0001209191-17-021874.txt : 20170320
0001209191-17-021874.hdr.sgml : 20170320
20170320201514
ACCESSION NUMBER: 0001209191-17-021874
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170131
FILED AS OF DATE: 20170320
DATE AS OF CHANGE: 20170320
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FB Financial Corp
CENTRAL INDEX KEY: 0001649749
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 621216058
STATE OF INCORPORATION: TN
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 211 COMMERCE STREET
STREET 2: SUITE 300
CITY: NASHVILLE
STATE: TN
ZIP: 37201
BUSINESS PHONE: 615-313-0080
MAIL ADDRESS:
STREET 1: 211 COMMERCE STREET
STREET 2: SUITE 300
CITY: NASHVILLE
STATE: TN
ZIP: 37201
FORMER COMPANY:
FORMER CONFORMED NAME: First South Bancorp, Inc.
DATE OF NAME CHANGE: 20150731
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Evans Wilburn J.
CENTRAL INDEX KEY: 0001684409
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37875
FILM NUMBER: 17702716
MAIL ADDRESS:
STREET 1: C/O FB FINANCIAL CORPORATION
STREET 2: 211 COMMERCE STREET, SUITE 300
CITY: NASHVILLE
STATE: TN
ZIP: 37201
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-01-31
0
0001649749
FB Financial Corp
FBK
0001684409
Evans Wilburn J.
C/O FB FINANCIAL CORPORATION
211 COMMERCE STREET, SUITE 300
NASHVILLE
TN
37201
0
1
0
0
President FirstBank Ventures
Common Stock
2017-01-31
4
M
0
14887
0.00
A
150887
D
Common Stock
2017-01-31
4
D
0
7000
25.95
D
143887
D
Common Stock
2017-01-31
4
F
0
2334
25.95
D
141553
D
EBI Units
2017-01-31
4
M
0
7887
0.00
D
Common Stock
7887
11831
D
EBI Units
2017-01-31
4
M
0
7000
0.00
D
Common Stock
7000
0
D
The issuer has granted EBI Units to the reporting person pursuant to the FirstBank 2012 Equity Based Incentive Plan (the "2012 EBI Plan") and the FirstBank Preferred Equity Based Incentive Plan (the "Preferred EBI Plan"). On or shortly following the vesting date, the reporting person will receive an amount in cash equal to the fair market value of a share of common stock on the December 31 immediately preceding the payment date.
Following the consummation of the issuer's initial public offering (the "IPO"), the issuer permitted participants to elect to receive, for each EBI Unit vested to such participant, either (i) an amount in cash or (ii) a number of shares of issuer common stock.
Reflects cash settlement of EBI Units.
EBI Units granted under the 2012 EBI Plan were adjusted to prevent dilution of these EBI Units as a result of the IPO, as follows: (i) the number of EBI Units granted under the 2012 EBI Plan, multiplied by (ii) 1.13 (determined by dividing $21.4085, the fair market value per EBI Unit as determined under the 2012 EBI Plan, by $19.00, the IPO price).
7,887 EBI Units vested on January 31, 2017, 6,535 EBI Units will vest on January 31, 2018 and 5,296 EBI Units will vest on January 31, 2019.
The EBI Units were granted pursuant to the Preferred EBI Plan and vested on January 31, 2017.
/s/ Will Martin, as Attorney-in-Fact
2017-03-20