Option will expire on 12/17/07 subject to the earlier termination of employment or acceleration of vesting schedule under certain termination of employee circumstances. Granted under the Plan. 2,600 shares shall first become exercisable on 6/21/02, 2,600 shares shall first become exercisable on 1/2/03 and the remaining 2,600 shares shall first become exercisable on 1/2/04. The Option will expire on 12/19/11, subject to the earlier termination provisions noted above. Granted under the 1997 Plan. 2,534 shares shall first become exercisable on 06/20/03, 2,533 shares shall first become exercisable on 1/2/04, and the remaining 2,533 shares shall first become exercisable on 1/2/05 subject to the earlier termination provisions noted above. Granted under the Independent Bank Corp. 1997 Employee Stock Option Plan (1997 Plan). 2,025 shares shall first become exercisable on 06/11/04, 2,025 shares shall first become exercisable on 01/02/05, and the remaining 2,025 shall first become exercisable on 01/02/06. The Option will expire on 12/11/13 subject to the earlier termination of employment or acceleration of vesting schedule under certain termination of employee circumstances. 3,640 Options formerly reported as ISO's under the 12/9/04 grant have converted to NQO's due to an acceleration of vesting for all options granted that date. All options granted on 12/9/04 have now immediately fully vested a/o 12/15/05. By: Jennifer M. Kingston, Power of Attorney For: Raymond G. Fuerschbach 2005-12-19 EX-24 2 fuerschbachpoa.txt EDGAR SUPPORTING DOCUMENT DURABLE, LIMITED POWER OF ATTORNEY WITH RESPECT TO THE FILING OF FORMS 3,4, AND 5 I appoint and name each of the following individuals my true and lawful attorney-in-fact to act on my behalf, and in my name, place, and stead: Linda M. Campion; Jennifer M. Kingston; Edward H. Seksay; Denis K. Sheahan; or Tara M. Villanova (collectively, the Attorneys-In-Fact). I appoint and name the Attorneys-In-Fact solely with respect to the execution and filing of the documents commonly known as a Form 3, Initial Statement Of Beneficial Ownership Of Securities, a Form 4, Statement Of Changes In Beneficial Ownership, and/or a Form 5, Annual Statement Of Beneficial Ownership Of Securities (collectively, the SEC Forms) regarding Independent Bank Corp. (INDB) common stock with the United States Securities And Exchange Commission and any stock exchange or similar authority. I give and grant unto each of the Attorneys-In-Fact full power and authority to do and perform all and every act, deed, matter, and thing whatsoever as to the execution and filing of the SEC Forms regarding INDB common stock which may be necessary or advisable such as I might or could do myself if personally present. The scope of power granted to each of the Attorneys-In-Fact hereunder, however, is expressly limited to only those powers which are necessary or advisable for the execution and filing of the SEC Forms on my behalf regarding INDB common stock. This grant of authority to the Attorneys-In-Fact shall begin on the date indicated below and shall remain in effect unless and until revoked in writing. The authority conferred hereby shall continue notwithstanding any subsequent disability or incapacity on my part. I hereby revoke the Durable, Limited Power of Attorney with Respect to the Filing of 3,4 and 5 that I signed as of September 26, 2002. Executed as an instrument under seal pursuant to Massachusetts law as of January 13, 2005. Raymond G. Fuerschbach Printed Name /s/ Raymond G. Fuerschbach Signature -----END PRIVACY-ENHANCED MESSAGE-----