0001562463-23-000083.txt : 20230516 0001562463-23-000083.hdr.sgml : 20230516 20230516131529 ACCESSION NUMBER: 0001562463-23-000083 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230515 FILED AS OF DATE: 20230516 DATE AS OF CHANGE: 20230516 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: 23926524 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 wk-form4_1684257321.xml FORM 4 X0407 4 2023-05-15 0 0001562463 First Internet Bancorp INBK 0001665618 Dee Ann C. 8701 E. 116TH STREET FISHERS IN 46038 1 0 0 0 0 Common Stock 2023-05-15 4 A 0 5005 0 A 11855 D Restricted stock award scheduled to vest the earlier of one (1) year after the date of grant or immediately prior to the Company's next annual shareholders' meeting. /s/ Kenneth J. Lovik, Attorney-in-Fact for Ann Colussi Dee (power of attorney previously filed) 2023-05-16