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