0001564618-19-000027.txt : 20190129
0001564618-19-000027.hdr.sgml : 20190129
20190129213948
ACCESSION NUMBER: 0001564618-19-000027
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190125
FILED AS OF DATE: 20190129
DATE AS OF CHANGE: 20190129
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NICHOLS TOM C
CENTRAL INDEX KEY: 0001339915
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35854
FILM NUMBER: 19550202
MAIL ADDRESS:
STREET 1: 4500 MERCANTILE PLAZA DRIVE, SUITE 300
CITY: FORT WORTH
STATE: TX
ZIP: 76137
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Independent Bank Group, Inc.
CENTRAL INDEX KEY: 0001564618
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 134219346
STATE OF INCORPORATION: TX
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1600 REDBUD BOULEVARD
STREET 2: SUITE 400
CITY: MCKINNEY
STATE: TX
ZIP: 75069
BUSINESS PHONE: (972) 562-9004
MAIL ADDRESS:
STREET 1: 1600 REDBUD BOULEVARD
STREET 2: SUITE 400
CITY: MCKINNEY
STATE: TX
ZIP: 75069
FORMER COMPANY:
FORMER CONFORMED NAME: Independent Bank Group Inc
DATE OF NAME CHANGE: 20121213
4
1
wf-form4_154881597204696.xml
FORM 4
X0306
4
2019-01-25
0
0001564618
Independent Bank Group, Inc.
IBTX
0001339915
NICHOLS TOM C
4500 MERCANTILE PLAZA DRIVE
SUITE 300
FORT WORTH
TX
76137
1
0
0
0
Common Stock
2019-01-25
4
A
0
1048
A
206400
D
Common Stock
1381
I
By Lynda Nichols
The reporting person acquired the shares pursuant to a grant under the Issuer's 2013 Equity Incentive Plan. Such shares vest in three (3) equal annual installments on the anniversary of the date of grant, subject to forfeiture upon the occurrence of certain events specified in the agreement underlying such grant.
/s/ Jan Webb, As Attorney in Fact
2019-01-29