UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549

 

FORM 8-A

 

FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR 12(g) OF THE
SECURITIES EXCHANGE ACT OF 1934

 

FIRST INTERNET BANCORP

(Exact Name of Registrant as Specified in Its Charter)

 

Indiana

 

20-3489991

(State of Incorporation or Organization)

 

(I.R.S. Employer Identification No.)

 

11201 USA Parkway

 

 

Fishers, Indiana

 

46037

(Address of Principal Executive Offices)

 

(Zip Code)

 

Securities to be registered pursuant to Section 12(b) of the Act:

 

 

 

Name of Each Exchange on Which

Title of Each Class  to be so Registered

 

Each Class is to be Registered

 

 

 

6.0% Fixed-to-Floating Rate Subordinated Notes due 2026

 

The NASDAQ Stock Market LLC

 


 

If this form relates to the registration of a class of securities pursuant to Section 12(b) of the Exchange Act and is effective pursuant to General Instruction A.(c), please check the following box: x

 

If this form relates to the registration of a class of securities pursuant to Section 12(g) of the Exchange Act and is effective pursuant to General Instruction A.(d), please check the following box: o

 

Securities Act registration statement file number to which this form relates: 333-208748

 

Securities to be registered pursuant to Section 12(g) of the Act: None

 

 

 



 

INFORMATION REQUIRED IN REGISTRATION STATEMENT

 

Item 1. Description of Registrant’s Securities to be Registered

 

The title of the class of securities being registered hereby is “6.0% Fixed-to-Floating Rate Subordinated Notes due 2026” (the “Notes”).  The description of the Notes is set forth under “Description of the Notes” in the final Prospectus Supplement dated September 27, 2016, as filed with the Securities and Exchange Commission (the “Commission”) on September 28, 2016, pursuant to Rule 424(b)(5) of the Securities Act of 1933, as amended.  The Prospectus Supplement relates to a Prospectus included in the Registration Statement on Form S-3 (No. 333-208748), as amended, of First Internet Bancorp (the “Company”), which Registration Statement was initially filed with the Commission on December 23, 2015 and became effective on January 4, 2016.  The foregoing Prospectus and Prospectus Supplement are incorporated herein by reference.

 

Item 2. Exhibits

 

The exhibits to this Registration Statement on Form 8-A are listed in the Exhibit Index, which appears at the end of this Registration Statement and is incorporated by reference herein.

 

1



 

SIGNATURE

 

Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized.

 

 

 

FIRST INTERNET BANCORP

 

 

 

Dated: October 11, 2016

By:

/s/ Kenneth J. Lovik

 

 

Kenneth J. Lovik, Senior Vice President & Chief Financial Officer

 



 

EXHIBIT INDEX

 

Exhibit No.

 

Description

4.1

 

Subordinated Indenture, dated as of September 30, 2016, between First Internet Bancorp and U.S. Bank National Association, as trustee (incorporated by reference to Form 8-K filed by First Internet Bancorp on September 30, 2016).

4.2

 

First Supplemental Indenture, dated as of September 30, 2016, between First Internet Bancorp and U.S. Bank National Association, as trustee (incorporated by reference to Form 8-K filed by First Internet Bancorp on September 30, 2016).

4.3

 

Form of Global Note representing the 6.0% Fixed-to-Floating Rate Subordinated Notes due February 28, 2026 of First Internet Bancorp (included in Exhibit 4.2 as Exhibit A).