SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
SMITH G STACY

(Last) (First) (Middle)
3131 TURTLE CREEK BLVD
SUITE 850

(Street)
DALLAS TX 75219

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Independent Bank Group, Inc. [ IBTX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
05/25/2018
4. If Amendment, Date of Original Filed (Month/Day/Year)
05/30/2018
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 89,974 D
Common Stock(1) 05/25/2018 P 12,750 A $74.7463 75,855(2) I By SCW Capital LP
Common Stock(1) 05/25/2018 P 4,250(3) A $74.7463 16,145(2)(3) I By SCW Capital QP, LP
Common Stock(1) 05/29/2018 P 8,000(3) A $72.8272 24,145(3) I By SCW Capital QP, LP
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction 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 (Month/Day/Year) 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: 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. THIS AMENDMENT IS BEING FILED TO AMEND THAT CERTAIN FORM 4, FILED MAY 30, 2018 (THE "ORIGINAL FORM 4"), IN ORDER TO CORRECT THE ALLOCATION OF SHARES ACQUIRED INDIRECTLY BY THE REPORTING PERSON IN THE ORIGINAL FORM 4 AND THE ALLOCATION OF THE TOTAL SECURITIES OWNED AFTER SUCH TRANSACTIONS. PURSUANT TO GUIDANCE FROM THE SEC, ONLY THE LINE ITEM REQUIRING AMENDMENT IS RESTATED IN TABLE I ABOVE. ALL OTHER LINE ITEMS IN THE ORIGINAL FORM 4 (OTHER THAN WITH RESPECT TO THE NUMBER OF SECURITIES OWNED FOLLOWING ANY SUBSEQUENT TRANSACTION) REMAIN UNCHANGED.
2. Reflects a transfer in kind of 11,895 shares of the issuer's common stock from SCW Capital, LP to SCW Capital QP, LP. The reporting person previously reported ownership of such shares of the issuer's common stock as held by SCW Capital, LP in the original Form 4.
3. Includes shares reflected in the original Form 4 as purchased and held indirectly by SCW CAPITAL,LP.
Remarks:
/s/ Jan Webb, As Attorney in Fact 05/15/2019
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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