0001516912-19-000044.txt : 20190521
0001516912-19-000044.hdr.sgml : 20190521
20190521172121
ACCESSION NUMBER: 0001516912-19-000044
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190520
FILED AS OF DATE: 20190521
DATE AS OF CHANGE: 20190521
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Taylor Steven Lewis
CENTRAL INDEX KEY: 0001738146
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38487
FILM NUMBER: 19843306
MAIL ADDRESS:
STREET 1: 500 SOUTH SERVICE ROAD EAST
CITY: RUSTON
STATE: LA
ZIP: 71270
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_155847366547754.xml
FORM 4
X0306
4
2019-05-20
0
0001516912
Origin Bancorp, Inc.
OBNK
0001738146
Taylor Steven Lewis
500 SOUTH SERVICE ROAD EAST
RUSTON
LA
71270
1
0
0
0
Common Stock
2018-12-06
4
J
0
20140
0
A
20140
I
BY CAR TOWN OF MONROE, INC. WHICH REPORTING PERSON SHARES BENEFICIAL OWNERSHIP OF
Common Stock
2018-12-06
4
J
0
10000
0
A
30140
I
BY CAR TOWN OF MONROE, INC. WHICH REPORTING PERSON SHARES BENEFICIAL OWNERSHIP OF
Common Stock
2018-12-14
4
J
0
10046
0
A
43625
D
Common Stock
2019-05-20
4
A
0
1097
0
A
44722
D
On December 6, 2018, shares of Company common stock held by CTR Warranty, LLC were transferred to Car Town of Monroe, Inc., in a transaction exempt under Rule 16a-13.
On December 6, 2018, shares of Company common stock held by Freedom Motors, Inc. were transferred to Car Town of Monroe, Inc., in a transaction exempt under Rule 16a-13.
On December 14, 2018, 30,140 shares of Company common stock held by Car Town of Monroe, Inc. were transferred to its three equity partners, of which 10,046 were transferred to Mr. Taylor in a transaction exempt under Rule 16a-13.
Represents shares of restricted stock granted to reporting person by the issuer as compensation for service as a director. The shares will vest on May 20, 2020.
/s/ Drake Mills, as Attorney-in-Fact
2019-05-21