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