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*
Murphy Carmen C

(Last) (First) (Middle)
1237 EAST JEFFERSON BOULEVARD

(Street)
SOUTH BEND IN 46617

(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 X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
03/12/2020
4. If Amendment, Date of Original Filed (Month/Day/Year)
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 03/12/2020 P 2,500 A $28.76 1,630,185 I By Spouse(1)
Common Stock 80,925 D
Common Stock 584,600 I By LLC(2)
Common Stock 283,897 I By Trust(3)(4)
Common Stock 646,582 I By Trust(3)(5)
Common Stock 17,246 I By Trust(3)(6)
Common Stock 43,132 I By Trust(3)(7)
Common Stock 41,640 I By Trust(3)(8)
Common Stock 115,684 I By Trust(3)(9)
Common Stock 708,289 I By Trust(3)(10)
Common Stock 147,255 I By Trust(3)(11)
Common Stock 229,930 I By Trust(3)(12)
Common Stock 1,598 I By Trust(3)(13)
Common Stock 6,228 I By Trust(3)(14)
Common Stock 228,382 I By Trust(3)(15)
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
Explanation of Responses:
1. Includes 513,371 shares of common stock held directly by Mr. Murphy, 55,901 shares of common stock held indirectly by Mr. Murphy under the 1st Source Corporation 401(k) Plan, 125,893 shares of common stock held indirectly by Mr. Murphy through a corporation and 935,020 shares of common stock held indirectly by Mr. Murphy through three limited partnerships. Mrs. Murphy disclaims beneficial ownership of these shares of common stock, and this report shall not be deemed an admission that Mrs. Murphy is the beneficial owner of these shares of common stock for purposes of Section 16 or for any other purpose.
2. Mrs. Murphy is a voting member of the LLC. Mrs. Murphy disclaims beneficial ownership of those shares of common stock held by the LLC exceeding her pecuniary interest, and this report shall not be deemed an admission that Mrs. Murphy is the beneficial owner of such excess shares of common stock for purposes of Section 16 or for any other purpose.
3. Mrs. Murphy has the power to direct the trustee with respect to the disposition of the reported shares of common stock. Mrs. Murphy disclaims beneficial ownership of these shares of common stock except to the extent of her pecuniary interest therein, and the inclusion of these shares of common stock in this report shall not be deemed an admission of beneficial ownership of all of the reported shares of common stock for purposes of Section 16 or for any other purpose.
4. Indirect through the 1957 E. L. Morris FBO Carmen C. Murphy Trust.
5. Indirect through the 1959 E. L. Morris FBO Carmen C. Murphy Trust.
6. Indirect through the E. M. Raclin FBO Carmen C. Murphy Trust.
7. Indirect through a 1965 E. L. Morris FBO E. M. Raclin and Carmen C. Murphy Trust.
8. Indirect through a second 1965 E. L. Morris FBO E. M. Raclin and Carmen C. Murphy Trust.
9. Indirect through the Carmen C. Murphy Charitable Annuity Trust.
10. Indirect through the Ella Morris Trust FBO Carmen C. Murphy.
11. Indirect through the Ernestine M. Raclin Charitable Irrevocable Trust FBO Carmen C. Murphy.
12. Indirect through the 1960 Ernestine M. Raclin Irrevocable Trust FBO Carmen C. Murphy.
13. Indirect through the Ella Morris Charitable Trust FBO Carmen C. Murphy.
14. Indirect through the Ella Morris Irrevocable Charitable Living Trust FBO Carmen C. Murphy.
15. Indirect through the 1965 Ernestine M. Raclin Irrevocable Trust FBO Carmen C. Murphy.
Remarks:
/s/ John B. Griffith, Attorney-in-Fact for Carmen C. Murphy (power of attorney previously filed) 03/13/2020
** 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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