Initial Statement of Beneficial Ownership (3)
September 21 2016 - 7:31PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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hours per response...
0.5
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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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1. Name and Address of Reporting Person
*
Bentz L. Earl
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2. Date of Event Requiring Statement (MM/DD/YYYY)
9/21/2016
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3. Issuer Name
and
Ticker or Trading Symbol
CapStar Financial Holdings, Inc. [CSTR]
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(Last)
(First)
(Middle)
201 4TH AVENUE NORTH, SUITE 950
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Street)
NASHVILLE, TN 37219
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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2900
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D
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Common Stock
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200000
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I
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Bentz Properties LLC
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Restricted Stock
(1)
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313
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D
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Restricted Stock
(2)
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776
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D
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Restricted Stock
(3)
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1425
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Warrants
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7/14/2008
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7/14/2018
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Common Stock
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20000
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$10.00
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I
(1)
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See Note 1.
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Option (right to buy)
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(4)
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11/13/2018
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Common Stock
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6000
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$10.00
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D
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Option (right to buy)
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(5)
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1/20/2020
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Common Stock
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6000
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$10.00
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D
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Explanation of Responses:
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(
1)
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The reported item represents the unvested portion of an award of restricted stock on February 27, 2014. The balance of this award vests on the third anniversary of the grant date, or February 27, 2017.
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(
2)
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The reported item represents the unvested portion of an award of restricted stock on February 27, 2015. 388 shares of restricted stotck under this award vest on the second anniversary of the grant date, or February 27, 2017, and the remaining 388 shares of restricted stotck under this award vest on the second anniversary of the grant date, or February 27, 2018.
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(
3)
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The reported item vests in three equal installments beginning on the first anniversary of the March 3, 2016, grant date.
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(
4)
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These options vested in four equal annual installments beginning one year after the November 13, 2008, grant date.
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(
5)
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These options vested in four equal annual installments beginning one year after the January 20, 2010, grant date.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Bentz L. Earl
201 4TH AVENUE NORTH, SUITE 950
NASHVILLE, TN 37219
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X
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Signatures
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/s/ L. Earl Bentz
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9/21/2016
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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 control number.
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