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