0001225208-16-023120.txt : 20160104 0001225208-16-023120.hdr.sgml : 20160104 20160104145234 ACCESSION NUMBER: 0001225208-16-023120 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151231 FILED AS OF DATE: 20160104 DATE AS OF CHANGE: 20160104 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERIANA BANCORP CENTRAL INDEX KEY: 0000855574 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 351782688 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2118 BUNDY AVENUE CITY: NEW CASTLE STATE: IN ZIP: 47263 BUSINESS PHONE: 7655292230 MAIL ADDRESS: STREET 1: 2118 BUNDY AVENUE CITY: NEW CASTLE STATE: IN ZIP: 47263 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GASSEN JEROME J CENTRAL INDEX KEY: 0001263232 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18392 FILM NUMBER: 161317753 MAIL ADDRESS: STREET 1: 11034 GUNWALE DRIVE CITY: INDIANAPOLIS STATE: IN ZIP: 46236 4 1 doc4.xml X0306 4 2015-12-31 0000855574 AMERIANA BANCORP ASBI 0001263232 GASSEN JEROME J 2118 BUNDY AVENUE NEW CASTLE IN 47362 1 1 President and CEO Common Stock 2015-12-31 4 D 0 35565.0000 0.0000 D 0.0000 D Common Stock 2015-12-31 4 D 0 5229.2200 0.0000 D 0.0000 I By 401(k) Plan Common Stock 2015-12-31 4 D 0 1000.0000 0.0000 D 0.0000 I By IRA Stock Option (Right to Buy) 11.9300 2015-12-31 4 D 0 3185.0000 0.0000 D 2023-09-20 Common Stock 3185.0000 0.0000 D Pursuant to the Agreement and Plan of Reorganization and Merger dated as of June 26, 2015 by and between First Merchants Corporation and Ameriana Bancorp (the "Merger Agreement"), at the effective time of the merger each share of Ameriana Bancorp common stock (including fractional shares) was exchanged for 0.9037 shares of First Merchants Corporation common stock. Pursuant to the Merger Agreement, prior to the effective time of the merger each outstanding option to purchase Ameriana Bancorp common stock was cancelled and the reporting person received a cash payment equal to $22.92 per share minus the applicable option exercise price. Nicole Weaver, Attorney-in-Fact 2015-12-31