0001209191-16-118686.txt : 20160510 0001209191-16-118686.hdr.sgml : 20160510 20160510121644 ACCESSION NUMBER: 0001209191-16-118686 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20160428 FILED AS OF DATE: 20160510 DATE AS OF CHANGE: 20160510 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Leetz Tanya A. CENTRAL INDEX KEY: 0001674069 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26128 FILM NUMBER: 161634589 MAIL ADDRESS: STREET 1: 9204 COLUMBIA AVENUE CITY: MUNSTER STATE: IN ZIP: 46321 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2016-04-28 0 0000919864 NORTHWEST INDIANA BANCORP NWIN(OB) 0001674069 Leetz Tanya A. 9204 COLUMBIA AVENUE MUNSTER IN 46321 0 1 0 0 Executive Vice President Common Stock 2757 D Common Stock 5753 I By Profit Sharing /s/ Tanya A. Leetz 2016-05-10 EX-24.3_652853 2 poa.txt POA DOCUMENT NorthWest Indiana Bancorp Power of Attorney For Preparing, Signing and Filing Certain Reports with the SEC KNOW ALL BY THESE PRESENTS, that the undersigned in his or her capacity as an officer or director of NorthWest Indiana Bancorp ("NWIN") hereby constitutes and appoints each of Leane E. Cerven, Robert T. Lowry, and Michelle H. Manchak, signing singly, his/her true and lawful attorney-in-fact to: (1) prepare and execute for and on behalf of the undersigned in connection with transactions in NWIN securities (a) any and all forms of report, including amendments to such reports, required to be made pursuant to Section 16(a) of the Securities Exchange Act of 1934 (the "Exchange Act") and related rules of the Securities and Exchange Commission ("SEC"), and (b) any documents or reports that may be required under SEC Rule 144 to permit the undersigned to sell NWIN common stock without registration under the Securities Act of 1933 (the "1933 Act'') in reliance on Rule 144 as amended from time to time; (2) apply for, if required, and administer Edgar codes on behalf of the undersigned to enable electronic filings with the SEC; (3) do and perform any and all acts for and on behalf of the undersigned that may be necessary or desirable for the preparation and timely filing of any such reports, documents and reports with the SEC, any United States stock exchange, and any other authority; and (4) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion. The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform each and every act and thing whatsoever requisite, necessary and proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or his or her substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers hereby granted. The undersigned acknowledges that none of the foregoing attorneys-in-fact in serving in such capacity at the request of the undersigned is assuming any of the undersigned's responsibilities to comply with either the Exchange Act or the 1933 Act. IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney as of April 28, 2016. /s/ Tanya A. Leetz