0000034782-17-000078.txt : 20170803 0000034782-17-000078.hdr.sgml : 20170803 20170803105509 ACCESSION NUMBER: 0000034782-17-000078 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170802 FILED AS OF DATE: 20170803 DATE AS OF CHANGE: 20170803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Khan Najeeb A CENTRAL INDEX KEY: 0001518800 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06233 FILM NUMBER: 171003734 MAIL ADDRESS: STREET 1: PO BOX 1602 CITY: SOUTH BEND STATE: IN ZIP: 46634 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: 1ST SOURCE CORP CENTRAL INDEX KEY: 0000034782 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 351068133 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 NORTH MICHIGAN STREET CITY: SOUTH BEND STATE: IN ZIP: 46601 BUSINESS PHONE: 5742352702 MAIL ADDRESS: STREET 1: P O BOX 1602 STREET 2: P O BOX 1602 CITY: SOUTH BEND STATE: IN ZIP: 46634 FORMER COMPANY: FORMER CONFORMED NAME: FBT BANCORP INC DATE OF NAME CHANGE: 19820818 4 1 wf-form4_150177209582664.xml FORM 4 X0306 4 2017-08-02 0 0000034782 1ST SOURCE CORP SRCE 0001518800 Khan Najeeb A PO BOX 1602 SOUTH BEND IN 46634 1 0 0 0 Common Stock 2017-08-02 4 A 0 185 48.62 A 12304 D Common Stock 1 I By child /s/ John B. Griffith, Attorney-in-Fact 2017-08-03