CUSIP No. 68621T102 |
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Page 2 of 11 Pages
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1
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NAMES OF REPORTING PERSONS
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PINE BROOK CAPITAL PARTNERS, L.P. |
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)☒
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(b)☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
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Delaware |
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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5
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SOLE VOTING POWER
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0 |
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6
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SHARED VOTING POWER
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1,450,258 |
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7
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SOLE DISPOSITIVE POWER
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0 |
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8
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SHARED DISPOSITIVE POWER
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1,450,258 |
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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1,450,258 |
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10
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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6.1% |
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12
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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PN |
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CUSIP No. 68621T102 |
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Page 3 of 11 Pages
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1
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NAMES OF REPORTING PERSONS
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PINE BROOK ROAD ASSOCIATES, L.P. |
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
|
||||
(a)☒
|
|||||
(b)☐
|
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|||
3
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SEC USE ONLY
|
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|||
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||||
4
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CITIZENSHIP OR PLACE OF ORGANIZATION
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Delaware |
|
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|||
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||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
5
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SOLE VOTING POWER
|
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0 |
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|||
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||||
6
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SHARED VOTING POWER
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1,807,569 |
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7
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SOLE DISPOSITIVE POWER
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0 |
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8
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SHARED DISPOSITIVE POWER
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1,807,569 |
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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1,807,569 |
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|||
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||||
10
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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7.7% |
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12
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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PN, HC |
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CUSIP No. 68621T102 |
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Page 4 of 11 Pages
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1
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NAMES OF REPORTING PERSONS
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PINE BROOK ROAD ADVISORS, L.P. |
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
|
||||
(a)☒
|
|||||
(b)☐
|
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|
|||
3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
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Delaware |
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
5
|
SOLE VOTING POWER
|
|
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0 |
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|||
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||||
6
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SHARED VOTING POWER
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1,807,569 |
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7
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SOLE DISPOSITIVE POWER
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0 |
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|||
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||||
8
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SHARED DISPOSITIVE POWER
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1,807,569 |
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|||
|
|
||||
9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
|
|
|
||
1,807,569 |
|
|
|||
|
|
||||
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
|
|
|
||
☐
|
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|||
|
|
||||
11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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7.7% |
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|||
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||||
12
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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PN |
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CUSIP No. 68621T102 |
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Page 5 of 11 Pages
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1
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NAMES OF REPORTING PERSONS
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PBRA, LLC |
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|||
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|
||||
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
|
||||
(a)☒
|
|||||
(b)☐
|
|
|
|||
3
|
SEC USE ONLY
|
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||
|
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|||
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|
||||
4
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CITIZENSHIP OR PLACE OF ORGANIZATION
|
|
|
||
Delaware |
|
|
|||
|
|
||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
5
|
SOLE VOTING POWER
|
|
|
|
0 |
|
|
|||
|
|
||||
6
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SHARED VOTING POWER
|
|
|
||
1,807,569 |
|
|
|||
|
|
||||
7
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SOLE DISPOSITIVE POWER
|
|
|
||
0 |
|
|
|||
|
|
||||
8
|
SHARED DISPOSITIVE POWER
|
|
|
||
1,807,569 |
|
|
|||
|
|
||||
9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
|
|
|
||
1,807,569 |
|
|
|||
|
|
||||
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
|
|
|
||
☐
|
|
|
|||
|
|
||||
11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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7.7% |
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|||
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||||
12
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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OO, HC |
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|||
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CUSIP No. 68621T102 |
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Page 6 of 11 Pages
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1
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NAMES OF REPORTING PERSONS
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HOWARD H. NEWMAN |
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2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
|
||||
(a)☒
|
|||||
(b)☐
|
|
|
|||
3
|
SEC USE ONLY
|
|
|
||
|
|
|
|||
|
|
||||
4
|
CITIZENSHIP OR PLACE OF ORGANIZATION
|
|
|
||
Delaware |
|
|
|||
|
|
||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
5
|
SOLE VOTING POWER
|
|
|
|
0 |
|
|
|||
|
|
||||
6
|
SHARED VOTING POWER
|
|
|
||
1,807,569 |
|
|
|||
|
|
||||
7
|
SOLE DISPOSITIVE POWER
|
|
|
||
0 |
|
|
|||
|
|
||||
8
|
SHARED DISPOSITIVE POWER
|
|
|
||
1,807,569 |
|
|
|||
|
|
||||
9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
|
|
|
||
1,807,569 |
|
|
|||
|
|
||||
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
|
|
|
||
☐
|
|
|
|||
|
|
||||
11
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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7.7% |
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|||
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|
||||
12
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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IN, HC |
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Page 7 of 11 Pages
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(a)
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The name of the issuer is Origin Bancorp, Inc., a Louisiana corporation (the “Issuer”)
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(b)
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The Issuer’s principal executive offices are located at 500 South Service Road East, Ruston, Louisiana 71270.
