SEC Form 4 · accession 0001225208-16-023088

AMERIANA BANCORP · ASBI

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — EVP-Treasurer & CFO

Period of report

Dec 31, 2015

Accepted (ET)

Jan 4, 2016 · 2:24 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000855574

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	D/I	Nature of ownership
Common Stock^F1	Dec 31, 2015	D	50	$0.00	D	D
Common Stock^F1	Dec 31, 2015	D	3,655	$0.00	D	I	By 401(k) Plan
Common Stock^F1	Dec 31, 2015	D	6,950	$0.00	D	I	By IRA

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Stock Option (Right to Buy)^F2	$11.93	Dec 31, 2015	D	3,500	D	—	Sep 20, 2023	Common Stock	3,500	0	D
Stock Option (Right to Buy)^F2	$13.01	Dec 31, 2015	D	1,000	D	Jan 22, 2007	Jan 22, 2017	Common Stock	1,000	0	D

F1Pursuant to the Agreement and Plan of Reorganization and Merger dated as of June 26, 2015 by and between First Merchants Corporation and Ameriana Bancorp (the "Merger Agreement"), at the effective time of the merger each share of Ameriana Bancorp common stock (including fractional shares) was exchanged for 0.9037 shares of First Merchants Corporation common stock.
F2Pursuant to the Merger Agreement, prior to the effective time of the merger each outstanding option to purchase Ameriana Bancorp common stock was cancelled and the reporting person received a cash payment equal to $22.92 per share minus the applicable option exercise price.