FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of |
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(Print or Type Responses) |
1. Name and Address of Reporting Person* Goebel, Andrew |
2. Issuer Name and Tickler or Trading Symbol Old National Bancorp ONB |
6. Relationship of Reporting Person(s) to Issuer |
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X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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(Last) (First) (Middle) 637 Winstead Pl |
3. I.R.S. Identification Number of |
4. Statement for Month/Day/Year January 27, 2003 |
7. Individual or Joint/Group Filing (Check Applicable Line) |
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5. If Amendment, Date of |
X |
Form filed by One Reporting Person |
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(Street) |
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Form filed by More than One Reporting Person |
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(City) (State) (Zip) |
Table I ¾ Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security |
2. Transaction Date (Month/ Day/Year) |
2A. Deemed Execution Date, if any (Month/Day/ Year) |
3. Transaction |
4. Securities Acquired (A) |
5. Amount of Securities Beneficially Owned Following Reported Transaction(s) |
6. OwnershipForm: Direct (D) or Indirect (I) (Instr. 4) |
7. Nature ofIndirect Beneficial Ownership (Instr. 4) |
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Code |
V |
Amount |
(A) or |
Price |
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Common stock |
01/27/03 |
J |
V |
26.000 |
A |
553.000 |
D |
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Common stock |
01/27/03 |
J |
V |
282.000 |
A |
5,939.000 |
I1 |
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Common stock |
01/27/03 |
J |
V |
22.000 |
A |
463.000 |
I2 |
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Common stock |
01/27/03 |
J |
V |
25.000 |
A |
535.000 |
D3 |
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J Shrs recd pursuant to stock dividend on ONB |
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common stock with a record date of 1/6/2003 |
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D Andrew Goebel Trust broker held |
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I1 Darlene Goebel Trust broker held |
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I2 Darlene Goebel IRA broker held |
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D3 Andrew Goebel MPP Acct broker held |
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FORM 4 (continued) |
Table II `
Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of |
2. Conversion |
3. Trans- action Date (Month/ Date/ Year) |
3A. Deemed Execution Date, if any (Month/ Date/Year) |
4. Transaction |
5. Number of |
6. Date Exercisable |
7. Title and Amount of |
8. Price of |
9. Number of Derivative (Instr. 4) |
10. Ownership or Indirect (I) |
11. Nature of |
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Code |
V |
(A) |
(D) |
Date |
Expiration |
Title |
Amount or |
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Explanation of Responses: |
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**Signature of Reporting Person |
Date |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
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* |
If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
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** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations. |
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See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
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Note: |
File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
Last Update: 09/05/2002