-----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, AjI1VOIjjw4mM4bm0vobS6ybw+/WVzrrllaReUqJhKDqoatIO1SuTLEzti3HLMUo EGU9SLwFuwDUu7qpaqkszA== 0001179110-04-024167.txt : 20041228 0001179110-04-024167.hdr.sgml : 20041228 20041228161455 ACCESSION NUMBER: 0001179110-04-024167 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041227 FILED AS OF DATE: 20041228 DATE AS OF CHANGE: 20041228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FRANTZ PHILIP A CENTRAL INDEX KEY: 0001256292 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-12422 FILM NUMBER: 041228737 BUSINESS ADDRESS: STREET 1: 112 N MERIDIAN STREET 2: POB 1013 CITY: PORTLAND STATE: OR ZIP: 47371 MAIL ADDRESS: STREET 1: 4637 W 200 S CITY: PORTLAND STATE: OR ZIP: 47371 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MAINSOURCE FINANCIAL GROUP CENTRAL INDEX KEY: 0000720002 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 351562245 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 201 N BROADWAY STREET 2: PO BOX 87 CITY: GREENSBURG STATE: IN ZIP: 47240 BUSINESS PHONE: 8126630157 MAIL ADDRESS: STREET 1: 201 NORTH BROADWAY STREET 2: P O BOX 87 CITY: GREENSBURG STATE: IN ZIP: 47240 FORMER COMPANY: FORMER CONFORMED NAME: INDIANA UNITED BANCORP DATE OF NAME CHANGE: 19920703 4/A 1 edgar.xml FORM 4/A - X0202 4/A 2004-12-27 2004-12-28 0 0000720002 MAINSOURCE FINANCIAL GROUP MSFG 0001256292 FRANTZ PHILIP A 4637 W. 200 S. PORTLAND IN 47371 1 0 0 0 common 2004-12-27 4 G 0 245 0 D 10591 D common 2004-12-27 4 G 0 90 0 D 28 I By Spouse Stock Option (Right to Buy) 23.20 2003-05-19 4 A 0 1575 0 A 2013-05-19 Common Stock 1575 1575 D Stock Option (Right to Buy) 35.06 2004-02-23 4 A 0 1500 0 A 2014-02-23 Common Stock 1500 1500 D Includes shares acquired under the MainSource Dividend Reinvestment Plan. Includes shares received on 01/09/04 pursuant to a 5% stock dividend declared by MainSource Financial Group on 11/24/03, payable to all holders of record of common stock of MSFG on 12/22/03. On 04/16/04, the common stock of MSFG split 3 for 2 resulting in the acquisition of additional shares of common stock. Summary of Ownership:10,591 (D) Self; 8,711 (D) Self/IRA; 14,238 (D) JT with Spouse; 1,521 (I) Spouse/IRA; 28 (I) Spouse; Total: 35,089 common shares This option vests immediately. This option was previously reported as an option for 1,000 shares of common stock at an exercise price of $23.20 per share, but was adjusted to reflect the stock dividend declared by MainSource on 11/24/03, and the stock split on 4/16/04. This option vests immediately. This option was previously reported as an option for 1,000 shares of common stock at an exercise price of $35.06 per share, but was adjusted to reflect the stock split on 4/16/04. Philip A. Frantz 2004-12-28 -----END PRIVACY-ENHANCED MESSAGE-----