SEC Form 4 · accession 0001516912-18-000115
Origin Bancorp, Inc. · OBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Drake Mills
Officer — Chairman, President and CEO · Director
Period of report
Nov 13, 2018
Accepted (ET)
Nov 14, 2018 · 4:26 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001516912
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Nov 13, 2018 | A | 27,441 | $0.00 | A | 67,855 | D | |
| Common StockF2 | holding | — | — | — | 45,224 | I | BY ISSUER ESOP |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options (Right to Buy)F3 | $17.50 | holding | — | — | — | — | Dec 31, 2030 | Common Stock | 50,000 | 50,000 | D |
| Stock Options (Right to Buy)F4 | $8.25 | holding | — | — | — | — | Dec 31, 2024 | Common Stock | 120,000 | 120,000 | D |
Explanation of responses
- F1Represents shares of restricted stock granted to reporting person by the issuer as compensation as an officer of the issuer. The shares will vest in five equal annual installments beginning on November 13, 2019.
- F2Includes shares acquired pursuant to the Community Trust Financial Corporation Employee Stock Ownership Plan.
- F3Stock Options (Right to Buy) were fully vested as of October 1, 2016.
- F4Stock Options (Right to Buy) were fully vested as of January 1, 2015.