0001562463-21-000025.txt : 20210120 0001562463-21-000025.hdr.sgml : 20210120 20210120160950 ACCESSION NUMBER: 0001562463-21-000025 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210118 FILED AS OF DATE: 20210120 DATE AS OF CHANGE: 20210120 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dutra Ana CENTRAL INDEX KEY: 0001426393 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35750 FILM NUMBER: 21538853 MAIL ADDRESS: STREET 1: C/O KORN/FERRY INTERNATIONAL STREET 2: 1900 AVENUE OF THE STARS, SUITE 2600 CITY: LOS ANGELES STATE: CA ZIP: 90067 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_161117697684764.xml FORM 4 X0306 4 2021-01-18 0 0001562463 First Internet Bancorp INBK 0001426393 Dutra Ana 11201 USA PARKWAY FISHERS IN 46037 1 0 0 0 Common Stock 2021-01-18 4 A 0 1810 0 A 3273 D Restricted stock award scheduled to vest as follows: 149 shares were fully vested on the date of grant and 151 shares will vest on the fifteenth day of each month beginning February 15, 2021 and ending on December 15, 2021. /s/ Kenneth J. Lovik, Attorney-in-Fact for Ana Dutra (power of attorney previously filed) 2021-01-20