0000034782-18-000031.txt : 20180216
0000034782-18-000031.hdr.sgml : 20180216
20180216120217
ACCESSION NUMBER: 0000034782-18-000031
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180213
FILED AS OF DATE: 20180216
DATE AS OF CHANGE: 20180216
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Short Andrea G
CENTRAL INDEX KEY: 0001566209
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-06233
FILM NUMBER: 18620241
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/A
1
wf-form4a_151880052297626.xml
FORM 4/A
X0306
4/A
2018-02-13
2018-02-15
0
0000034782
1ST SOURCE CORP
SRCE
0001566209
Short Andrea G
P.O. BOX 1602
SOUTH BEND
IN
46634
0
1
0
0
Treasurer and CFO
Common Stock
2018-02-13
4
A
0
2511
0
A
39321
D
Common Stock
5224
I
By 401(k)
Common Stock
2200
I
By Trust
EIP awards for 2017.
Between January 1, 2017 and December 31, 2017, Ms. Short acquired 230 shares of 1st Source Corporation common stock under the 401(k) plan. The information in this report is based on a plan statement dated December 31, 2017.
This information was omitted in the original Form 4 filed by the reporting person.
/s/ John B. Griffith, Attorney-in-Fact
2018-02-16