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