0001562463-21-000108.txt : 20211228 0001562463-21-000108.hdr.sgml : 20211228 20211228111236 ACCESSION NUMBER: 0001562463-21-000108 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200115 FILED AS OF DATE: 20211228 DATE AS OF CHANGE: 20211228 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: 211523145 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] 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 wf-form4_164070794452273.xml FORM 4 X0306 4 2020-01-15 0 0001562463 First Internet Bancorp INBK 0001569215 Williams Jerry L. 8701 EAST 116TH STREET FISHERS IN 46038 1 0 0 0 Common Stock 2020-01-15 4 P 0 57 23.90 A 45903 D Common Stock 2020-04-15 4 P 0 142 16.69 A 46045 D Common Stock 2020-07-15 4 P 0 151 15.75 A 46196 D Common Stock 2020-10-15 4 P 0 150 17.13 A 46346 D Common Stock 42500 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 automatic reinvestment of dividends pursuant to the terms of a brokerage account. Reports on Form 4 filed after the transaction date incorrectly underreported total ownership by the amount purchased. /s/ Kenneth J. Lovik, Attorney-in-Fact for Jerry L. Williams (power of attorney previously filed) 2021-12-28