0001461755-16-000115.txt : 20160708 0001461755-16-000115.hdr.sgml : 20160708 20160708161821 ACCESSION NUMBER: 0001461755-16-000115 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160707 FILED AS OF DATE: 20160708 DATE AS OF CHANGE: 20160708 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Atlantic Capital Bancshares, Inc. CENTRAL INDEX KEY: 0001461755 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 205728270 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: TERMINUS 100 BUILDING STREET 2: 3280 PEACHTREE ROAD NE, SUITE 1600 CITY: ATLANTA STATE: GA ZIP: 30305 BUSINESS PHONE: 4049956050 MAIL ADDRESS: STREET 1: TERMINUS 100 BUILDING STREET 2: 3280 PEACHTREE ROAD NE, SUITE 1600 CITY: ATLANTA STATE: GA ZIP: 30305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DERISO WALTER M JR CENTRAL INDEX KEY: 0001128830 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37615 FILM NUMBER: 161759633 MAIL ADDRESS: STREET 1: 1111 BAY AVENUE, SUITE 501 CITY: COLUMBUS STATE: GA ZIP: 31901 4 1 wf-form4_146800908821167.xml FORM 4 X0306 4 2016-07-07 0 0001461755 Atlantic Capital Bancshares, Inc. ACBI 0001128830 DERISO WALTER M JR 3280 PEACHTREE ROAD NE, SUITE 1600 ATLANTA GA 30305 1 0 0 0 Common Stock 2016-07-07 4 M 0 30000 10 A 151469 D Common Stock 2016-07-07 4 M 0 30000 10 A 181469 D Common Stock 2016-07-07 4 M 0 20000 10 A 201469 D Common Stock 2016-07-07 4 M 0 100000 10 A 301469 D Common Stock 2016-07-07 4 F 0 131020 14.62 D 170449 D Stock Option (Right to Buy) 10.0 2016-07-07 4 M 0 30000 0 D 2007-05-14 2017-05-14 Common Stock 30000.0 52990 D Stock Option (Right to Buy) 10.0 2016-07-07 4 M 0 30000 0 D 2011-01-20 2021-01-20 Common Stock 30000.0 20000 D Stock Option (Right to Buy) 10.0 2016-07-07 4 M 0 20000 0 D 2011-01-20 2021-01-20 Common Stock 20000.0 0 D Warrant (Right to Buy) 10.0 2016-07-07 4 M 0 100000 0 D 2007-05-14 2017-05-14 Common Stock 100000.0 0 D The option became fully vested three years after the date of grant listed. The warrant became fully vested three years after the date of grant listed. /s/ Matthew P. Latrick, By Power of Attorney 2016-07-08