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