0001516912-22-000174.txt : 20221108 0001516912-22-000174.hdr.sgml : 20221108 20221108122637 ACCESSION NUMBER: 0001516912-22-000174 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221107 FILED AS OF DATE: 20221108 DATE AS OF CHANGE: 20221108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sirman Lori CENTRAL INDEX KEY: 0001938364 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38487 FILM NUMBER: 221367921 BUSINESS ADDRESS: BUSINESS PHONE: 903-252-1089 MAIL ADDRESS: STREET 1: 1511 NORTH TRENTON STREET 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: Community Trust Financial Corp DATE OF NAME CHANGE: 20110329 4 1 wf-form4_166792838202066.xml FORM 4 X0306 4 2022-11-07 0 0001516912 Origin Bancorp, Inc. OBNK 0001938364 Sirman Lori 500 SOUTH SERVICE ROAD EAST RUSTON LA 71270 1 0 0 0 Common Stock 2022-11-07 4 M 0 23173 15.11 A 78105 D Common Stock 2022-11-07 4 M 0 1324 15.11 A 79429 D Common Stock 8829 I By IRA Common Stock 21248 I By KSOP Common Stock 277 I BY ISSUER RETIREMENT PLAN Stock Options (Right to Buy) 15.11 2022-11-07 4 M 0 23173 0 D 2023-01-22 Common Stock 23173.0 0 D Stock Options (Right to Buy) 15.11 2022-11-07 4 M 0 1324 0 D 2023-12-16 Common Stock 1324.0 0 D Stock Options (Right to Buy) 19.64 2024-12-15 Common Stock 2751.0 2751 D Stock Options (Right to Buy) 19.64 2025-12-21 Common Stock 5674.0 5674 D Stock Options (Right to Buy) 22.28 2026-06-20 Common Stock 6621.0 6621 D Stock Options (Right to Buy) 23.64 2026-12-19 Common Stock 4568.0 4568 D Stock Options (Right to Buy) 31.72 2027-12-18 Common Stock 18538.0 18538 D Stock Options (Right to Buy) 37.01 2028-12-18 Common Stock 16552.0 16552 D Stock Options (Right to Buy) 37.76 2029-12-16 Common Stock 23173.0 23173 D Stock Options (Right to Buy) 33.23 2031-02-16 Common Stock 23173.0 23173 D Pursuant to the Merger Agreement, at the effective time of the Merger, August 1, 2022, each outstanding and unexercised option to purchase shares of BTH common stock became fully vested and automatically converted into an option to purchase shares of issuer common stock, with the number of underlying shares and the exercise price determined as set forth in the Merger Agreement. Each option to purchase shares of issuer common stock is subject to the same terms and conditions (excluding vesting but including exercisability terms) as the corresponding option to purchase shares of BTH common stock immediately prior to the effective time of the Merger. /s/ Drake Mills, as Attorney-in-Fact 2022-11-08