0001516912-21-000067.txt : 20210521
0001516912-21-000067.hdr.sgml : 20210521
20210521115835
ACCESSION NUMBER: 0001516912-21-000067
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210520
FILED AS OF DATE: 20210521
DATE AS OF CHANGE: 20210521
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gallot Richard J. Jr.
CENTRAL INDEX KEY: 0001773178
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38487
FILM NUMBER: 21947702
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_162161268997323.xml
FORM 4
X0306
4
2021-05-20
0
0001516912
Origin Bancorp, Inc.
OBNK
0001773178
Gallot Richard J. Jr.
500 SOUTH SERVICE ROAD EAST
RUSTON
LA
71270
1
0
0
0
Common Stock
2021-05-20
4
A
0
826
43.60
A
3773
D
Represents shares of restricted stock granted to reporting person by the issuer as compensation for service as a director. The shares will vest on April 1, 2022.
/s/ Drake Mills, as Attorney-in-Fact
2021-05-21