0001516912-23-000156.txt : 20230830 0001516912-23-000156.hdr.sgml : 20230830 20230830114958 ACCESSION NUMBER: 0001516912-23-000156 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230829 FILED AS OF DATE: 20230830 DATE AS OF CHANGE: 20230830 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dyer Jay CENTRAL INDEX KEY: 0001938362 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38487 FILM NUMBER: 231224197 BUSINESS ADDRESS: BUSINESS PHONE: 214-239-7430 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_1693410590.xml FORM 4 X0508 4 2023-08-29 0 0001516912 Origin Bancorp, Inc. OBK 0001938362 Dyer Jay 500 SOUTH SERVICE ROAD EAST RUSTON LA 71270 1 0 0 0 0 Common Stock 2023-08-29 4 M 0 5562 15.11 A 40332 D Common Stock 18152 I BY ISSUER RETIREMENT PLAN Common Stock 3822 I By IRA Common Stock 60 I By self as custodian for child 1 Common Stock 24 I By self as custodian for child 2 Common Stock 13 I By self as custodian for child 3 Common Stock 57906 I By limited partnership Stock Options (Right to Buy) 15.11 2023-08-29 4 M 0 5562 0 D 2023-10-21 Common Stock 5562 17 D Restricted Stock Units Common Stock 4452 4452 D Restricted Stock Units Common Stock 1524 1524 D Stock Options (Right to Buy) 19.64 2024-12-15 Common Stock 3972 3972 D Stock Options (Right to Buy) 37.76 2029-12-16 Common Stock 1655 1655 D Stock Options (Right to Buy) 33.23 2031-02-16 Common Stock 16552 16552 D Stock Options (Right to Buy) 31.72 2027-12-18 Common Stock 7614 7614 D Stock Options (Right to Buy) 19.64 2025-12-21 Common Stock 6621 6621 D Stock Options (Right to Buy) 22.28 2026-06-20 Common Stock 9931 9931 D Stock Options (Right to Buy) 23.64 2026-12-19 Common Stock 8276 8276 D The reporting person has investment control over the shares held or controlled by SBSPBL, LP, a limited partnership. The reporting person disclaims beneficial ownership of the securities reported herein, except to the extent of his pecuniary interest therein, if any. Pursuant to Rule 16a-1(a)(4) under the Securities Exchange Act of 1934 (the "Exchange Act"), the filing of this statement shall not be deemed an admission that the reporting person is, for purposes of Section 16 of the Exchange Act or otherwise, the beneficial owner of any securities reported herein. 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. 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, with 2,226 shares vesting on each of the vesting dates of August 19, 2023, August 19, 2024, and August 19, 2025. Granted on February 17, 2023, vesting ratably over three years with the first vest date of February 17, 2024. /s/ Drake Mills, as Attorney-in-Fact 2023-08-30