0000899243-17-028708.txt : 20171214 0000899243-17-028708.hdr.sgml : 20171214 20171214180359 ACCESSION NUMBER: 0000899243-17-028708 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171212 FILED AS OF DATE: 20171214 DATE AS OF CHANGE: 20171214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WILT TOBY S CENTRAL INDEX KEY: 0001044541 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37886 FILM NUMBER: 171257178 MAIL ADDRESS: STREET 1: 2202 NORTH WEST SHORE BLVD STREET 2: 5TH FLOOR CITY: TAMPA STATE: FL ZIP: 33607 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CapStar Financial Holdings, Inc. CENTRAL INDEX KEY: 0001676479 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 811527911 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 201 4TH AVENUE NORTH STREET 2: SUITE 950 CITY: NASHVILLE STATE: TN ZIP: 37219 BUSINESS PHONE: (615) 732-6400 MAIL ADDRESS: STREET 1: 201 4TH AVENUE NORTH STREET 2: SUITE 950 CITY: NASHVILLE STATE: TN ZIP: 37219 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-12-12 0 0001676479 CapStar Financial Holdings, Inc. CSTR 0001044541 WILT TOBY S 1201 DEMONBREUN STREET, SUITE 700 NASHVILLE TN 37203 1 0 0 0 Common Stock 2017-12-12 4 X 0 3750 10.00 A 3750 I WF Partners Common Stock 2017-12-12 4 X 0 700 10.00 A 700 I Lucianne Forcum Wilt Family Limited Partnership Common Stock 2017-12-12 4 X 0 1500 10.00 A 1500 I Lucianne Forcum Wilt Common Stock 255240 D Common Stock 831 D Common Stock 488 D Common Stock 1017 D Common Stock 67036 I WF Partners Common Stock 25000 I Joanne Wilt Banks Common Stock 4800 I Pershing LLC Cust Mark Banks IRA Common Stock 5200 I Mark R. Banks Common Stock 20023 I Wilt Fleming TR UA JAN 21 00 Samuel M. Fleming Charitable Lead Annuity Trust Common Stock 12500 I Dallas Hagewood Wilt Common Stock 14000 I Lucianne Forcum Wilt Family Limited Partnership Common Stock 5000 I James F. & Elissa Watkins, as joint tenants Common Stock 30000 I Lucianne Forcum Wilt Common Stock 20000 I Samuel Fleming Wilt Common Stock 15045 I Toby Stack Wilt, Jr. Warrants (right to buy) 10.00 2017-12-12 4 X 0 3750 0.00 D 2008-07-14 2018-07-14 Common Stock 3750 0 I WF Partners Warrants (right to buy) 10.00 2017-12-12 4 X 0 700 0.00 D 2008-07-14 2018-07-14 Common Stock 700 0 I Lucianne Forcum Wilt Family Limited Partnership Warrants (right to buy) 10.00 2017-12-12 4 X 0 1500 0.00 D 2008-07-14 2018-07-14 Common Stock 1500 0 I Lucianne Forcum Wilt Warrants (right to buy) 10.00 2008-07-14 2018-07-14 Common Stock 22500 22500 D Option (right to buy) 10.00 2018-11-13 Common Stock 12000 12000 D Option (right to buy) 10.00 2020-01-20 Common Stock 6000 6000 D Warrants (right to buy) 10.00 2008-07-14 2018-07-14 Common Stock 1250 1250 I Joanne Wilt Banks Warrants (right to buy) 10.00 2008-07-14 2018-07-14 Common Stock 500 500 I Mark R. Banks Warrants (right to buy) 10.00 2008-07-14 2018-07-14 Common Stock 1250 1250 I Wilt Fleming TR UA JAN 21 00 Samuel M. Fleming Charitable Lead Annuity Trust Warrants (right to buy) 10.00 2008-07-14 2018-07-14 Common Stock 625 625 I Dallas Hagewood Wilt Warrants (right to buy) 10.00 2008-07-14 2018-07-14 Common Stock 250 250 I James F. & Elissa Watkins, as joint tenants Warrants (right to buy) 10.00 2008-07-14 2018-07-14 Common Stock 1000 1000 I Samuel Fleming Wilt Warrants (right to buy) 10.00 2008-07-14 2018-07-14 Common Stock 1250 1250 I Toby Stack Wilt, Jr. The reported item represents the unvested portion of an award of restricted common stock granted on February 28, 2017. The award vests in three equal installments beginning on the first anniversary of the February 28, 2017 grant date. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose. The reported item represents the unvested portion of an award of restricted stock granted on February 27, 2015. The remaining 488 shares of restricted stotck under this award vest on the third anniversary of the grant date, or February 27, 2018. The reported item represents the unvested portion of an award of restricted common stock granted on March 3, 2016. The remaining 1,017 shares of restricted common stock under this award vest on the second and third anniversaries of the March 3, 2016 grant date, or March 3, 2018 and March 3, 2019, respectively. These options vested in four equal annual installments beginning one year after the November 13, 2008, grant date. These options vested in four equal annual installments beginning one year after the January 20, 2010, grant date. /s/ Rob Anderson, as Attorney-in-Fact for Toby S. Wilt 2017-12-14