0001209191-17-000883.txt : 20170104 0001209191-17-000883.hdr.sgml : 20170104 20170104162227 ACCESSION NUMBER: 0001209191-17-000883 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170104 DATE AS OF CHANGE: 20170104 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: Holmes Christopher T CENTRAL INDEX KEY: 0001348891 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37875 FILM NUMBER: 17505758 MAIL ADDRESS: STREET 1: 104 SOUTH MAIN STREET CITY: GREENVILLE STATE: SC ZIP: 29601 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-12-31 0 0001649749 FB Financial Corp FBK 0001348891 Holmes Christopher T C/O FB FINANCIAL CORPORATION 211 COMMERCE STREET, SUITE 300 NASHVILLE TN 37201 1 1 0 0 President and CEO Common Stock 2016-12-31 4 M 0 113158 0.00 A 285453 D EBI Units 2016-12-31 4 M 0 113158 0.00 D Common Stock 113158 0 D The issuer granted 100,420 EBI Units to the reporting person pursuant to the FirstBank 2012 Equity Based Incentive Plan (the "2012 EBI Plan"), pursuant to which, on or shortly following the vesting date, the reporting person would 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. The reporting person elected to receive shares of issuer common stock in full settlement of these EBI Units. Following the Company's IPO, EBI Units granted under the 2012 EBI Plan were adjusted to prevent dilution of such EBI Units as a result of the IPO, as follows: (i) the number of EBI Units held 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). Reflects the stock settlement of EBI Units granted under the 2012 EBI Plan. On December 31, 2016, the EBI Units were fully-vested and distributable to Mr. Holmes. /s/ Will Martin, as Attorney-in-Fact 2017-01-04