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