-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, JpiMYGU6jSfQRrWFPFIGzrRvrUrel0MCyRze8bmXH1OSpf483suez9FinM62Qbh6 He/ear049juNRVj0mzdsUA== 0001209191-04-014512.txt : 20040305 0001209191-04-014512.hdr.sgml : 20040305 20040305125003 ACCESSION NUMBER: 0001209191-04-014512 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040121 FILED AS OF DATE: 20040305 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NORTHWEST INDIANA BANCORP CENTRAL INDEX KEY: 0000919864 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 351927981 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9204 COLUMBIA AVE CITY: MUNSTER STATE: IN ZIP: 46321 BUSINESS PHONE: 2198369690 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GORELICK JOEL CENTRAL INDEX KEY: 0001212472 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26128 FILM NUMBER: 04651138 BUSINESS ADDRESS: STREET 1: 9 HAWTHORNE PLACE CITY: SCHERERVILLE STATE: IN ZIP: 46375 BUSINESS PHONE: 2198658798 MAIL ADDRESS: STREET 1: 9 HAWTHORNE PLACE CITY: SCHERERVILLE STATE: IN ZIP: 46375 4 1 bcl06183_bcl1jg.xml MAIN DOCUMENT DESCRIPTION X0201 4 2004-01-21 0 0000919864 NORTHWEST INDIANA BANCORP NWIN(OB) 0001212472 GORELICK JOEL 8985 W. 85TH AVENUE SCHERERVILLE IN 46375 0 1 0 0 Vice President Common Stock 2004-01-21 2004-02-27 4 P 0 400 30.00 A 51421 D Stock Option 30.00 2004-01-21 2004-01-21 4 M 0 1500 30.00 A 2009-01-21 2014-01-21 Common Stock 45000.00 45000 D /s/ Joel Gorelick 2004-03-04 -----END PRIVACY-ENHANCED MESSAGE-----