-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, RcfHLC2xlZKAK1qIM53n75ALeKryk/PFsc5EoYZ9TS+R488rqLgJ2RGo3iu8xVta p/fzyLLmyZFCmUgVFD8q3A== 0001085204-01-500061.txt : 20020412 0001085204-01-500061.hdr.sgml : 20020412 ACCESSION NUMBER: 0001085204-01-500061 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20011115 FILED AS OF DATE: 20011203 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FIRST BANKS INC CENTRAL INDEX KEY: 0000710507 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 431175538 STATE OF INCORPORATION: MO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20632 FILM NUMBER: 1805093 BUSINESS ADDRESS: STREET 1: 135 N MERAMEC AVE CITY: ST LOUIS STATE: MO ZIP: 63105 BUSINESS PHONE: 3148544600 MAIL ADDRESS: STREET 1: 135 N MERAMEC AVE CITY: ST LOUIS STATE: MO ZIP: 63105 COMPANY DATA: COMPANY CONFORMED NAME: BLAKE ALLEN H CENTRAL INDEX KEY: 0001080884 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] DIRECTOR IRS NUMBER: 490485838 STATE OF INCORPORATION: MO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 11901 OLIVE BLVD CITY: CREVE COEUR STATE: MO ZIP: 63141 BUSINESS PHONE: 3149958700 MAIL ADDRESS: STREET 1: 11901 OLIVE BLVD CITY: CREVE COEUR STATE: MO ZIP: 63141 4 1 abform41101.txt FORM 4 FORM 4 U.S. 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(f) of the Investment Company Act of 1940 1. Name and Address of Reporting Person Allen H. Blake 600 James S. McDonnell Boulevard Hazelwood, Missouri 63042 2. Issuer Name and Ticker or Trading Symbol First Preferred Capital Trust III. FBNKM 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year: November/2001 5. If Amendment, Date of Original (Month/Year) N/A 6. Relationship of Reporting Person to Issuer (Check all applicable) X Director _______ 10% Owner ----- X Officer (give title below) Other (Specify below) ----- Administrative Trustee 7. 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: Cumulative Trust Preferred Securities 2. Transaction Date (Month/Day/Year): November 15, 2001 3. Transaction Code Code P V N/A --------- ---------- 4. Securities Acquired (A) or disposed of (D): A Amount: 1,000 Price: $25.00 5. Amount of Securities Beneficially Owned at End of Month: 1,000 6. Ownership Form Direct (D) or Indirect (I): D 7. Nature of Indirect Beneficial Ownership: N/A Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts calls, warrants, options, convertible securities) - -------------------------------------------------------------------------------- 1. Title of Derivative Security N/A 2. Conversion or Exercise Price of Derivative Security N/A 3. Transaction Date (Month/Day/Year): N/A 4. Transaction Code Code____ V_____ N/A 5. Number of Derivative Securities Acquired (A)____ or Disposed of (D)____ N/A 6. Date Exercisable and Expiration Date (Month/Day/Year) N/A Date Exercisable ____________ Expiration Date ____________ N/A 7. Title and Amount of Underlying Securities: N/A Title ___________________ Amount or Number of Shares __________: N/A 8. Price of Derivative Security: N/A 9. Number of Derivative Securities Beneficially Owned at End of Month: N/A 10. Ownership Form of Derivative Security Direct (D) or Indirect (i) N/A 11. Nature of Indirect Beneficial Ownership: N/A Explanation of Responses: /s/ Allen H. Blake - ------------------------------------ Signature of Reporting Person Date: December 3, 2001 -----END PRIVACY-ENHANCED MESSAGE-----