SEC Form 4 · accession 0001568480-16-000003
First Internet Bancorp · INBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Nicole S. Lorch
Officer — SVP, Retail Banking
Period of report
Jan 1, 2016
Accepted (ET)
Jan 5, 2016 · 4:58 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 1, 2016 | F | 185 | $28.69 | D | 11,989 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares forfeited to satisfy tax withholding obligations in connection with vesting of restricted stock.
- F2Includes 67 shares acquired between April 20, 2015 and October 20, 2015 pursuant to the First Internet Bancorp Dividend Reinvestment and Stock Purchase Plan.