Filing Details

Accession Number:
0001209191-18-029126
Form Type:
4
Zero Holdings:
No
Publication Time:
2018-05-10 13:18:09
Reporting Period:
2018-05-10
Accepted Time:
2018-05-10 13:18:09
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1516912 Origin Bancorp Inc. OBNK () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1013026 H Howard Newman C/O Pine Brook Road Partners, Llc
60 East 42Nd Street, 50Th Floor
New York NY 10165
No No Yes No
1423478 Pine Brook Capital Partners Lp C/O Pine Brook Road Partners, Llc
60 East 42Nd Street, 50Th Floor
New York NY 10165
No No Yes No
1615815 Pine Brook Road Associates, L.p. C/O Pine Brook Road Partners, Llc
60 East 42Nd Street, 50Th Floor
New York NY 10165
No No Yes No
1615816 Pbra, Llc C/O Pine Brook Road Partners, Llc
60 East 42Nd Street, 50Th Floor
New York NY 10165
No No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock, Par Value $5.00 Per Share Disposition 2018-05-10 675,000 $31.62 1,128,285 No 4 S Indirect See Footnotes
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Indirect See Footnotes
Footnotes
  1. This Form 4 is being filed on behalf of Pine Brook Capital Partners, L.P., a Delaware limited partnership, Pine Brook Road Associates, L.P., a Delaware limited partnership and the general partner of Pine Brook Capital Partners, L.P., PBRA, LLC, a Delaware single-member limited liability company that controls Pine Brook Road Associates, L.P. in its capacity as general partner, and Howard Newman, the sole member of PBRA, LLC. Mr. Newman has investment and voting control over the shares held or controlled by the Pine Brook Funds (as defined below).
  2. Pine Brook Capital Partners, L.P., Pine Brook Capital Partners (SSP Offshore) II, L.P. and Pine Brook Capital Partners (Cayman), L.P. (collectively, the "Pine Brook Funds") sold 541,569, 95,609 and 37,822, respectively, shares of common stock of Origin Bancorp, Inc. in connection with its initial public offering, which closed on May 10, 2018.
  3. Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein, except to the extent of such Reporting Person's 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 any Reporting Person is, for purposes of Section 16 of the Exchange Act or otherwise, the beneficial owner of any securities reported herein.