0001516912-18-000112.txt : 20181114 0001516912-18-000112.hdr.sgml : 20181114 20181114162416 ACCESSION NUMBER: 0001516912-18-000112 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181113 FILED AS OF DATE: 20181114 DATE AS OF CHANGE: 20181114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: D'Agostino James Samuel Jr. CENTRAL INDEX KEY: 0001345810 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38487 FILM NUMBER: 181184248 MAIL ADDRESS: STREET 1: 500 SOUTH SERVICE ROAD EAST CITY: RUSTON STATE: LA ZIP: 71270 FORMER NAME: FORMER CONFORMED NAME: DAgostino James Samuel Jr DATE OF NAME CHANGE: 20051201 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Origin Bancorp, Inc. CENTRAL INDEX KEY: 0001516912 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 721192928 STATE OF INCORPORATION: LA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 500 S SERVICE ROAD EAST CITY: RUSTON STATE: LA ZIP: 71270 BUSINESS PHONE: 318-242-7500 MAIL ADDRESS: STREET 1: 500 S SERVICE ROAD EAST CITY: RUSTON STATE: LA ZIP: 71270 FORMER COMPANY: FORMER CONFORMED NAME: Origin Bancorp, Inc. Attn: Chase Anderson DATE OF NAME CHANGE: 20180912 FORMER COMPANY: FORMER CONFORMED NAME: Origin Bancorp, Inc. DATE OF NAME CHANGE: 20161017 FORMER COMPANY: FORMER CONFORMED NAME: Community Trust Financial Corp DATE OF NAME CHANGE: 20110329 4 1 wf-form4_154223063875866.xml FORM 4 X0306 4 2018-11-13 0 0001516912 Origin Bancorp, Inc. OBNK 0001345810 D'Agostino James Samuel Jr. 500 SOUTH SERVICE ROAD EAST RUSTON LA 71270 1 0 0 0 Common Stock 2018-11-13 4 A 0 165 0 A 37685 D Common Stock 18131 I See footnote. Represents shares of restricted stock granted to reporting person by the issuer as compensation for service as a director. The shares will vest on November 13, 2019. Represents shares of common stock held by Houston Trust Company. The reporting person serves as Chairman of the board of directors and on the investment committee of Houston Trust Company and has shared voting and dispositive power over the shares. The reporting person disclaims any beneficial ownership in the shares of common stock held by Houston Trust Company, except to the extent of his pecuniary interest in Houston Trust Company. Pursuant to Rule 16a-1(a)(4) under the Securities Exchange Act of 1934, the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all of the reported securities by any reporting person for purposes of Section 16 or for any other purpose. /s/ Drake Mills, as Attorney-in-Fact 2018-11-14