0001209191-17-007758.txt : 20170203
0001209191-17-007758.hdr.sgml : 20170203
20170203173630
ACCESSION NUMBER: 0001209191-17-007758
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20170201
FILED AS OF DATE: 20170203
DATE AS OF CHANGE: 20170203
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NORTHWEST INDIANA BANCORP
CENTRAL INDEX KEY: 0000919864
STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035]
IRS NUMBER: 351927981
STATE OF INCORPORATION: IN
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 9204 COLUMBIA AVE
CITY: MUNSTER
STATE: IN
ZIP: 46321
BUSINESS PHONE: 219 836-9690
MAIL ADDRESS:
STREET 1: 9204 COLUMBIA AVE
CITY: MUNSTER
STATE: IN
ZIP: 46321
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KRUPINSKI KENNETH V
CENTRAL INDEX KEY: 0001239026
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-26128
FILM NUMBER: 17573297
MAIL ADDRESS:
STREET 1: 938 MUIRFIELD CT.
CITY: SCHERERVILLE
STATE: IN
ZIP: 46375
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-02-01
0
0000919864
NORTHWEST INDIANA BANCORP
NWIN(OB)
0001239026
KRUPINSKI KENNETH V
9204 COLUMBIA AVENUE
MUNSTER
IN
46321
1
0
0
0
Common Stock
2017-02-01
4
A
0
100
0.00
A
7186
D
Common Stock
1000
I
Held in 401(k)
These shares were acquired by the person pursuant to Northwest Indiana Bancorp 2015 Stock Option and Incentive Plan which meets the requirements of 17CFR 240.16b-3, and will vest in five years after issue (02/01/2022)
/s/ Michelle H. Manchak, Under POA
2017-02-03
EX-24.4_698919
2
poa.txt
POA DOCUMENT
NorthWest Indiana Bancorp
Power of Attorney
For Preparing, Signing and Filing Certain Reports with the SEC
KNOW ALL BY THESE PRESENTS, that the undersigned in his or her capacity as an
officer or director of NorthWest Indiana Bancorp ("NWIN") hereby constitutes and
appoints each of Leane E. Cerven, Robert T. Lowry, and Michelle H. Manchak,
signing singly, his/her true and lawful attorney-in-fact to:
(1) prepare and execute for and on behalf of the undersigned in connection with
transactions in NWIN securities (a) any and all forms of report, including
amendments to such reports, required to be made pursuant to Section 16(a) of the
Securities Exchange Act of 1934 (the "Exchange Act") and related rules of the
Securities and Exchange Commission ("SEC"), and (b) any documents or reports
that may be required under SEC Rule 144 to permit the undersigned to sell NWIN
common stock without registration under the Securities Act of 1933 (the "1933
Act'') in reliance on Rule 144 as amended from time to time;
(2) apply for, if required, and administer Edgar codes on behalf of the
undersigned to enable electronic filings with the SEC;
(3) do and perform any and all acts for and on behalf of the undersigned that
may be necessary or desirable for the preparation and timely filing of any such
reports, documents and reports with the SEC, any United States stock exchange,
and any other authority; and
(4) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform each and every act and thing whatsoever requisite,
necessary and proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or his or her
substitute or substitutes, shall lawfully do or cause to be done by virtue of
this Power of Attorney and the rights and powers hereby granted. The undersigned
acknowledges that none of the foregoing attorneys-in-fact in serving in such
capacity at the request of the undersigned is assuming any of the undersigned's
responsibilities to comply with either the Exchange Act or the 1933 Act.
IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney as of
January 28, 2016.
/s/ Kenneth V. Krupinski