-----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, TZcoC9WsKknWnEmnVSBVpmXZGaydg8+zLbYn3bw8OjI67p50xJtWcm6v99DythIw 82FGJ7A1ftQUZiFit6FHOQ== 0001207214-04-000003.txt : 20040413 0001207214-04-000003.hdr.sgml : 20040413 20040413091606 ACCESSION NUMBER: 0001207214-04-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20040412 FILED AS OF DATE: 20040413 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELLEY FERDINAND T CENTRAL INDEX KEY: 0001207214 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09047 FILM NUMBER: 04729641 BUSINESS ADDRESS: STREET 1: C/O INDEPENDENT BANK CORP STREET 2: 288 UNION STREET CITY: ROCKLAND STATE: MA ZIP: 02370 BUSINESS PHONE: 7818786100 MAIL ADDRESS: STREET 1: C/O INDEPENDENT BANK CORP STREET 2: 288 UNION STREET CITY: ROCKLAND STATE: MA ZIP: 02370 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2004-04-12 0 0000776901 INDEPENDENT BANK CORP INDB 0001207214 KELLEY FERDINAND T C/O INDEPENDENT BANK CORP 288 UNION STREET ROCKLAND MA 02370 0 1 0 0 Executive Vice President Common Stock 2004-04-12 4 M 0 3800 11.9063 A 16127.946 D Common Stock 117.9081 D Incentive Stock Option (right to buy) 11.9063 2004-04-12 4 M 0 3800 11.9063 D 2010-12-20 Common Stock 3800 3916 D held joint w/spouse Granted under the 1997 Independent Bank Corp. Stock Option Plan. 3,859 shares shall first become exercisable on 6/22/2001, 3,859 shares shall first become exercisable on 1/2/2002, and the remaining 3,857 shares shall first become exercisable on 1/2/2003. The Option will expire on 12/20/2010, subject to the earlier termination of employment or acceleration of vesting schedule under certain termination of employee circumstances. Linda M. Campion, Power of Attorney for Ferdinand T. Kelley 2004-04-13 EX-99 3 kelleypoa.txt 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; Michelle L. Newcomb; 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 exchang 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. Executed as an instrument under seal pursuant to Massachusetts law as of September 26, 2002. Ferdinand T. Kelley Printed Name /s/ Ferdinand T. Kelley Signature -----END PRIVACY-ENHANCED MESSAGE-----