SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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

(Last) (First) (Middle)
201 4TH AVENUE NORTH, SUITE 950

(Street)
NASHVILLE TN 37219

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/21/2016
3. Issuer Name and Ticker or Trading Symbol
CapStar Financial Holdings, Inc. [ CSTR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. 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 Beneficially Owned
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 2,900 D
Common Stock 200,000 I Bentz Properties LLC
Restricted Stock(1) 313 D
Restricted Stock(2) 776 D
Restricted Stock(3) 1,425 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Warrants 07/14/2008 07/14/2018 Common Stock 20,000 10 I(1) See Note 1.
Option (right to buy) (4) 11/13/2018 Common Stock 6,000 10 D
Option (right to buy) (5) 01/20/2020 Common Stock 6,000 10 D
Explanation of Responses:
1. 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.
2. 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.
3. The reported item vests in three equal installments beginning on the first anniversary of the March 3, 2016, grant date.
4. These options vested in four equal annual installments beginning one year after the November 13, 2008, grant date.
5. These options vested in four equal annual installments beginning one year after the January 20, 2010, grant date.
Remarks:
/s/ L. Earl Bentz 09/21/2016
** 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 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.
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