0001104659-12-081208.hdr.sgml : 20121130 <ACCEPTANCE-DATETIME>20121130170147 <ACCESSION-NUMBER>0001104659-12-081208 <TYPE>10-12B <PUBLIC-DOCUMENT-COUNT>11 <FILING-DATE>20121130 <FILER> <COMPANY-DATA> <CONFORMED-NAME>First Internet Bancorp <CIK>0001562463 <IRS-NUMBER>203489991 <STATE-OF-INCORPORATION>IN <FISCAL-YEAR-END>1231 </COMPANY-DATA> <FILING-VALUES> <FORM-TYPE>10-12B <ACT>34 <FILE-NUMBER>001-35750 <FILM-NUMBER>121235318 </FILING-VALUES> <BUSINESS-ADDRESS> <STREET1>9200 KEYSTONE CROSSING <STREET2>SUITE 800 <CITY>INDIANAPOLIS <STATE>IN <ZIP>46240 <PHONE>317-532-7900 </BUSINESS-ADDRESS> <MAIL-ADDRESS> <STREET1>9200 KEYSTONE CROSSING <STREET2>SUITE 800 <CITY>INDIANAPOLIS <STATE>IN <ZIP>46240 </MAIL-ADDRESS> </FILER>