0001516912-23-000144.txt : 20230822 0001516912-23-000144.hdr.sgml : 20230822 20230822130950 ACCESSION NUMBER: 0001516912-23-000144 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230818 FILED AS OF DATE: 20230822 DATE AS OF CHANGE: 20230822 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sirman Lori CENTRAL INDEX KEY: 0001938364 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38487 FILM NUMBER: 231192175 BUSINESS ADDRESS: BUSINESS PHONE: 903-252-1089 MAIL ADDRESS: STREET 1: 1511 NORTH TRENTON STREET CITY: RUSTON STATE: LA ZIP: 71270 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Origin Bancorp, Inc. CENTRAL INDEX KEY: 0001516912 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 721192928 STATE OF INCORPORATION: LA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 500 S SERVICE ROAD EAST CITY: RUSTON STATE: LA ZIP: 71270 BUSINESS PHONE: 318-242-7500 MAIL ADDRESS: STREET 1: 500 S SERVICE ROAD EAST CITY: RUSTON STATE: LA ZIP: 71270 FORMER COMPANY: FORMER CONFORMED NAME: Community Trust Financial Corp DATE OF NAME CHANGE: 20110329 4 1 wk-form4_1692724182.xml FORM 4 X0508 4 2023-08-18 0 0001516912 Origin Bancorp, Inc. OBK 0001938364 Sirman Lori 500 SOUTH SERVICE ROAD EAST RUSTON LA 71270 1 0 0 0 0 Common Stock 2023-08-18 4 M 0 2226 A 81655 D Common Stock 2023-08-18 4 F 0 526 31.02 D 81129 D Common Stock 23013 I BY ISSUER RETIREMENT PLAN Common Stock 8829 I By IRA Restricted Stock Units 2023-08-18 4 M 0 2226 0 D Common Stock 2226 4452 D Restricted Stock Units Common Stock 2233 2233 D Stock Options (Right to Buy) 19.64 2024-12-15 Common Stock 2751 2751 D Stock Options (Right to Buy) 19.64 2025-12-21 Common Stock 5674 5674 D Stock Options (Right to Buy) 22.28 2026-06-20 Common Stock 6621 6621 D Stock Options (Right to Buy) 33.23 2031-02-16 Common Stock 23173 23173 D Stock Options (Right to Buy) 31.72 2027-12-18 Common Stock 18538 18538 D Stock Options (Right to Buy) 37.76 2029-12-16 Common Stock 23173 23173 D Stock Options (Right to Buy) 23.64 2026-12-19 Common Stock 4568 4568 D Stock Options (Right to Buy) 37.01 2028-12-18 Common Stock 16552 16552 D Restricted stock units convert into common stock on a one-for-one basis. Represents the number of common stock that have been withheld by the issuer to satisfy its income tax withholding and remittance obligations in connection with the net settlement of the restricted stock units and does not represent a sale. On February 27, 2023, total 21,248 shares that were held under KSOP rolled over to issuer's retirement plan. Granted on February 17, 2023, with 2,226 shares vesting on each of the vesting dates of August 18, 2023, August 19, 2024, and August 19, 2025. Each restricted stock unit represents the contingent right to receive, at settlement, one share of the issuer's common stock or cash equal to the fair value thereof (calculated pursuant to the incentive agreement), as determined by the issuer. Granted on February 17, 2023, vesting ratably over three years with the first vest date of February 17, 2024. Pursuant to the Merger Agreement, at the effective time of the Merger, August 1, 2022, each outstanding and unexercised option to purchase shares of BTH common stock became fully vested and automatically converted into an option to purchase shares of issuer common stock, with the number of underlying shares and the exercise price determined as set forth in the Merger Agreement. Each option to purchase shares of issuer common stock is subject to the same terms and conditions (excluding vesting but including exercisability terms) as the corresponding option to purchase shares of BTH common stock immediately prior to the effective time of the Merger. /s/ Drake Mills, as Attorney-in-Fact 2023-08-22