Sec Form 4 Filing - DeRuiter Kathie A @ HORIZON BANCORP INC /IN/ - 2019-02-27

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
DeRuiter Kathie A
2. Issuer Name and Ticker or Trading Symbol
HORIZON BANCORP INC /IN/ [ HBNC]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Executive Vice President
(Last) (First) (Middle)
206 BEECH STREET E
3. Date of Earliest Transaction (MM/DD/YY)
02/27/2019
(Street)
THREE OAKS, MI49128
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 14,905 ( 1 ) ( 2 ) I By SERP
Common Stock 29,382 ( 1 ) ( 2 ) I By ESOP
Common Stock 19,994 ( 1 ) ( 2 ) I By ThriftPlan
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Deferred Stock Units ( 3 ) 02/27/2019 A 13,961 ( 3 ) ( 3 ) Common Stock 13,961 $ 17.67 13,961 I By SERP
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
DeRuiter Kathie A
206 BEECH STREET E
THREE OAKS, MI49128
Executive Vice President
Signatures
/s/Mark E. Secor, as Attorney-in-Fact for Kathie A. DeRuiter 02/28/2019
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Adjusted for a 3:2 stock split effective as of 06/15/2018.
( 2 )Adjusted to reflect additional shares allocated to the Reporting Person's benefit plan account after the date of the Reporting Person's last ownership report.
( 3 )Each Deferred Stock Unit ("DSU") is the economic equivalent of one share of common stock. The DSUs become payable, in cash or common stock or a combination of the two, at the discretion of the Issuer upon the conditions described in the Issuer's Supplemental Executive Retirement Plan.

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).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

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