SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
LENTYCH LARRY E

(Last) (First) (Middle)
P.O. BOX 1602

(Street)
SOUTH BEND IN 46634

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
1ST SOURCE CORP [ SRCE ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Treasurer and CFO
3. Date of Earliest Transaction (Month/Day/Year)
11/04/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
11/06/2003
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 11/04/2003 F 1,895(1) D $21.53 43,268(3) D
Common Stock 11/04/2003 M 4,547(2) A $8.97 45,163 D
Common Stock 11/04/2003 J 1,904 A $0 14,369 I(4) By 401(k)
Common Stock 10,006 I By Spouse
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. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy)1994 $8.97 11/04/2003 M 4,547 10/31/1995 10/31/2004 Common Stock 4,547 $0 4,771 D
Explanation of Responses:
1. States the number of shares tendered by filer to pay the option exercise price.
2. This corrects prior Form 4 submission that netted the amount of shares of common stock surrendered and acquired by filer in conjunction with the exercise of derivative securities. On November 4, 2003, filer exercised 4,547 options of 1994 Stock Options (Right to Buy) with an exercise price of $8.97 per share. The filer surrendered 1895 shares at a market price of $21.53 per common share to pay the option exercise price. The filer's holdings of common stock increased by 2,652 shares as a result of the transaction.
3. NOTE: The common stock ending balance of 43,268 does not reflect a gift of 56 shares of common stock voluntarily reported on another Form 4 filed on 11/4/03. Considered in conjunction with this transaction, the filer beneficially owned 43,212 shares of securiites following the 11/4/03 transactions as previously reported.
4. Between January 1 and June 30, 2003, the reporting person acquired a net 1904 shares of 1st Source Corp. common stock under the 401(k) plan. The information is based on a plan statement as of June 30, 2003.
Remarks:
/s/ Lentych, Larry E. 11/19/2003
** Signature of Reporting Person Date
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).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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