SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Moore Preston

(Last) (First) (Middle)
500 SOUTH SERVICE ROAD EAST

(Street)
RUSTON LA 71270

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Origin Bancorp, Inc. [ OBK ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Credit & Banking Officer
3. Date of Earliest Transaction (Month/Day/Year)
02/17/2024
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Rule 10b5-1(c) Transaction Indication

  
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 02/17/2024 M 798 A (1) 44,256(2) D
Common Stock 02/17/2024 D(3) 798 D (1) 43,458(2) D
Common Stock 02/18/2024 M 586 A (1) 44,044(2) D
Common Stock 12,498 I BY ISSUER RETIREMENT PLAN
Common Stock 1,500 I By IRA
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units (1) 02/17/2024 M 798 (4) (4) Common Stock 798 $0 1,598(4) D
Deferred Stock Units (5) 02/17/2024 A 798 (6) (6) Common Stock 798 $0 798(6) D
Restricted Stock Units (1) 02/18/2024 M 586 (7) (7) Common Stock 586 $0 586(7) D
Explanation of Responses:
1. Restricted stock units convert into common stock on a one-for-one basis.
2. Includes 973 shares of Common Stock purchased pursuant to the Origin Bancorp, Inc. 2021 Employee Stock Purchase Plan ("ESPP"), for the purchase period of June 01, 2022 to May 31, 2023.
3. In connection with the vesting on February 17, 2024, of 798 restricted stock units ("RSUs") previously granted to the reporting person, all 798 shares of common stock was deferred, resulting in the reporting person's receipt of 798 deferred stock units ("DSUs") pursuant to the issuer's Long Term Equity Deferred Compensation Plan. The reporting person is therefore reporting the disposition of 798 shares of common stock in exchange for an equal number of DSUs.
4. Granted on February 17, 2023, vesting ratably over three years with the first vest date of February 17, 2024.
5. Each DSU represents a right to receive, at settlement, one share of common stock of the issuer.
6. The DSUs become payable in annual installments over five years while in active service, beginning as soon as feasible after June 1, 2028.
7. Granted on February 18, 2022, vesting ratably over three years with the first vest date of February 18, 2023.
Remarks:
/s/ Drake Mills, as Attorney-in-Fact 02/21/2024
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.