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