SEC Form 4/A · accession 0001562463-16-000072
First Internet Bancorp · INBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Ann D. Murtlow
Director
Period of report
Jan 18, 2016
Accepted (ET)
Jan 22, 2016 · 4:49 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001562463
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Jan 18, 2016 | A | 872 | $0.00 | A | 1,822 | D | |
| Common StockF2 | holding | — | — | — | 5,014 | I | Shares held in a trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Restricted stock award scheduled to vest as follows: 73 shares were fully vested on the date of grant, 72 shares will vest on the fifteenth day of March, June, September, and December of 2016, and 73 shares will vest on the fifteenth day of February, April, May, July, August, October, and November of 2016.
- F2This Amendment to Form 4 corrects the number of shares owned directly and indirectly by Ms. Murtlow. The original amount owned directly was overstated by 3,000 shares and the original amount owned indirectly was understated by 3,000 shares.