0001562463-23-000123.txt : 20231219 0001562463-23-000123.hdr.sgml : 20231219 20231219191227 ACCESSION NUMBER: 0001562463-23-000123 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231218 FILED AS OF DATE: 20231219 DATE AS OF CHANGE: 20231219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BECKER DAVID B CENTRAL INDEX KEY: 0001166274 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35750 FILM NUMBER: 231498945 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] ORGANIZATION NAME: 02 Finance IRS NUMBER: 203489991 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8701 E. 116TH STREET CITY: FISHERS STATE: IN ZIP: 46038 BUSINESS PHONE: 317-532-7900 MAIL ADDRESS: STREET 1: 8701 E. 116TH STREET CITY: FISHERS STATE: IN ZIP: 46038 4 1 wk-form4_1703031135.xml FORM 4 X0508 4 2023-12-18 0 0001562463 First Internet Bancorp INBK 0001166274 BECKER DAVID B 8701 E. 116TH STREET FISHERS IN 46038 1 1 0 0 Chairman and CEO 0 Common Stock 2023-12-18 4 G 0 15000 0 D 406227 D Charitable gift to nonprofit entity. Includes 1,795 shares acquired from July 17, 2023 through October 16, 2023 pursuant to the First Internet Bancorp Dividend Reinvestment and Stock Purchase Plan and 916 shares acquired from June 2, 2023 through December 4, 2023 pursuant to the First Internet Bancorp Employee Stock Purchase Plan. /s/ Kenneth J. Lovik, Attorney-in-Fact for David B. Becker (power of attorney previously filed) 2023-12-19