0001562463-21-000079.txt : 20210826 0001562463-21-000079.hdr.sgml : 20210826 20210826163919 ACCESSION NUMBER: 0001562463-21-000079 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210826 DATE AS OF CHANGE: 20210826 EFFECTIVENESS DATE: 20210826 FILER: 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 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-411445 FILM NUMBER: 211212896 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 D 1 primary_doc.xml X0708 D LIVE 0001562463 First Internet Bancorp 11201 USA PARKWAY FISHERS IN INDIANA 46037 317-532-7900 INDIANA None None Corporation true David B. Becker 11201 USA Parkway Fishers IN INDIANA 46037 Executive Officer Director Kenneth J. Lovik 11201 USA Parkway Fishers IN INDIANA 46037 Executive Officer Nicole S. Lorch 11201 USA Parkway Fishers IN INDIANA 46037 Executive Officer C. Charles Perfetti 11201 USA Parkway Fishers IN INDIANA 46037 Executive Officer Aasif M. Bade 11201 USA Parkway Fishers IN INDIANA 46037 Director Ana Dutra 11201 USA Parkway Fishers IN INDIANA 46037 Director John K. Keach, Jr. 11201 USA Parkway Fishers IN INDIANA 46037 Director David R. Lovejoy 11201 USA Parkway Fishers IN INDIANA 46037 Director Ralph R. Whitney, Jr. 11201 USA Parkway Fishers IN INDIANA 46037 Director Jerry Williams 11201 USA Parkway Fishers IN INDIANA 46037 Director Jean L. Wojtowicz 11201 USA Parkway Fishers IN INDIANA 46037 Director Commercial Banking Decline to Disclose 06b false 2021-08-16 false true false 0 Piper Sandler & Company 665 None None 800 Nicollet Mall Minneapolis MN MINNESOTA 55402 AL ALABAMA AR ARKANSAS CA CALIFORNIA CT CONNECTICUT FL FLORIDA GA GEORGIA IN INDIANA IA IOWA KY KENTUCKY MN MINNESOTA MO MISSOURI MT MONTANA NY NEW YORK OH OHIO PA PENNSYLVANIA TN TENNESSEE WA WASHINGTON WI WISCONSIN false 60000000 60000000 0 false 31 1200000 0 0 false First Internet Bancorp /s/ Kenneth J. Lovik Kenneth J. Lovik Executive VP & CFO 2021-08-26