Amended Statement of Ownership (sc 13g/a)
January 22 2018 - 4:03PM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G/A
Under the Securities Exchange Act of
1934
(Amendment
No. 3)
1st Source
Corporation
(Name of Issuer)
Common Stock Without Par Value
(Title or Class of Securities)
336901103
(CUSIP Number)
December 31, 2017
(Date of Event Which Requires Filing of
this Statement)
Check the appropriate box to designate
the rule pursuant to which this Schedule is filed:
¨
Rule
13d-1(b)
x
Rule
13d-1(c)
¨
Rule
13d-1(d)
The remainder of this cover page shall
be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any
subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required in the remainder
of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of
1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions
of the Act (however, see the Notes).
CUSIP No. 336901103
1.
|
Names of Reporting Persons: Stanley Clark Carmichael
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2.
|
Check the Appropriate Box if a Member of a Group (See Instructions)
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(a)
x
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(b)
¨
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3.
|
SEC Use Only
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4.
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Citizenship or Place of Organization: United States of America
|
Number of Shares
Beneficially Owned
by Each Reporting
Person With:
|
5.
|
Sole Voting Power: 3,915
|
6.
|
Shared Voting Power: 0
|
7.
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Sole Dispositive Power: 3,915
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8.
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Shared Dispositive Power: 678,289
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9.
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Aggregate Amount Beneficially Owned by Each Reporting Person: 682,204
|
10.
|
Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)
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11.
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Percent of Class Represented by Amount in Row (9): 2.6%
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12.
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Type of Reporting Person (See Instructions): IN
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CUSIP No. 336901103
1.
|
Names of Reporting Persons: Andrew W. Nickle
|
2.
|
Check the Appropriate Box if a Member of a Group (See Instructions)
|
|
(a)
x
|
|
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(b)
¨
|
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3.
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SEC Use Only
|
4.
|
Citizenship or Place of Organization: United States of America
|
Number of Shares
Beneficially Owned
by Each Reporting
Person With:
|
5.
|
Sole Voting Power: 18,406
|
6.
|
Shared Voting Power: 0
|
7.
|
Sole Dispositive Power: 18,406
|
8.
|
Shared Dispositive Power: 0
|
9.
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Aggregate Amount Beneficially Owned by Each Reporting Person: 802,608
1
|
10.
|
Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)
|
11.
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Percent of Class Represented by Amount in Row (9): 3.1%
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12.
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Type of Reporting Person (See Instructions): IN
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1
The
shares reported as beneficially owned by Mrs. Ernestine C. Nickle may be attributed to Mr. Andrew W. Nickle, given their spousal
relationship.
CUSIP No. 336901103
1.
|
Names of Reporting Persons: Ernestine C. Nickle
|
2.
|
Check the Appropriate Box if a Member of a Group (See Instructions)
|
|
(a)
x
|
|
|
(b)
¨
|
|
3.
|
SEC Use Only
|
4.
|
Citizenship or Place of Organization: United States of America
|
Number of Shares
Beneficially Owned
by Each Reporting
Person With:
|
5.
|
Sole Voting Power: 75,913
|
6.
|
Shared Voting Power: 0
|
7.
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Sole Dispositive Power: 75,913
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8.
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Shared Dispositive Power: 708,289
|
9.
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Aggregate Amount Beneficially Owned by Each Reporting Person: 802,608
2
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10.
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Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)
|
11.
|
Percent of Class Represented by Amount in Row (9): 3.1%
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12.
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Type of Reporting Person (See Instructions): IN
|
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2
The
shares reported as beneficially owned by Mr. Andrew W. Nickle may be attributed to Mrs. Ernestine C. Nickle, given their spousal
relationship.
Item 1.
|
(a)
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Name of Issuer:
1st Source Corporation
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(b)
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Address of Issuer's Principal Executive Offices:
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100 North
Michigan Street
South Bend,
IN 46601
Item 2.
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(a)
|
Names of Person Filing:
|
Stanley Clark
Carmichael
Andrew W.
Nickle
Ernestine
C. Nickle
|
(b)
|
Address of Principal Business Office or, if none, Residence:
|
Stanley Clark
Carmichael
1510 71
st
St.
Fennville, MI 49408
Andrew W. Nickle and Ernestine
C. Nickle
560 Sea Oak Drive
Vero Beach, FL 32963
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(c)
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Citizenship:
United States of America
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(d)
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Title of Class of Securities:
Common Stock Without Par Value
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(e)
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CUSIP Number:
336901103
|
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Item 3.
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If this statement is filed pursuant to §§240.13d-1(b)
or 240.13d-2(b) or (c), check whether the person filing is a:
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Not Applicable.
See the information
contained in the cover pages of this Schedule 13G/A, which is incorporated herein by reference. The percentage of shares of Common
Stock beneficially owned by each reporting person is based on 25,936,130 outstanding shares of the issuer as of September 30, 2017,
as reported in the issuer’s investor presentation filed with the issuer’s Form 8-K filed October 31, 2017, and the
respective holdings of each reporting person as of December 31, 2017, as reported on the cover pages.
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Item 5.
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Ownership of Five
Percent or Less of a Class.
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Not Applicable.
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Item 6.
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Ownership of More than Five Percent on Behalf of Another
Person.
|
Mrs. Ernestine C. Nickle
and Mr. Stanley Clark Carmichael serve as representatives to certain trusts for the benefit of their family lines. The group of
respective trusts to which Mrs. Nickle and Mr. Carmichael currently serve as representatives held 708,289 and 678,289 Common Shares
of 1st Source Corporation, respectively, as of December 31, 2017. 1st Source Bank is the trustee of these trusts. The terms of
the trusts allow Mrs. Nickle or Mr. Carmichael, as applicable, to direct the trustee to (or appoint a special trustee to) diversify
the 1st Source Corporation Common Stock holdings in such trusts. As family line representatives, Mrs. Nickle and Mr. Carmichael
may also (i) direct the trustee to engage an independent proxy service to provide voting recommendations to the trustee, in which
case the trustee has agreed to vote the 1st Source Corporation Common Stock held by the applicable trusts in accordance with the
recommendations of such independent proxy service, unless to do so would be contrary to applicable Securities & Exchange Commission
legal and regulatory guidelines and requirements or violate the trustee’s fiduciary obligations, or, (ii) appoint a special
trustee, which special trustee would have the power to vote the 1st Source Corporation Common Stock held by the applicable trusts.
The inclusion of the
reporting persons and the reported securities in this report shall not be deemed an admission of beneficial ownership by the reporting
persons for purposes of Section 13(d) or 13(g) of the Act, or for any other purposes.
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Item 7.
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Identification and Classification of the Subsidiary Which
Acquired the Security Being Reported on By the Parent Holding Company or Control Person.
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Not Applicable.
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Item 8.
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Identification and Classification of Members of the Group.
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See attached
Exhibit
A
.
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Item 9.
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Notice of Dissolution of Group.
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Not Applicable.
By signing below I
certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the
purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and
are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely
in connection with a nomination under § 240.14a-11.
SIGNATURE
After reasonable inquiry
and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
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Dated:
January 18, 2018
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/s/
Stanley Clark Carmichael
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Stanley Clark Carmichael
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Dated:
January 18, 2018
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/s/
Andrew W. Nickle
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Andrew W. Nickle
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Dated: January
18, 2018
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/s/ Ernestine C.
Nickle
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Ernestine C. Nickle
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Exhibit A
Exhibit A - Identification
of Members of the Group
Stanley Clark Carmichael
Andrew W. Nickle
Ernestine C. Nickle
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