1. Name and Address of Reporting Person * |
Â
Carmichael Stanley Clark |
|
2. Date of Event Requiring Statement (Month/Day/Year) 10/08/2015 |
3. Issuer Name and Ticker or Trading Symbol 1ST SOURCE CORP [SRCE]
|
1510 71ST ST. |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director |
_____ 10% Owner |
_____ Officer (give title below) |
__X__ Other (specify below) |
10% Group Member |
|
5. If Amendment, Date Original Filed(Month/Day/Year)
|
FENNVILLE, MI 49408 |
6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
|
Table I - Non-Derivative Securities Beneficially Owned |
|
1.Title of Security (Instr. 4) |
2. Amount of Securities Beneficially Owned (Instr. 4) |
3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) |
4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock
|
9,125
|
D
|
Â
|
Common Stock
|
2,703
|
I
|
See footnotes
(1)
(9)
|
Common Stock
|
30,618
|
I
|
See footnotes
(2)
(9)
|
Common Stock
|
708,291
|
I
|
See footnotes
(3)
(9)
|
Common Stock
|
147,257
|
I
|
See footnotes
(4)
(9)
|
Common Stock
|
229,932
|
I
|
See footnotes
(5)
(9)
|
Common Stock
|
1,598
|
I
|
See footnotes
(6)
(9)
|
Common Stock
|
6,229
|
I
|
See footnotes
(7)
(9)
|
Common Stock
|
228,383
|
I
|
See footnotes
(8)
(9)
|
|
* |
If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) |
Indirect through E.L. Morris fbo S.C. Carmichael Trust. |
(2) |
Indirect through S.C. Carmichael Charitable Annuity Trust. |
(3) |
Indirect through E.L. Morris Trust FBO Stanley Clark Carmichael Family. |
(4) |
Indirect through Ernestine M. Raclin Charitable Irrev Trust FBO Stanley Clark Carmichael Family. |
(5) |
Indirect through Ernestine M. Raclin Irrevocable Trust FBO Stanley Clark Carmichael Family. |
(6) |
Indirect through Ella Morris Charitable Trust FBO Stanley Clark Carmichael Family. |
(7) |
Indirect through E.L. Morris Irrev Charitable Living Trust FBO Stanley Clark Carmichael Family. |
(8) |
Indirect through Ernestine M. Raclin Irrevocable Trust FBO Stanley Clark Carmichael Family. |
(9) |
The reporting person has the power to direct the trustee with respect to the disposition of the reported securities. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all of the reported securities for purposes of Section 16 or for any other purpose. |