SEC Form 5 · accession 0000034782-17-000032
1ST SOURCE CORP · SRCE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Christopher J Murphy III
Officer — Chairman, CEO · Director · 10% Owner
Period of report
Dec 31, 2016
Accepted (ET)
Feb 14, 2017 · 2:13 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 | Jan 4, 2016 | G | 825 | $0.00 | D | 2,604,780 | I | By Spouse |
| Common StockF1 | Nov 16, 2016 | G | 5,000 | $0.00 | D | 2,599,780 | I | By Spouse |
| Common Stock | holding | — | — | — | 530,229 | D | ||
| Common StockF2 | holding | — | — | — | 52,521 | I | By 401(k) | |
| Common Stock | holding | — | — | — | 125,893 | I | By Corporation | |
| Common StockF3 | holding | — | — | — | 438,131 | I | By ERCO II Partnership | |
| Common StockF3 | holding | — | — | — | 282,119 | I | By ERCO III Partnership | |
| Common StockF3 | holding | — | — | — | 214,770 | I | By Ltd. Partnership | |
| Common StockF4 | holding | — | — | — | 584,600 | I | By LLC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Mr. 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.
- F2Between January 1, 2016 and December 31, 2016, Mr. Murphy acquired a total of 1,242 shares of 1st Source Corporation common stock under the 401(k) Plan. The information in this report is based on a plan statement dated as of December 31, 2016.
- F3Mr. 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.
- F4Mr. 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.