-----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, KP4o4nOAEIsZPc8hLf6k/D6jByRwkPb73Q3rgIVBe76Xf06YAU/H4Ib+WYlf1a/b Lp/piRMOE6+zlIknLmuvpg== 0001181431-04-054528.txt : 20041122 0001181431-04-054528.hdr.sgml : 20041122 20041122171759 ACCESSION NUMBER: 0001181431-04-054528 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041119 FILED AS OF DATE: 20041122 DATE AS OF CHANGE: 20041122 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST CITIZENS BANCSHARES INC /DE/ CENTRAL INDEX KEY: 0000798941 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 561528994 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 239 FAYETTEVILLE STREET MALL CITY: RALEIGH STATE: NC ZIP: 27601 BUSINESS PHONE: 9197167000 MAIL ADDRESS: STREET 1: PO BOX 27131 STREET 2: CTWO7 CITY: RALEIGH STATE: NC ZIP: 27611-7131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOLDING LEWIS R CENTRAL INDEX KEY: 0001014532 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16715 FILM NUMBER: 041161587 BUSINESS ADDRESS: STREET 1: POST OFFICE BOX 151 CITY: RALEIGH STATE: NC ZIP: 27602 BUSINESS PHONE: 919755701 MAIL ADDRESS: STREET 1: PO BOX 151 CITY: RALEIGH STATE: NC ZIP: 27602 4 1 rrd58954.xml NOVEMBER 19, 2004 FORM 4 X0202 4 2004-11-19 0 0000798941 FIRST CITIZENS BANCSHARES INC /DE/ FCNCA 0001014532 HOLDING LEWIS R POST OFFICE BOX 29549 RALEIGH NC 27626 1 1 1 0 Chairman of the Board Class A Common Stock 695529 D Class A Common Stock 48963 I By Spouse Class A Common Stock 25129 I By Adult Child Class A Common Stock 18145 I By Yadkin Valley Company Class A Common Stock 700 I By Yadkin Valley Life Insurance Company Class A Common Stock 167600 I By First Citizens Bancorporation of South Carolina, Inc. Class A Common Stock 100000 I By Fidelity BancShares (N.C.), Inc. Class A Common Stock 27584 I By Southern BancShares (N.C.), Inc. Class A Common Stock 46000 I By Southern Bank and Trust Company Class A Common Stock 54000 I By Goshen, Inc. Class B Common Stock 2004-11-19 4 P 0 109 124.75 A 27143 D Class B Common Stock 12025 I By spouse Class B Common Stock 175 I By Yadkin Valley Life Insurance Company Class B Common Stock 45900 I By First Citizens Bancorporation of South Carolina, Inc. Class B Common Stock 22219 I By Southern BancShares (N.C.), Inc. Class B Common Stock 581 I By Adult Child Class B Common Stock 1725 I By Yadkin Valley Company The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 of the Securities Exchange Act of 1934 or for any other purpose. The reporting person is a director, officer and/or principal shareholder of the companies that own these shares, but he disclaims beneficial ownership of the listed shares except to the extent of his pecuniary interest therein. Lewis R. Holding, By: William R. Lathan, Jr., Attorney-in-Fact 2004-11-22 -----END PRIVACY-ENHANCED MESSAGE-----