5 1 mcc134.htm MCCARTY123102F5 SEC Form 5
FORM 5

[ ] Check this box if no longer
subject to Section 16. Form 4 or Form
5 obligations may continue.
See Instruction 1(b).

[ ]Form 3 Holdings Reported
[ ]Form 4 Transactions Reported
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, Section 17(a) of the Public Utility
Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
McCarty, James     E.

(Last)                      (First)                      (Middle)
6641 Centerline Rd.


(Street)
Saranac, MI     48881

(City)                      (State)                      (Zip)

2. Issuer Name and Ticker
    or Trading Symbol

Independent Bank Corporation   IBCP

3. I.R.S. Identification
    Number of Reporting
    Person, if an entity
    (voluntary)
4. Statement for
    (Month/Year)

    December 2003


5. If Amendment,
    Date of Original
    (Month/Year)
6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

           X          Director                           10% Owner
                        Officer                             Other

Officer/Other
Description                              

7. Individual or Joint/Group
    Filing (Check Applicable Line)

X   Individual Filing
      Joint/Group Filing
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security
    (Instr. 3)

2. Transaction Date
    (Month/Day/Year)
3. Transaction
    Code
    (Instr. 8)
4. Securities Acquired (A) or Disposed (D) Of
    (Instr. 3, 4, and 5)





        Amount      |         A/D         |         Price          
5. Amount of
    Securities
    Beneficially
    Owned at
    End of
    Issuer's Fiscal
    Year

    (Instr. 3 and 4)
6. Owner-
    ship
    Form:
    Direct(D)
    or
    Indirect (I)

    (Instr. 4)
7. Nature of
     Indirect
     Beneficial
     Ownership

    (Instr. 4)
Common Stock
07/31/2002
P
    22.25   |           A           |   $19.779

D

Common Stock
10/31/2002
P
    21.73   |           A           |   $20.635
4,012.05 (1) (2)
D

Common Stock


1,984.00
I
By Corporation
Common Stock


1,777.00
I
By Trust
Common Stock


2,909.00
I
By Trust (Spouse)







If the form is filed by more than one reporting person, see instruction 4(b)(v).
(over)
SEC 2270 (3-99)

McCarty, James E. - December 2003
Form 5 (continued)
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. Conver-
    sion or
    Exercise
    Price of
    Deri-
    vative
    Security
3. Transaction
    Date

    (Month/
    Day/
    Year)
4. Transaction
    Code
5. Number of Derivative
    Securities Acquired (A)
    or Disposed (D) Of

    (Instr. 3,4 and 5)
6. Date Exercisable(DE) and
    Expiration Date(ED)
    (Month/Day/Year)






  (DE)     |     (ED)  
7. Title and Amount of
    Underlying Securities
    (Instr. 3 and 4)
8. Price
    of
    Derivative
    Security
    (Instr.5)
9. Number of
    Derivative
    Securities
    Beneficially
    Owned
    at End of
    Year
    (Instr.4)
10.
Owner-
ship
Form of
Deriv-
ative
Security:
Direct
(D)
or
Indirect
(I)
11. Nature of
      Indirect
      Beneficial
      Ownership
      (Instr.4)
Phantom Stock Units
$0.000 (3) (4)
A
    (A) 174.99 (1) (2)
(5) | (5)
Common Stock (5) - 174.99 (1) (2) (1) (2) (4)
2,756.42 (1) (2)
D












Explanation of Responses :


** Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
        See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note:   File three copies of this Form, one of which must be manually signed. If space is insufficient,
            See Instruction 6 for procedure.

Potential persons who are to respond to the collection of information contained in this form are not
required to respond unless the form displays a currently valid OMB number.
/s/ James E. McCarty
________________________________            02-11-2003    
** Signature of Reporting Person                         Date




Page 2
SEC 2270 (3-99)

McCarty, James E. - December 2003
Form 5 (continued)
FOOTNOTE Descriptions for Independent Bank Corporation IBCP

Form 5 - December 2003

James E. McCarty
6641 Centerline Rd.

Saranac, MI 48881

Explanation of responses:

(1)   Totals reflect a 3-for-2 stock split of the company's common stock effective December 31, 2002.
(2)   Totals reflect a 5% stock dividend allocated October 3, 2002
(3)   The phantom stock units may be settled in stock on a one-for-one basis.
(4)   The phantom stock units were accrued under the Independent Bank Corporation Deferred Compensation and Stock Purchase Plan for Non-Employee Directors on various dates during 2002 at prices ranging from $19.63 to $21.02.
(5)   The Phantom Stock Units were accrued under the Independent Bank Corporation Deferred Compensation and Stock Purchase Plan for Non-Employee Directors and are to be settled in Independent Bank Corporation Common Stock upon the reporting person's retirement.
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