Sec Form 4 Filing - Jacobson Shalene A. @ GUARANTY BANCSHARES INC /TX/ - 2020-10-22

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Jacobson Shalene A.
2. Issuer Name and Ticker or Trading Symbol
GUARANTY BANCSHARES INC /TX/ [ GNTY]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
EVP & Chief Risk Officer
(Last) (First) (Middle)
C/O GUARANTY BANCSHARES, INC., 201 SOUTH JEFFERSON AVE
3. Date of Earliest Transaction (MM/DD/YY)
10/22/2020
(Street)
MOUNT PLEASANT, TX75455
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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 10/22/2020 A 3,500 ( 1 ) A $ 28.25 4,617 ( 2 ) D
Common Stock 707 I By Issuer KSOP
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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
Reporting Owner Name / Address
Reporting Owners
Relationships
Director 10% Owner Officer Other
Jacobson Shalene A.
C/O GUARANTY BANCSHARES, INC.
201 SOUTH JEFFERSON AVE
MOUNT PLEASANT, TX75455
EVP & Chief Risk Officer
Signatures
/s/ Randall R. Kucera, as attorney-in-fact 10/23/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Grant of restricted stock pursuant to employment agreement with the issuer under the Guaranty Bancshares, Inc. 2015 Equity Incentive Plan (the "2015 Plan"). Shares will vest ratably beginning on the first anniversary of the grant date over the five-year period following the grant date, or will vest in full upon the earlier occurrence of certain conditions set forth in the related award agreement or 2015 Plan. Any shares not yet vested are subject to forfeiture upon termination for cause or as otherwise specified in the 2015 Plan or related award agreement.
( 2 )This balance includes shares of GNTY stock that were acquired through a Rule 16a-11 compliant dividend reinvestment program.

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).

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