0000911916-15-000037.txt : 20150129 0000911916-15-000037.hdr.sgml : 20150129 20150129163959 ACCESSION NUMBER: 0000911916-15-000037 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150127 FILED AS OF DATE: 20150129 DATE AS OF CHANGE: 20150129 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: 8888 KEYSTONE CROSSING STREET 2: SUITE 1700 CITY: INDIANAPOLIS STATE: IN ZIP: 46240 BUSINESS PHONE: 317-532-7900 MAIL ADDRESS: STREET 1: 8888 KEYSTONE CROSSING STREET 2: SUITE 1700 CITY: INDIANAPOLIS STATE: IN ZIP: 46240 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Williams Jerry L. CENTRAL INDEX KEY: 0001569215 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35750 FILM NUMBER: 15559405 MAIL ADDRESS: STREET 1: 8888 KEYSTONE CROSSING, SUITE 1700 CITY: INDIANAPOLIS STATE: IN ZIP: 46240 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2015-01-27 0001562463 First Internet Bancorp INBK 0001569215 Williams Jerry L. 8888 KEYSTONE CROSSING, SUITE 1700 INDIANAPOLIS IN 46240 1 0 0 0 Common Stock 2015-01-27 4 P 0 1000 16.2773 A 33026 D Common Stock 13900 I Shares held in an IRA Common Stock 1702 I Shares held by a limited liability company of which Mr. Williams holds voting and investment power Represents the purchase of 1,000 shares in multiple transactions, ranging in price from $16.19 to $16.40 per share, resulting in a weighted average purchase price of $16.2773. The reporting person will provide, upon request by the SEC staff, the Issuer or a security holder of the Issuer, full information regarding the number of shares purchased at each price within the range. Kenneth J. Lovik, Attorney-in-Fact for Jerry L. Williams (power of attorney previously filed) 2015-01-29