0001209191-12-056104.txt : 20121206 0001209191-12-056104.hdr.sgml : 20121206 20121206161338 ACCESSION NUMBER: 0001209191-12-056104 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121206 FILED AS OF DATE: 20121206 DATE AS OF CHANGE: 20121206 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: 121246825 MAIL ADDRESS: STREET 1: 8589 W. 85TH CITY: SCHERERVILLE STATE: IN ZIP: 46375 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: 219 836-9690 MAIL ADDRESS: STREET 1: 9204 COLUMBIA AVE CITY: MUNSTER STATE: IN ZIP: 46321 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2012-12-06 0 0000919864 NORTHWEST INDIANA BANCORP NWIN(OB) 0001212472 GORELICK JOEL 8985 W. 85TH SCHERERVILLE IN 46375 1 1 0 0 President Common Stock 2012-12-06 4 P 0 694 18.50 A 43278 D Common Stock 5793 I By Spouse Common Stock 1198 I Custodian for Children Common Stock 11909 I Profit Sharing /s/ Joel Gorelick 2012-12-06