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