0001562463-21-000026.txt : 20210120
0001562463-21-000026.hdr.sgml : 20210120
20210120161010
ACCESSION NUMBER: 0001562463-21-000026
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210118
FILED AS OF DATE: 20210120
DATE AS OF CHANGE: 20210120
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KEACH JOHN K JR
CENTRAL INDEX KEY: 0001198733
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35750
FILM NUMBER: 21538857
MAIL ADDRESS:
STREET 1: C/O HOME FEDERAL BANCORP
STREET 2: 501 WASHINGTON STREET
CITY: COLUMBUS
STATE: IN
ZIP: 47201
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: 11201 USA PARKWAY
CITY: FISHERS
STATE: IN
ZIP: 46037
BUSINESS PHONE: 317-532-7900
MAIL ADDRESS:
STREET 1: 11201 USA PARKWAY
CITY: FISHERS
STATE: IN
ZIP: 46037
4
1
wf-form4_161117699494182.xml
FORM 4
X0306
4
2021-01-18
0
0001562463
First Internet Bancorp
INBK
0001198733
KEACH JOHN K JR
11201 USA PARKWAY
FISHERS
IN
46037
1
0
0
0
Common Stock
2021-01-18
4
A
0
1810
0
A
21711
D
Restricted stock award scheduled to vest as follows: 149 shares were fully vested on the date of grant and 151 shares will vest on the fifteenth day of each month beginning on February 15, 2021 and ending on December 15, 2021.
Includes 92 shares acquired between April 17, 2020 and October 19, 2020 pursuant to the First Internet Bancorp Dividend Reinvestment and Stock Purchase Plan.
/s/ Kenneth J. Lovik, Attorney-in-Fact for John K. Keach, Jr. (power of attorney previously filed)
2021-01-20