-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, RLWzPZwwydEUDKM382GGpODVVdp+e2fCs9YtQHKPrNtQYLoCTUqusaL7671rhWnO KF/BKgQ0hYhuAqmVNwNSdQ== 0000712534-04-000147.txt : 20040921 0000712534-04-000147.hdr.sgml : 20040921 20040921140728 ACCESSION NUMBER: 0000712534-04-000147 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040917 FILED AS OF DATE: 20040921 DATE AS OF CHANGE: 20040921 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MCAULIFFE THOMAS CENTRAL INDEX KEY: 0001161507 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17071 FILM NUMBER: 041039067 BUSINESS ADDRESS: STREET 1: 100 EAST WILSON BRIDGE ROAD CITY: WORTINGTON STATE: OH ZIP: 43085 BUSINESS PHONE: 6148488700 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST MERCHANTS CORP CENTRAL INDEX KEY: 0000712534 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 351544218 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 200 E JACKSON ST STREET 2: PO BOX 792 CITY: MUNCIE STATE: IN ZIP: 47308-0792 BUSINESS PHONE: 7657471500 MAIL ADDRESS: STREET 1: 200 EAST JACKSON STREET CITY: MUNCIE STATE: IN ZIP: 47305 4 1 f4tm092104_ex.xml X0202 4 2004-09-17 0 0000712534 FIRST MERCHANTS CORP FRME 0001161507 MCAULIFFE THOMAS 100 EAST WILSON BRIDGE ROAD WORTINGTON OH 43085 1 0 0 0 Common Stock 2004-09-17 4 S 0 1000 25.15 D 64514 D (1) Beneficially owned securities: 8,398. Nature of indirect beneficial ownership: Cust. UGMA-Minor Sons. (2) Employee stock options - right to buy 9,200 shares. (3) Deferred stock units owned direct: 261.03. Larry R. Helms (Confirming Statement on File) 2004-09-21 -----END PRIVACY-ENHANCED MESSAGE-----