0001564618-16-000235.txt : 20161125
0001564618-16-000235.hdr.sgml : 20161125
20161125165052
ACCESSION NUMBER: 0001564618-16-000235
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161122
FILED AS OF DATE: 20161125
DATE AS OF CHANGE: 20161125
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Independent Bank Group, Inc.
CENTRAL INDEX KEY: 0001564618
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 134219346
STATE OF INCORPORATION: TX
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1600 REDBUD BOULEVARD
STREET 2: SUITE 400
CITY: MCKINNEY
STATE: TX
ZIP: 75069
BUSINESS PHONE: (972) 562-9004
MAIL ADDRESS:
STREET 1: 1600 REDBUD BOULEVARD
STREET 2: SUITE 400
CITY: MCKINNEY
STATE: TX
ZIP: 75069
FORMER COMPANY:
FORMER CONFORMED NAME: Independent Bank Group Inc
DATE OF NAME CHANGE: 20121213
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Berntsen Torry
CENTRAL INDEX KEY: 0001342883
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35854
FILM NUMBER: 162018381
MAIL ADDRESS:
STREET 1: 1600 REDBUD BOULEVARD
STREET 2: SUITE 400
CITY: DALLAS
STATE: TX
ZIP: 75069
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2016-11-22
0
0001564618
Independent Bank Group, Inc.
IBTX
0001342883
Berntsen Torry
1600 REDBUD BOULEVARD
SUITE 400
DALLAS
TX
75069
0
0
0
1
Former Director and President
Common Stock
2016-10-05
4
D
0
19066
D
69137
D
Common Stock
2016-11-22
4
S
0
2500
57.1
D
66637
D
Common Stock
2016-11-22
4
S
0
2500
58
D
64137
D
THE REPORTING PERSON FORFEITS THESE SHARES UPON TERMINATION FROM THE COMPANY. THESE SHARES WERE PREVIOUSLY GRANTED UNDER THE ISSUER'S 2013 EQUITY INCENTIVE PLAN AND REPRESENT THE UNVESTED PORTION OF THE TOTAL GRANTED SHARES AT TIME OF FORFEITURE.
THE REPORTING PERSON'S SALE OF 2,500 SHARES OF IBTX COMMON STOCK REPORTED HEREIN WAS MATCHABLE UNDER SECTION 16(b) OF THE SECURITIES EXCHANGE ACT OF 1934, TO THE EXTENT OF 450 SHARES, WITH THE REPORTING PURCHASE OF 200, 100, AND 150 SHARES OF IBTX COMMON STOCK AT A PRICE OF $40.6883, $39.727 AND $39.3199 PER SHARE ON JUNE 10, 2016, JUNE 24, 2016 AND JUNE 28, 2016, RESPECTIVELY. THE REPORTING PERSON HAS AGREED TO PAY IBTX, UPON SETTLEMENT OF THE SALE, $8,091.66, REPRESENTING THE FULL AMOUNT OF THE PROFIT REALIZED IN CONNECTION WITH THE SHORT SWING TRANSAcTION, LESS TRANSACTION COSTS.
/s/ Jan Webb, as Attorney in Fact
2016-11-25