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