Statement of Changes in Beneficial Ownership (4)
December 21 2020 - 7:53AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
BECKER DAVID B |
2. Issuer Name and Ticker or Trading Symbol
First Internet Bancorp
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INBK
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chairman, President and CEO |
(Last)
(First)
(Middle)
11201 USA PARKWAY |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/17/2020 |
(Street)
FISHERS, IN 46037
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 12/17/2020 | | P | | 10000 | A | $27.93 (1) | 333309 (2) | D | |
Common Stock | 12/18/2020 | | P | | 10000 | A | $28.45 (3) | 343309 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | Reflects the weighted-average price of shares purchased by the reporting person in multiple transactions at prices ranging from $27.34 to $28.23 per share. The reporting person undertakes to provide to the issuer, a security holder of the issuer or the U.S. Securities and Exchange Commission staff, upon request, full information regarding the number of shares purchased at each separate price. |
(2) | Includes 2,331 shares acquired from April 15, 2020 through October 15, 2020 pursuant to the First Internet Bancorp Dividend Reinvestment and Stock Purchase Plan, 52 restricted stock units acquired from April 15, 2020 through October 15, 2020 pursuant to the terms of outstanding restricted stock units as a result of the payment of cash dividends paid on our common stock and 1,165 shares acquired from April 2, 2020 through December 2, 2020 pursuant to the First Internet Bancorp Employee Stock Purchase Plan. |
(3) | Reflects the weighted-average price of shares purchased by the reporting person in multiple transactions at prices ranging from $27.83 to $28.96 per share. The reporting person undertakes to provide to the issuer, a security holder of the issuer or the U.S. Securities and Exchange Commission staff, upon request, full information regarding the number of shares purchased at each separate price. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
BECKER DAVID B 11201 USA PARKWAY FISHERS, IN 46037 | X |
| Chairman, President and CEO |
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Signatures
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/s/ Kenneth J. Lovik, Attorney-in-Fact for David B. Becker (power of attorney previously filed) | | 12/21/2020 |
**Signature of Reporting Person | Date |
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