0001562463-23-000041.txt : 20230330 0001562463-23-000041.hdr.sgml : 20230330 20230330094026 ACCESSION NUMBER: 0001562463-23-000041 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230329 FILED AS OF DATE: 20230330 DATE AS OF CHANGE: 20230330 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dee Ann C. CENTRAL INDEX KEY: 0001665618 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35750 FILM NUMBER: 23777502 MAIL ADDRESS: STREET 1: 600 E 96TH ST, #100 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_168018361421342.xml FORM 4 X0407 4 2023-03-29 0 0001562463 First Internet Bancorp INBK 0001665618 Dee Ann C. 8701 E. 116TH STREET FISHERS IN 46038 1 0 0 0 0 Common Stock 2023-03-29 4 P 0 2000 17.26 A 4850 D /s/ Kenneth J. Lovik, Attorney-in-Fact for Ann Colussi Dee (power of attorney previously filed) 2023-03-30