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 |
| |||||||||||||||
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*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol Atlantic Capital Bancshares, Inc. [ ACBI ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| ||||||||||||||||||||||||
3. Date of Earliest Transaction (Month/Day/Year) 11/28/2016 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
|
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 | 11/28/2016 | J(1) | 1,137,669 | D | $0.00(1) | 2,662,331 | I | By BCP Fund I Southeast Holdings, LLC(2)(3) | ||
Common Stock | 11/28/2016 | J(1) | 1,137,669 | A | $0.00(1) | 1,137,669 | I | By BankCap Partners Fund I, L.P.(2)(4) | ||
Common Stock | 11/28/2016 | J(1) | 1,137,669 | D | $0.00(1) | 0 | I | By BankCap Partners Fund I, L.P.(2)(4) | ||
Common Stock | 11/28/2016 | J(1)(5) | 10,981 | A | $0.00(1) | 10,981 | I | By BankCap Partners GP, L.P.(2)(6) |
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 |
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
|
Explanation of Responses: |
1. On November 28, 2016, BCP Fund I Southeast Holdings, LLC ("BCP Fund LLC") distributed, for no consideration, 1,137,669 shares of Common Stock of the issuer (the "Shares") to BankCap Partners Fund I, L.P. ("BankCap Partners Fund"), representing BankCap Partners Fund's interest in the Shares held by BCP Fund LLC, as the sole member of BCP Fund LLC (the "BCP Fund Distribution"). On the same date, BankCap Partners Fund distributed, for no consideration, the Shares it received from the BCP Fund Distribution to its partners in an amount equal to each such partner's pro rata interest in the Shares (the "Fund Distribution"). The aforementioned distributions were made in accordance with the exemptions afforded by Rule 16a-13 and Rule 16a-9 of the Securities Exchange Act of 1934, as amended. |
2. The sole member of BCP Fund LLC is BankCap Partners Fund. The general partner of BankCap Partners Fund is BankCap Partners GP, L.P. ("BankCap Partners GP"). The general partner of BankCap Partners GP is BankCap Equity Fund, LLC ("BankCap LLC"). Brian D. Jones and Scott A. Reed are the managing members of BankCap LLC. |
3. BankCap Partners Fund, BankCap Partners GP, BankCap LLC and Mr. Reed may be deemed to be indirect beneficial owners of the shares, but each disclaims beneficial ownership thereof except to the extent of any pecuniary interest therein. |
4. BCP Fund LLC, BankCap Partners GP, BankCap LLC and Mr. Reed may be deemed to be indirect beneficial owners of the shares, but each disclaims beneficial ownership thereof except to the extent of any pecuniary interest therein. |
5. In connection with the Fund Distribution, BankCap Partners GP received 10,981 shares of Common Stock of the issuer. |
6. BCP Fund LLC, BankCap Partners Fund, BankCap LLC and Mr. Reed may be deemed to be indirect beneficial owners of the shares, but each disclaims beneficial ownership thereof except to the extent of any pecuniary interest therein. |
Remarks: |
Exhibit 24.1 Power of Attorney BankCap Equity Fund, LLC |
/s/ Scott A. Reed, attorney-in-fact for BankCap Equity Fund, LLC | 11/30/2016 | |
/s/ Scott A. Reed, attorney-in-fact for the general partner of BankCap Partners GP, L.P. | 11/30/2016 | |
/s/ Scott A. Reed, attorney-in-fact for the general partner of the general partner of BankCap Partners Fund I, L.P. | 11/30/2016 | |
/s/ Scott A. Reed, attorney-in-fact for the general partner of the general partner of the sole member of BCP Fund I Southeast Holdings, LLC | 11/30/2016 | |
/s/ Scott A. Reed | 11/30/2016 | |
** 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. |