0001181431-14-033450.txt : 20141003 0001181431-14-033450.hdr.sgml : 20141003 20141003102145 ACCESSION NUMBER: 0001181431-14-033450 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141001 FILED AS OF DATE: 20141003 DATE AS OF CHANGE: 20141003 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: 4300 SIX FORKS ROAD CITY: RALEIGH STATE: NC ZIP: 27609 BUSINESS PHONE: 919 716 7000 MAIL ADDRESS: STREET 1: 4300 SIX FORKS ROAD CITY: RALEIGH STATE: NC ZIP: 27609 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRISTOW PETER M CENTRAL INDEX KEY: 0001065417 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16715 FILM NUMBER: 141138589 MAIL ADDRESS: STREET 1: 4300 SIX FORKS ROAD CITY: RALEIGH STATE: NC ZIP: 27609 4 1 rrd416315.xml MERGER FORM 4 X0306 4 2014-10-01 0 0000798941 FIRST CITIZENS BANCSHARES INC /DE/ FCNCA 0001065417 BRISTOW PETER M 4300 SIX FORKS ROAD RALEIGH NC 27609 1 1 1 0 President Class A Common 2014-10-01 4 A 0 6332 A 6457 D Class A Common 2014-10-01 4 A 0 101764 A 194626 I By Spouse Class A Common 2014-10-01 4 A 0 10096 A 10645 I As custodian for Peter Bristow, Jr. Class A Common 2014-10-01 4 A 0 10004 A 10553 I As custodian for Charlotte Bristow Class A Common 2014-10-01 4 A 0 9848 A 10397 I As custodian for Ella Bristow Class A Common 2014-10-01 4 A 0 5216 A 6106 I PMB Investments, LLC Class A Common 2014-10-01 4 A 0 1764 A 2154 I CRB Investments, LLC Class A Common 2014-10-01 4 A 0 1680 A 2045 I EHB Investments, LLC Class A Common 2014-10-01 4 A 0 4400 A 19041 I As trustee for PMB Trust 2011 Class A Common 2014-10-01 4 A 0 4400 A 19041 I As trustee for CRB Trust 2011 Class A Common 2014-10-01 4 A 0 4400 A 19041 I As trustee for EHB Trust 2011 Class A Common 2014-10-01 4 A 0 5448 A 10858 I Spouse as beneficiary of trust Class A Common 0 I By First Citizens Bancorporation, Inc. Class B Common 318 D Class B Common 83355 I By spouse Class B Common 1732 I As custodian for Peter Bristow, Jr. Class B Common 1733 I As custodian for Charlotte Bristow Class B Common 1733 I As custodian for Ella Bristow Class B Common 8350 I PMB Investments, LLC Class B Common 8850 I CRB Investments, LLC Class B Common 8710 I EHB Investments, LLC Class B Common 1250 I Spouse as beneficiary of Trust Class B Common 0 I By First Citizens Bancorporaton, Inc. 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 was a director and officer, and he and his spouse were shareholders, of the company that owned these shares, but he disclaims beneficial ownership of the listed shares, except to the extent of his pecuniary interest therein, if any, and this report shall not be deemed an admission that the Reporting Person is the beneficial ownership of the shares for purposes of Section 16 of the Securities Exchange Act of 1034 or for any other purpose. Reflects shares received in exchange for shares of common stock of First Citizens Bancorporation, Inc. ("BanCorp"), at the rate of 4 shares of the Issuer's Class A common stock and $50 in cash for each share of BanCorp stock held by the persons or in the manner indicated in this Report, in connection with the merger of BanCorp into the Issuer. On the day prior to the effective date of the merger, the reported last price of BanCorp's common stock was $922.25 per share, and the reported closing price of the Issuer's Class A common stock was $216.63 per share. Shares previously held by this entity were aquired by the Issuer and cancelled without consideration in the entity's merger with the Issuer. Peter M. Bristow, By: William R. Lathan, Attorney-in-Fact 2014-10-02