FORM 3
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Washington, D.C. 20549 |
OMB APPROVAL
OMB Number: 3235-0104 Estimated average burden hours per response... 0.5 |
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1. Name and Address of Reporting Person * Lukinovich David J |
2. Date of Event Requiring Statement (MM/DD/YYYY)
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3. Issuer Name and Ticker or Trading Symbol Investar Holding Corp [ISTR] |
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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X
__ Director
_____ 10% Owner
_____ Officer (give title below) _____ Other (specify below) |
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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)
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X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Beneficially Owned |
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1.Title of Security
(Instr. 4) |
2. Amount of Securities Beneficially Owned
(Instr. 4) |
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5) |
4. Nature of Indirect Beneficial Ownership
(Instr. 5) |
Common Stock | 8416 | D | |
Common Stock | 11600 | I | By Solomon's Portico LLC |
Common Stock | 15296 | I | By spouse |
Common Stock | 179 (1) | I | By adult son, David Lukinovich Jr. |
Common Stock | 179 (1) (2) | I | By adult son, Joshua Lukinovich |
Common Stock | 179 (1) (2) | I | By adult daughter, Mary Lukinovich |
Common Stock | 179 | I | By minor daughter |
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) |
2. Date Exercisable and Expiration Date
(MM/DD/YYYY) |
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5) |
6. Nature of Indirect Beneficial Ownership
(Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Warrant (right to buy) | 12/31/2009 (3) | 12/31/2014 | Common Stock | 935 | $13.50 | D | |
Warrant (right to buy) | 12/31/2009 (3) | 12/31/2014 | Common Stock | 765 | $13.50 | I | By Solomon's Portico LLC |
Remarks:
This report is being amended and restated in its entirety to correct errors in the reporting person's holdings reflected on the original report, to reflect indirect holdings not included on the original report, and to correct the exercisable date of reported warrants. |
Reporting Owners
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Reporting Owner Name / Address |
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Director | 10% Owner | Officer | Other | ||
Lukinovich David J
C/O INVESTAR HOLDING CORPORATION 7244 PERKINS ROAD BATON ROUGE, LA 70808 |
X |
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Signatures
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/s/David J. Lukinovich | 6/26/2015 | |
** 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 5(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 control number. |