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