0000034782-21-000090.txt : 20210728 0000034782-21-000090.hdr.sgml : 20210728 20210728140807 ACCESSION NUMBER: 0000034782-21-000090 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210727 FILED AS OF DATE: 20210728 DATE AS OF CHANGE: 20210728 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FITZPATRICK DANIEL B CENTRAL INDEX KEY: 0000939167 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06233 FILM NUMBER: 211121797 MAIL ADDRESS: STREET 1: 4220 EDISON LAKES PKWY STREET 2: C/O QUALITY DINING INC CITY: MISHAWAKA STATE: IN ZIP: 46545 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_162749566984266.xml FORM 4 X0306 4 2021-07-27 0 0000034782 1ST SOURCE CORP SRCE 0000939167 FITZPATRICK DANIEL B PO BOX 1602 SOUTH BEND IN 46634 1 0 0 0 Common Stock 2021-07-27 4 P 0 2500 43.34 A 41092 D /s/ John B. Griffith, Attorney-in-Fact 2021-07-28