0001562463-23-000006.txt : 20230109 0001562463-23-000006.hdr.sgml : 20230109 20230109150814 ACCESSION NUMBER: 0001562463-23-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230106 FILED AS OF DATE: 20230109 DATE AS OF CHANGE: 20230109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BECKER DAVID B CENTRAL INDEX KEY: 0001166274 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35750 FILM NUMBER: 23517865 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_167329488091802.xml FORM 4 X0306 4 2023-01-06 0 0001562463 First Internet Bancorp INBK 0001166274 BECKER DAVID B 8701 E. 116TH STREET FISHERS IN 46038 1 1 0 0 Chairman and CEO Common Stock 2022-12-08 5 G 0 E 50000 0 D 381645 D Common Stock 2023-01-06 4 A 0 9885 0 A 391530 D Includes 280 shares acquired from November 2, 2022 through January 4, 2023 pursuant to the First Internet Bancorp Employee Stock Purchase Plan. /s/ Kenneth J. Lovik, Attorney-in-Fact for David B. Becker (power of attorney previously filed) 2023-01-09