0001516912-24-000056.txt : 20240521
0001516912-24-000056.hdr.sgml : 20240521
20240521173545
ACCESSION NUMBER: 0001516912-24-000056
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240520
FILED AS OF DATE: 20240521
DATE AS OF CHANGE: 20240521
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dyer Jay
CENTRAL INDEX KEY: 0001938362
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38487
FILM NUMBER: 24970911
BUSINESS ADDRESS:
BUSINESS PHONE: 214-239-7430
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]
ORGANIZATION NAME: 02 Finance
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
wk-form4_1716327335.xml
FORM 4
X0508
4
2024-05-20
0
0001516912
Origin Bancorp, Inc.
OBK
0001938362
Dyer Jay
500 SOUTH SERVICE ROAD EAST
RUSTON
LA
71270
1
0
0
0
0
Common Stock
2024-05-20
4
A
0
1514
33.03
A
49525
D
Common Stock
18544
I
BY ISSUER RETIREMENT PLAN
Common Stock
3822
I
By IRA
Common Stock
60
I
By self as custodian for child 1
Common Stock
24
I
By self as custodian for child 2
Common Stock
13
I
By self as custodian for child 3
Common Stock
57906
I
By limited partnership
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 23, 2025.
The reporting person has investment control over the shares held or controlled by SBSPBL, LP, a limited partnership. The reporting person disclaims beneficial ownership of the securities reported herein, except to the extent of his pecuniary interest therein, if any. Pursuant to Rule 16a-1(a)(4) under the Securities Exchange Act of 1934 (the "Exchange Act"), the filing of this statement shall not be deemed an admission that the reporting person is, for purposes of Section 16 of the Exchange Act or otherwise, the beneficial owner of any securities reported herein.
/s/ Drake Mills, as Attorney-in-Fact
2024-05-21