0001595334-19-000001.txt : 20190228 0001595334-19-000001.hdr.sgml : 20190228 20190228171501 ACCESSION NUMBER: 0001595334-19-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190227 FILED AS OF DATE: 20190228 DATE AS OF CHANGE: 20190228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DeRuiter Kathie A CENTRAL INDEX KEY: 0001595334 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10792 FILM NUMBER: 19644809 MAIL ADDRESS: STREET 1: 206 BEECH STREET E CITY: THREE OAKS STATE: MI ZIP: 49128 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HORIZON BANCORP INC /IN/ CENTRAL INDEX KEY: 0000706129 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 351562417 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 515 FRANKLIN STREET CITY: MICHIGAN CITY STATE: IN ZIP: 46360 BUSINESS PHONE: 2198790211 MAIL ADDRESS: STREET 1: 515 FRANKLIN STREET CITY: MICHIGAN CITY STATE: IN ZIP: 46360 FORMER COMPANY: FORMER CONFORMED NAME: HORIZON BANCORP /IN/ DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: CITIZENS MICHIANA FINANCIAL CORP DATE OF NAME CHANGE: 19861021 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2019-02-27 0 0000706129 HORIZON BANCORP INC /IN/ HBNC 0001595334 DeRuiter Kathie A 206 BEECH STREET E THREE OAKS MI 49128 0 1 0 0 Executive Vice President Common Stock 14905 I By SERP Common Stock 29382 I By ESOP Common Stock 19994 I By ThriftPlan Deferred Stock Units 2019-02-27 4 A 0 13961 17.67 A Common Stock 13961 13961 I By SERP Adjusted for a 3:2 stock split effective as of 06/15/2018. Adjusted to reflect additional shares allocated to the Reporting Person's benefit plan account after the date of the Reporting Person's last ownership report. Each Deferred Stock Unit ("DSU") is the economic equivalent of one share of common stock. The DSUs become payable, in cash or common stock or a combination of the two, at the discretion of the Issuer upon the conditions described in the Issuer's Supplemental Executive Retirement Plan. /s/Mark E. Secor, as Attorney-in-Fact for Kathie A. DeRuiter 2019-02-28