Murphy Carmen C Form 5 1ST SOURCE / Carmen C Murphy ownership change

SEC Form 5

FORM 5

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

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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

Form 3 Holdings Reported.

Form 4 Transactions Reported.

1. Name and Address of Reporting Person^*

Murphy Carmen C

(Last) (First) (Middle)

1237 EAST JEFFERSON BOULEVARD

(Street)

SOUTH BEND IN 46617

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
1ST SOURCE CORP [ SRCE ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

Director	X	10% Owner
Officer (give title below)		Other (specify below)

3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2019

4. If Amendment, Date of Original Filed (Month/Day/Year)

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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)	4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
				Amount	(A) or (D)	Price
Common Stock	10/28/2019		G	5,000	D	$0	80,925	D
Common Stock	10/28/2019		G	5,000	D	$0	1,627,685(1)	I	By Spouse(2)
Common Stock							584,600	I	By LLC(3)
Common Stock							283,897	I	By Trust(4)(5)
Common Stock							646,582	I	By Trust(5)(6)
Common Stock							17,246	I	By Trust(5)(7)
Common Stock							43,132	I	By Trust(5)(8)
Common Stock							41,640	I	By Trust(5)(9)
Common Stock							115,684	I	By Trust(5)(10)
Common Stock							708,289	I	By Trust(5)(11)
Common Stock							147,255	I	By Trust(5)(12)
Common Stock							229,930	I	By Trust(5)(13)
Common Stock							1,598	I	By Trust(5)(14)
Common Stock							6,228	I	By Trust(5)(15)
Common Stock							228,382	I	By Trust(5)(16)

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)	5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
					(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Explanation of Responses:

1. Between January 1, 2019 and December 31, 2019, Mr. Murphy acquired a total of 1,326 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, 2019.

2. Includes 510,871 shares of common stock held directly by Mr. Murphy, 55,901 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 935,020 shares of common stock held indirectly by Mr. Murphy through three 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.

3. 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.

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

5. 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.

6. Indirect through the 1959 E. L. Morris FBO Carmen C. Murphy Trust.

7. Indirect through the E. M. Raclin FBO Carmen C. Murphy Trust.

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

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

10. Indirect through the Carmen C. Murphy Charitable Annuity Trust.

11. Indirect through the Ella Morris Trust FBO Carmen C. Murphy.

12. Indirect through the Ernestine M. Raclin Charitable Irrevocable Trust FBO Carmen C. Murphy.

13. Indirect through the 1960 Ernestine M. Raclin Irrevocable Trust FBO Carmen C. Murphy.

14. Indirect through the Ella Morris Charitable Trust FBO Carmen C. Murphy.

15. Indirect through the Ella Morris Irrevocable Charitable Living Trust FBO Carmen C. Murphy.

16. Indirect through the 1965 Ernestine M. Raclin Irrevocable Trust FBO Carmen C. Murphy.

Remarks:

	/s/ John B. Griffith, Attorney-in-Fact for Carmen C. Murphy (power of attorney previously filed)	02/13/2020
	** Signature of Reporting Person	Date
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).
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