# EDGAR Filing Document

**Accession Number:** 0000034782
**File Stem:** 0000034782-23-000006
**Filing Date:** 2023-1
**Character Count:** 9221
**Document Hash:** 591fc852b388dfc7d4bd97b1e9fed4ce
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0000034782-23-000006.hdr.sgml**: 20230127

**ACCESSION NUMBER**: 0000034782-23-000006

**CONFORMED SUBMISSION TYPE**: 5

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20221231

**FILED AS OF DATE**: 20230127

**DATE AS OF CHANGE**: 20230127

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Murphy Carmen C
- **CENTRAL INDEX KEY:** 0001668375

**FILING VALUES:**
- **FORM TYPE:** 5
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 000-06233
- **FILM NUMBER:** 23562394

**MAIL ADDRESS:**
- **STREET 1:** 1237 EAST JEFFERSON BOULEVARD
- **CITY:** SOUTH BEND
- **STATE:** IN
- **ZIP:** 46617
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** 1ST SOURCE CORP
- **CENTRAL INDEX KEY:** 0000034782
- **STANDARD INDUSTRIAL CLASSIFICATION:** STATE COMMERCIAL BANKS [6022]
- **IRS NUMBER:** 351068133
- **STATE OF INCORPORATION:** IN
- **FISCAL YEAR END:** 1231

**BUSINESS ADDRESS:**
- **STREET 1:** 100 NORTH MICHIGAN STREET
- **CITY:** SOUTH BEND
- **STATE:** IN
- **ZIP:** 46601
- **BUSINESS PHONE:** 5742352702

**MAIL ADDRESS:**
- **STREET 1:** P O BOX 1602
- **STREET 2:** P O BOX 1602
- **CITY:** SOUTH BEND
- **STATE:** IN
- **ZIP:** 46634

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** FBT BANCORP INC
- **DATE OF NAME CHANGE:** 19820818

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 5

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Murphy Carmen C<br><sub>(Last) (First) (Middle)</sub><br>1237 EAST JEFFERSON BOULEVARD<br><sub>(Street)</sub><br>SOUTH BEND, IN 46617<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2022-12-31 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>1ST SOURCE CORP [ SRCE ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Common Stock | 2022-12-16 |  | G |  | 379 | D | $0 | 69293 | D |  |
| Common Stock | 2022-10-25 |  | G |  | 10000 | D | $0 | 1181080 | I | By Spouse<sup>(1)</sup> |
| Common Stock | 2022-12-16 |  | G |  | 379 | D | $0 | 1182268 | I | By Spouse<sup>(1)</sup> |
| Common Stock |  |  |  |  |  |  |  | 584600 | I | By LLC<sup>(2)</sup> |
| Common Stock |  |  |  |  |  |  |  | 283897 | I | By Trust<sup>(3)(4)</sup> |
| Common Stock |  |  |  |  |  |  |  | 646582 | I | By Trust<sup>(3)(5)</sup> |
| Common Stock |  |  |  |  |  |  |  | 17246 | I | By Trust<sup>(3)(6)</sup> |
| Common Stock |  |  |  |  |  |  |  | 43132 | I | By Trust<sup>(3)(7)</sup> |
| Common Stock |  |  |  |  |  |  |  | 41640 | I | By Trust<sup>(3)(8)</sup> |
| Common Stock |  |  |  |  |  |  |  | 115684 | I | By Trust<sup>(3)(9)</sup> |
| Common Stock |  |  |  |  |  |  |  | 709384 | I | By Trust<sup>(3)(10)</sup> |
| Common Stock |  |  |  |  |  |  |  | 147255 | I | By Trust<sup>(3)(11)</sup> |
| Common Stock |  |  |  |  |  |  |  | 229930 | I | By Trust<sup>(3)(12)</sup> |
| Common Stock |  |  |  |  |  |  |  | 1598 | I | By Trust<sup>(3)(13)</sup> |
| Common Stock |  |  |  |  |  |  |  | 6228 | I | By Trust<sup>(3)(14)</sup> |
| Common Stock |  |  |  |  |  |  |  | 228382 | I | By Trust<sup>(3)(15)</sup> |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

---

### Footnotes:

(1) Includes 498,624 shares of common stock held directly by Mr. Murphy, 60,862 shares of common stock held indirectly by Mr. Murphy under the 1st Source Corporation 401(k) Plan, 125,893 shares of common stock held indirectly by Mr. Murphy through a corporation and 496,889 shares of common stock held indirectly by Mr. Murphy through two limited partnerships. Mrs. Murphy disclaims beneficial ownership of these shares of common stock, and this report shall not be deemed an admission that Mrs. Murphy is the beneficial owner of these shares of common stock for purposes of Section 16 or for any other purpose.

(2) Mrs. Murphy is a voting member of the LLC. Mrs. Murphy disclaims beneficial ownership of those shares of common stock held by the LLC exceeding her pecuniary interest, and this report shall not be deemed an admission that Mrs. Murphy is the beneficial owner of such excess shares of common stock for purposes of Section 16 or for any other purpose.

(3) Mrs. Murphy has the power to direct the trustee with respect to the disposition of the reported shares of common stock. Mrs. Murphy disclaims beneficial ownership of these shares of common stock except to the extent of her pecuniary interest therein, and the inclusion of these shares of common stock in this report shall not be deemed an admission of beneficial ownership of all of the reported shares of common stock for purposes of Section 16 or for any other purpose.

(4) Indirect through the 1957 E. L. Morris FBO Carmen C. Murphy Trust.

(5) Indirect through the 1959 E. L. Morris FBO Carmen C. Murphy Trust.

(6) Indirect through the E. M. Raclin FBO Carmen C. Murphy Trust.

(7) Indirect through a 1965 E. L. Morris FBO E. M. Raclin and Carmen C. Murphy Trust.

(8) Indirect through a second 1965 E. L. Morris FBO E. M. Raclin and Carmen C. Murphy Trust.

(9) Indirect through the Carmen C. Murphy Charitable Annuity Trust.

(10) Indirect through the Ella Morris Trust FBO Carmen C. Murphy.

(11) Indirect through the Ernestine M. Raclin Charitable Irrevocable Trust FBO Carmen C. Murphy.

(12) Indirect through the 1960 Ernestine M. Raclin Irrevocable Trust FBO Carmen C. Murphy.

(13) Indirect through the Ella Morris Charitable Trust FBO Carmen C. Murphy.

(14) Indirect through the Ella Morris Irrevocable Charitable Living Trust FBO Carmen C. Murphy.

(15) Indirect through the 1965 Ernestine M. Raclin Irrevocable Trust FBO Carmen C. Murphy.

**Signature:** /s/ John B. Griffith, Attorney-in-Fact for Carmen C. Murphy (power of attorney previously filed)  
**Date:** 2023-01-27

### Remarks:

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 4 (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).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

**Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.**