SEC Form 5/A · accession 0000034782-16-000120
1ST SOURCE CORP · SRCE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 5/A). It replaces an earlier filing for the same period.
Reporting owner
Christopher J Murphy III
Officer — Chairman, CEO · Director · 10% Owner
Period of report
Dec 31, 2015
Accepted (ET)
Mar 11, 2016 · 4:03 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000034782
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Sep 18, 2015 | G | 154 | $0.00 | D | 530,645 | D | |
| Common StockF1 | Sep 24, 2015 | G | 302 | $0.00 | D | 530,343 | D | |
| Common StockF2 | Sep 18, 2015 | G | 375 | $0.00 | D | 1,299,382 | I | By Spouse |
| Common StockF2 | Sep 24, 2015 | G | 81 | $0.00 | D | 1,299,301 | I | By Spouse |
| Common StockF3,F2 | Oct 8, 2015 | G | 1,321,679 | $0.00 | A | 2,620,980 | I | By Spouse |
| Common StockF4,F2 | Dec 29, 2015 | G | 15,375 | $0.00 | D | 2,605,605 | I | By Spouse |
| Common StockF5,F6 | holding | — | — | — | 51,279 | I | By 401(k) | |
| Common StockF7 | holding | — | — | — | 125,893 | I | By Corporation | |
| Common StockF8 | holding | — | — | — | 438,131 | I | By ERCO II Partnership | |
| Common StockF8 | holding | — | — | — | 282,119 | I | By ERCO III Partnership | |
| Common StockF8 | holding | — | — | — | 214,770 | I | By Ltd. Partnership | |
| Common StockF9 | holding | — | — | — | 584,600 | I | By LLC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On July 22, 2015, 1st Source Corporation declared a 10% stock dividend payable to all holders of record of common stock on August 15, 2015. As a result, the amount of shares of common stock held directly by Mr. Murphy increased by 48,254 shares.
- F2On July 22, 2015, 1st Source Corporation declared a 10% stock dividend payable to all holders of record of common stock on August 15, 2015. As a result, the amount of shares of common stock held indirectly by spouse increased by 118,159 shares. Mr. Murphy disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that Mr. Murphy is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
- F3Mrs. Murphy acquired the power to direct the trustee with respect to the disposition of these shares of common stock held by certain trusts for the benefit of her family line upon her appointment as the family designated representative to such trusts effective October 8, 2015. Mr. Murphy's subsequent Form 4 filed on February 29, 2016 did not reflect these additional shares.
- F4Mrs. Murphy gifted 15,375 shares on December 29, 2015 instead of the 16,200 reported on Mr. Murphy's original Form 5 filing.
- F5Between January 1, 2015 and December 31, 2015, Mr. Murphy acquired a total of 5,761 shares of 1st Source Corporation common stock under the 401(k) Plan through normal contributions and a 10% stock dividend declared by 1st Source Corporation on July 22, 2015, payable to all holders of record of common stock on August 15, 2015. The information in this report is based on a plan statement dated as of December 31, 2015.
- F6The shares of 1st Source Corporation common stock held by Mr. Murphy under the 401(k) Plan were understated by one share in his original Form 5 filing and his subsequent Form 4 filed on February 29, 2016.
- F7On July 22, 2015, 1st Source Corporation declared a 10% stock dividend payable to all holders of record of common stock on August 15, 2015. As a result, the amount of shares of common stock held by Mr. Murphy indirectly by corporation increased by 11,444 shares.
- F8On July 22, 2015, 1st Source Corporation declared a 10% stock dividend payable to all holders of record of common stock on August 15, 2015. As a result. the amount of shares of common stock held by Mr. Murphy indirectly by ERCO II Partnership increased by 39,830 shares, the amount of shares held indirectly by ERCO III Partnership increased by 25,647 shares, and the amount of shares held indirectly by Ltd. Partnership increased by 19,524 shares. Mr. Murphy disclaims beneficial ownership of those shares held by the partnership exceeding his pecuniary interest, and this report shall not be deemed an admission that Mr. Murphy is the beneficial owner of such excess shares for purposes of Section 16 or for any other purpose.
- F9On July 22, 2015, 1st Source Corporation declared a 10% stock dividend payable to all holders of record of common stock on August 15, 2015. As a result, the amount of shares of common stock held by Mr. Murphy indirectly by LLC increased by 53,145 shares. Mr. Murphy's spouse is a voting member, and Mr. Murphy is a non-voting member, of the LLC. Mr. Murphy disclaims beneficial ownership of those shares held by the LLC exceeding his pecuniary interest, and this report shall not be deemed an admission that Mr. Murphy is the beneficial owner of such excess shares for purposes of Section 16 or for any other purpose.