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