0001144204-13-064984.txt : 20131202 0001144204-13-064984.hdr.sgml : 20131202 20131202113313 ACCESSION NUMBER: 0001144204-13-064984 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131127 FILED AS OF DATE: 20131202 DATE AS OF CHANGE: 20131202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: First Internet Bancorp CENTRAL INDEX KEY: 0001562463 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 203489991 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8888 KEYSTONE CROSSING STREET 2: SUITE 1700 CITY: INDIANAPOLIS STATE: IN ZIP: 46240 BUSINESS PHONE: 317-532-7900 MAIL ADDRESS: STREET 1: 8888 KEYSTONE CROSSING STREET 2: SUITE 1700 CITY: INDIANAPOLIS STATE: IN ZIP: 46240 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Whitaker Kay E. CENTRAL INDEX KEY: 0001568452 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35750 FILM NUMBER: 131251026 MAIL ADDRESS: STREET 1: 8888 KEYSTONE CROSSING, SUITE 1700 CITY: INDIANAPOLIS STATE: IN ZIP: 46240 4 1 v361475_4.xml OWNERSHIP DOCUMENT X0306 4 2013-11-27 0 0001562463 First Internet Bancorp INBK 0001568452 Whitaker Kay E. 8888 KEYSTONE CROSSING SUITE 1700 INDIANAPOLIS IN 46240 0 1 0 0 SVP-Finance, CFO & Secretary Common Stock 2013-11-27 4 P 0 1000 20.00 A 1000 I Shares held in an IRA Common Stock 30282 D /s/ Kay E. Whitaker 2013-12-02