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*
CARTER JAMES LANCE

(Last) (First) (Middle)
C/O HBT FINANCIAL, INC.
401 N. HERSHEY ROAD

(Street)
BLOOMINGTON IL 61704

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
HBT Financial, Inc. [ HBT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President and COO
3. Date of Earliest Transaction (Month/Day/Year)
07/27/2019
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
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, $0.01 par value 07/27/2019 X(1) 6,120 A $6.86 66,920 D
Common Stock, $0.01 par value 07/27/2019 S(1) 6,120 D $25.75 60,800 D
Common Stock, $0.01 par value 10/16/2019 P 20,000(2) A $16 80,800 D
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
Stock Appreciation Right $6.86 07/27/2019 X(1) 6,120 12/31/2009 03/01/2020 Common Stock 6,120 $0 0 D
Stock Appreciation Right $16.32 09/01/2019 A(3) 6,120 (3) 09/01/2029 Common Stock 6,120 $0 6,120 D
Explanation of Responses:
1. Represents the exercise of Stock Appreciation Rights ("SARs") granted pursuant to the Stock Appreciation Rights Agreement, dated as of March 1, 2005, by and between the Issuer and the reporting person. Certain of these transactions may be matchable transactions under Section 16(b) of the Exchange Act. The reporting person has agreed to surrender the full amount of any recoverable profits to the Issuer.
2. Represents shares purchased through the Issuer's directed share program in connection with its initial public offering.
3. Represents an award of SARs pursuant to the HBT Financial, Inc. Omnibus Incentive Plan. The SARs are fully vested. Upon exercise, the SARs will be settled in cash.
/s/ Andrea E. Zurkamer, attorney-in-fact 10/18/2019
** 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.