0001516912-18-000115.txt : 20181114 0001516912-18-000115.hdr.sgml : 20181114 20181114162603 ACCESSION NUMBER: 0001516912-18-000115 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: Mills Drake CENTRAL INDEX KEY: 0001737362 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38487 FILM NUMBER: 181184295 MAIL ADDRESS: STREET 1: 500 SOUTH SERVICE ROAD EAST CITY: RUSTON STATE: LA ZIP: 71270 FORMER NAME: FORMER CONFORMED NAME: Mills Drake D. DATE OF NAME CHANGE: 20180412 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_154223074359366.xml FORM 4 X0306 4 2018-11-13 0 0001516912 Origin Bancorp, Inc. OBNK 0001737362 Mills Drake 500 SOUTH SERVICE ROAD EAST RUSTON LA 71270 1 1 0 0 Chairman, President and CEO Common Stock 2018-11-13 4 A 0 27441 0 A 67855 D Common Stock 45224 I BY ISSUER ESOP Stock Options (Right to Buy) 17.5 2030-12-31 Common Stock 50000.0 50000 D Stock Options (Right to Buy) 8.25 2024-12-31 Common Stock 120000.0 120000 D Represents shares of restricted stock granted to reporting person by the issuer as compensation as an officer of the issuer. The shares will vest in five equal annual installments beginning on November 13, 2019. Includes shares acquired pursuant to the Community Trust Financial Corporation Employee Stock Ownership Plan. Stock Options (Right to Buy) were fully vested as of October 1, 2016. Stock Options (Right to Buy) were fully vested as of January 1, 2015. /s/ Drake Mills 2018-11-14