FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
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OMB APPROVAL
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___ Check this box if no longer subject to Section 16. |
1. Name and Address of Reporting Person* |
2. Issuer Name and Ticker or Trading Symbol |
6. Relationship of Reporting Person(s) to Issuer (Check all applicable) _____Director _ ____10% owner__X__Officer (give title below) _____Other (Specify below) TITLE: EXECUTIVE VICE PRESIDENT |
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3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) |
4. Statement for |
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5. If Amendment, Date of Original (Month/Day/Year) |
7. Individual or Joint Group Filing (Check Applicable Line) |
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Table 1 - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security (Instr. 3) |
2. Transaction Date |
2A. Deemed Execution Date, if any (Month/ |
3. Transaction Code |
4. Securities Acquired (A) |
5. Amount of Securities Beneficially Owned at End of Month (Instr. 3 and 4) |
6. Owner- ship Form: Direct (D) or Indirect (I) |
7. Nature of Indirect Beneficial Ownership |
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COMMON STOCK |
01/29/03 |
M |
10,800 |
A |
$5.531250 |
D |
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COMMON STOCK |
01/29/03 |
F |
2,406 |
D |
$17.200000 |
D |
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COMMON STOCK |
01/29/03 |
G |
8,394 |
D |
D |
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COMMON STOCK |
01/29/03 |
G |
3,474 |
A |
D |
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COMMON STOCK |
01/29/03 |
F |
3,474 |
D |
$17.200000 |
0 |
D |
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COMMON STOCK |
12,884 |
I |
BY 401(K) |
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COMMON STOCK |
01/29/03 |
G |
8,394 |
A |
I |
BY SPOUSE |
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COMMON STOCK |
01/29/03 |
G |
3,474 |
D |
24,833 |
I |
BY SPOUSE |
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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). |
Page 1 of 3 |
FORM 4 (continued) |
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. Trans- action Date (Month/ Day/ Year) |
3A. Deemed Execution Date, if any (Month/ |
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 Underlying Securities |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned at End of Month (Instr. 4) |
10. Owner- ship Form of Derivative Security: Direct (D) or Indirect (I) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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NON-QUALIFIED STOCK OPTION (RIGHT TO BUY) |
$5.531250 |
01/29/03 |
M |
10,800 |
01/29/03 |
05/11/03 |
COMMON STOCK |
10,800 |
0 |
D |
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Explanation of Responses: See continuation page(s) for footnotes
/S/ THOMAS D. WASHBURN _________________________________________ |
1/30/2003 |
**Signature of Reporting Person |
Date |
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations. |
Page 2 of 3 |
FORM 4 (continued) |
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WASHBURN, THOMAS D. |
Irwin Financial Corporation (IFC) |
500 Washington Street |
01/30/2003 |
Columbus IN 47201 |
FOOTNOTES:
(1) Represents transfer of shares from reporting person to spouse. |
Page 3 of 3 |