0001562463-17-000051.txt : 20170530 0001562463-17-000051.hdr.sgml : 20170530 20170530160820 ACCESSION NUMBER: 0001562463-17-000051 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170525 FILED AS OF DATE: 20170530 DATE AS OF CHANGE: 20170530 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KEACH JOHN K JR CENTRAL INDEX KEY: 0001198733 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35750 FILM NUMBER: 17877476 MAIL ADDRESS: STREET 1: C/O HOME FEDERAL BANCORP STREET 2: 501 WASHINGTON STREET CITY: COLUMBUS STATE: IN ZIP: 47201 4 1 wf-form4_149617488454814.xml FORM 4 X0306 4 2017-05-25 0 0001562463 First Internet Bancorp INBK 0001198733 KEACH JOHN K JR 11201 USA PARKWAY FISHERS IN 46037 1 0 0 0 Common Stock 2017-05-25 4 P 0 1000 26.39 A 11475 D Includes 14 shares acquired between January 20, 2017 and April 20, 2017 pursuant to the First Internet Bancorp Dividend Reinvestment and Stock Purchase Plan. /s/ Kenneth J. Lovik, Attorney-in-Fact for John K. Keach, Jr. (power of attorney previously filed) 2017-05-30