0001562463-18-000043.txt : 20180403
0001562463-18-000043.hdr.sgml : 20180403
20180403161055
ACCESSION NUMBER: 0001562463-18-000043
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180331
FILED AS OF DATE: 20180403
DATE AS OF CHANGE: 20180403
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lorch Nicole S.
CENTRAL INDEX KEY: 0001568480
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35750
FILM NUMBER: 18733451
MAIL ADDRESS:
STREET 1: 8888 KEYSTONE CROSSING, SUITE 1700
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46240
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: 11201 USA PARKWAY
CITY: FISHERS
STATE: IN
ZIP: 46037
BUSINESS PHONE: 317-532-7900
MAIL ADDRESS:
STREET 1: 11201 USA PARKWAY
CITY: FISHERS
STATE: IN
ZIP: 46037
4
1
wf-form4_152278621692934.xml
FORM 4
X0306
4
2018-03-31
0
0001562463
First Internet Bancorp
INBK
0001568480
Lorch Nicole S.
11201 USA PARKWAY
FISHERS
IN
46037
0
1
0
0
Executive Vice President & COO
Common Stock
2018-03-31
4
F
0
1007
37
D
20103
D
Includes 1,007 shares forfeited to satisfy tax withholding obligations in connection with vesting of restricted stock units.
Includes 19 shares acquired on January 18, 2018 pursuant to the First Internet Bancorp Dividend Reinvestment and Stock Purchase Plan and 11 shares acquired after January 15, 2018 through March 2, 2018 pursuant to the First Internet Bancorp Employee Stock Purchase Plan.
/s/ Kenneth J. Lovik, Attorney-in-Fact for Nicole S. Lorch (power of attorney previously filed)
2018-04-03