FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
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OMB APPROVAL
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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 PRESIDENT OF SUBSIDIARY |
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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 Issuer's Fiscal Year (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 |
02/20/02 |
J |
50 |
D |
3,833 |
I |
BY 401(K) |
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If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
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FORM 5 (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 Deri- vative Security |
3. Trans- action Date (Month/ Day/ Year) |
3A. Deemed Execution Date, if any (Month/ |
4. Trans- action 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 Owner- ship (Instr. 4) |
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Explanation of Responses: See continuation page(s) for footnotes
/S/ ELENA DELGADO _________________________________________ |
1/27/2003 |
**Signature of Reporting Person |
Date |
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations. |
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FORM 5 (continued) |
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DELGADO, ELENA |
Irwin Financial Corporation (IFC) |
500 Washington Street |
12/31/2002 |
Columbus IN 47201 |
FOOTNOTES:
1. Adjustment to reporting person's 401(k). Error was discovered in company match. When the error was discovered the reporting person's account was changed. Includes 50 additional shares acquired through participation in the Irwin Financial Corporation Employees' Savings Plan (401(k) Plan). Shares noted are as of 12/31/02. The number reported is the nearest whole number of shares. |
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