SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Bristow Claire H

(Last) (First) (Middle)
4300 SIX FORKS ROAD

(Street)
RALEIGH NC 27609

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FIRST CITIZENS BANCSHARES INC /DE/ [ FCNCA ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
07/18/2018
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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
Class A Common 07/18/2018 G V 50,000 A $0.00 305,606 D
Class A Common 08/15/2018 G V 25,219 A $0.00 330,825(1) D
Class A Common 10,858 I As beneficiary of Trust
Class A Common 6,737(2) I By Spouse
Class A Common 1,775(2) I By Son, Peter M. Bristow, Jr.
Class A Common 10,850(2) I By spouse as custodian for Peter Bristow, Jr.
Class A Common 12,533(2) I By spouse as custodian for Charlotte Bristow
Class A Common 12,377(2) I By spouse as custodian for Ella Bristow
Class A Common 6,106(2) I PMB Investments, LLC
Class A Common 2,154(2) I CRB Investments, LLC
Class A Common 2,045(2) I EHB Investments, LLC
Class A Common 19,041(2) I By spouse as trustee for PMB Trust 2011
Class A Common 19,041(2) I By spouse as trustee for CRB Trust 2011
Class A Common 19,041(2) I By spouse as trustee for EHB Trust 2011
Class B Common 82,866 D
Class B Common 1,250 I As beneficiary of Trust
Class B Common 538(2) I By spouse
Class B Common 2,080(2) I By spouse as custodian for Peter Bristow, Jr.
Class B Common 8,350(2) I PMB Investments, LLC
Class B Common 2,081(2) I By spouse as custodian for Charlotte Bristow
Class B Common 8,850(2) I CRB Investments, LLC
Class B Common 2,081(2) I By spouse as custodian for Ella Bristow
Class B Common 8,710(2) I EHB Investments, LLC
Class B Common 82(2) I By Son. Peter M. Bristow, Jr.
Class B Common 82(2) I By daughter, Charlotte Bristow
Class B Common 82(2) I By daughter, Ella Bristow
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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (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: 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
Explanation of Responses:
1. Reflects distribution from Ella Ann L. Holding 2016 grantor retained annuity trust.
2. 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.
Remarks:
Claire H. Bristow, By: William R. Lathan, Jr., Attorney-in-Fact 08/22/2018
** 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 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.