0000034782-21-000150.txt : 20211214 0000034782-21-000150.hdr.sgml : 20211214 20211214131456 ACCESSION NUMBER: 0000034782-21-000150 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211213 FILED AS OF DATE: 20211214 DATE AS OF CHANGE: 20211214 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: 211490340 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_163950568432917.xml FORM 4 X0306 4 2021-12-13 0 0000034782 1ST SOURCE CORP SRCE 0000939167 FITZPATRICK DANIEL B PO BOX 1602 SOUTH BEND IN 46634 1 0 0 0 Common Stock 2021-12-13 4 P 0 2000 47.14 A 43092 D /s/ John B. Griffith, Attorney-in-Fact 2021-12-14