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