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(a)
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The names of the persons (collectively, the “Reporting Persons”)* filing this Schedule 13G (this “Statement”) are:
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Pine Brook Capital Partners, L.P. (“PBCP”);
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Pine Brook Road Associates, L.P. (“PBRA”);
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Pine Brook Road Advisors, L.P. (“Advisors”);
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PBRA, LLC; and
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Howard H. Newman (“Mr. Newman”).
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(b)
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The principal business office for each of the Reporting Persons is c/o Pine Brook Road Partners, LLC, 60 East 42nd Street, 50th
Floor, New York, NY 10165.
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(c)
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PBCP is a Delaware limited partnership;
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PBRA is a Delaware limited partnership;
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Advisors is a Delaware limited partnership;
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PBRA, LLC is a Delaware limited liability company; and
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Mr. Newman is a citizen of the United States of America.
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(d)
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This Statement relates to the common stock, par value $5.00 per share (the “Common Stock”), of the Issuer.
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(e)
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The CUSIP Number of the Common Stock is 68621T102.
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Page 8 of 11 Pages
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(a)
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Amount beneficially owned: See
Item 9 of the attached cover pages.
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(b)
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Percent of Class: See Item 11 of
the attached cover pages.
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(c)
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(i) Sole power to vote or to direct the vote: See Item 5 of the attached cover pages.
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Pine Brook Capital Partners, L.P.;
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Pine Brook Road Associates, L.P.;
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Pine Brook Road Advisors, L.P.;
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PBRA, LLC; and
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Howard H. Newman.
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Page 9 of 11 Pages
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PINE BROOK CAPITAL PARTNERS, L.P. |
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By:
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PINE BROOK ROAD ASSOCIATES, L.P. |
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Its: |
General Partner |
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By: |
PBRA, LLC |
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Its: |
General Partner |
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By: |
/s/ Howard Newman |
PINE BROOK ROAD ASSOCIATES, L.P. |
|||
By: |
PBRA, LLC |
||
Its: |
General Partner |
||
By: |
/s/ Howard Newman |
PINE BROOK ROAD ADVISORS, L.P. |
|||
By: |
/s/ Howard Newman |
PBRA, LLC |
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By: |
/s/ Howard Newman |
HOWARD H. NEWMAN |
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/s/ Howard Newman |
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Page 10 of 11 Pages
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Ex. |
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Page No. |
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A |
Joint Filing Agreement | 11 |
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Page 11 of 11 Pages
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PINE BROOK CAPITAL PARTNERS, L.P. |
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By:
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PINE BROOK ROAD ASSOCIATES, L.P. |
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Its: |
General Partner |
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By: |
PBRA, LLC |
||
Its: |
General Partner |
||
By: |
/s/ Howard Newman |
PINE BROOK ROAD ASSOCIATES, L.P. |
|||
By: |
PBRA, LLC |
||
Its: |
General Partner |
||
By: |
/s/ Howard Newman |
PINE BROOK ROAD ADVISORS, L.P. |
|||
By: |
/s/ Howard Newman |
PBRA, LLC |
|||
By: |
/s/ Howard Newman |
HOWARD H. NEWMAN |
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/s/ Howard Newman |