SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM T-1

 

STATEMENT OF ELIGIBILITY UNDER

THE TRUST INDENTURE ACT OF 1939 OF A

CORPORATION DESIGNATED TO ACT AS TRUSTEE

 

Check if an Application to Determine Eligibility of

a Trustee Pursuant to Section 305(b)(2)

 

 

U.S. BANK NATIONAL ASSOCIATION

(Exact name of Trustee as specified in its charter)

 

31-0841368

I.R.S. Employer Identification No.

 

 

Richard Prokosch
Vice President
U.S. Bank National Association
Global Corporate Trust Services
Mailcode:  EP-MN-WS3C
60 Livingston Avenue
St. Paul MN  55107-2292
phone (651) 466-6619
(Name, address and telephone number of agent for service)

 

FIRST INTERNET BANCORP

(Issuer with respect to the Securities)

 

 

 

Debt Securities

(Title of the Indenture Securities)

 

 

 

FORM T-1

 

Item 1.                                 GENERAL INFORMATION.  Furnish the following information as to the Trustee.

 

a)                       Name and address of each examining or supervising authority to which it is subject.

 

Comptroller of the Currency

Washington, D.C.

 

b)             Whether it is authorized to exercise corporate trust powers.

 

Yes

 

Item 2.                                 AFFILIATIONS WITH OBLIGOR.  If the obligor is an affiliate of the Trustee, describe each such affiliation.

 

None

 

Items 3-15                                     Items 3-15 are not applicable because to the best of the Trustee’s knowledge, the obligor is not in default under any Indenture for which the Trustee acts as Trustee.

 

Item 16.                          LIST OF EXHIBITS:  List below all exhibits filed as a part of this statement of eligibility and qualification.

 

1.              A copy of the Articles of Association of the Trustee.*

 

2.              A copy of the certificate of authority of the Trustee to commence business.***

 

3.              A copy of the certificate of authority of the Trustee to exercise corporate trust powers.***

 

4.              A copy of the existing bylaws of the Trustee.**

 

5.              A copy of each Indenture referred to in Item 4.  Not applicable.

 

6.              The consent of the Trustee required by Section 321(b) of the Trust Indenture Act of 1939, attached as Exhibit 6.

 

7.              Report of Condition of the Trustee as of June 30, 2016 published pursuant to law or the requirements of its supervising or examining authority, attached as Exhibit 7.

 

*                 Incorporated by reference to Exhibit 25.1 to Amendment No. 2 to registration statement on S-4, Registration Number 333-128217 filed on November 15, 2005.

 

**          Incorporated by reference to Exhibit 25.1 to registration statement on form S-3ASR, Registration Number 333-199863 filed on November 5, 2014.

 

***   Incorporated by reference to Exhibit 25.1 to registration statement on S-4, Registration Number 333-210534 filed on April 1, 2016.

 

 

SIGNATURE

 

Pursuant to the requirements of the Trust Indenture Act of 1939, as amended, the Trustee, U.S. BANK NATIONAL ASSOCIATION, a national banking association organized and existing under the laws of the United States of America, has duly caused this statement of eligibility and qualification to be signed on its behalf by the undersigned, thereunto duly authorized, all in the City of St. Paul, State of Minnesota on the 16th of September, 2016.

 

	By:	/s/ Richard Prokosch
		Richard Prokosch
		Vice President

 

 

Exhibit 6

 

CONSENT

 

In accordance with Section 321(b) of the Trust Indenture Act of 1939, the undersigned, U.S. BANK NATIONAL ASSOCIATION hereby consents that reports of examination of the undersigned by Federal, State, Territorial or District authorities may be furnished by such authorities to the Securities and Exchange Commission upon its request therefor.

 

 

Dated: September 16, 2016

 

 

	By:	/s/ Richard Prokosch
		Richard Prokosch
		Vice President

 

 

Exhibit 7

 

U.S. Bank National Association

Statement of Financial Condition

As of 6/30/2016

 

($000’s)

 

		6/30/2016
Assets
Cash and Balances Due From Depository Institutions		$	14,010,590
Securities		108,246,267
Federal Funds		68,244
Loans & Lease Financing Receivables		268,104,901
Fixed Assets		5,866,910
Intangible Assets		12,591,165
Other Assets		24,574,630
Total Assets		$	433,462,707
Liabilities
Deposits		$	327,848,275
Fed Funds		1,179,456
Treasury Demand Notes		0
Trading Liabilities		2,172,890
Other Borrowed Money		40,280,996
Acceptances		0
Subordinated Notes and Debentures		3,800,000
Other Liabilities		13,036,463
Total Liabilities		$	388,318,080
Equity
Common and Preferred Stock		18,200
Surplus		14,266,915
Undivided Profits		30,049,363
Minority Interest in Subsidiaries		810,149
Total Equity Capital		$	45,144,627
Total Liabilities and Equity Capital		$	433,462,707