0001209191-22-043470.txt : 20220729 0001209191-22-043470.hdr.sgml : 20220729 20220729154222 ACCESSION NUMBER: 0001209191-22-043470 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220524 FILED AS OF DATE: 20220729 DATE AS OF CHANGE: 20220729 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bristow Claire H CENTRAL INDEX KEY: 0001563815 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16715 FILM NUMBER: 221120611 MAIL ADDRESS: STREET 1: 4300 SIX FORKS ROAD CITY: RALEIGH STATE: NC ZIP: 27609 FORMER NAME: FORMER CONFORMED NAME: Bristow Claire Holding DATE OF NAME CHANGE: 20121206 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-05-24 0 0000798941 FIRST CITIZENS BANCSHARES INC /DE/ FCNCA 0001563815 Bristow Claire H 4300 SIX FORKS ROAD RALEIGH NC 27609 0 0 1 0 Class A Common 30000 D Class A Common 321813 I Claire Holding Bristow 2nd Amended and Restated Trust Class A Common 42078 I Claire H. Bristow 2020 GRAT Class A Common 2022-05-26 4 G 0 42078 0.00 D 0 I Claire H. Bristow 2020 GRAT Class A Common 2022-05-26 4 G 0 42078 0.00 A 42078 I By Spouse as Trustee for Claire H. Bristow 2020 GRAT Family Trust Class A Common 12152 I As Co-Trustee for Peter McDonald Bristow 2019 Irrevocable Family Trust Class A Common 10858 I As beneficiary of Trust Class A Common 14500 I By spouse as Trustee for Claire Holding Bristow 2018 Irrevocable Family Trust Class A Common 8868 I By spouse as trustee for Peter M. Bristow 2nd Amended and Restated Trust Agreement Class A Common 15145 I By daughter Ella Bristow Class A Common 6106 I PMB Investments, LLC Class A Common 2154 I CRB Investments, LLC Class A Common 2045 I EHB Investments, LLC Class A Common 19041 I By spouse as trustee for PMB Trust 2011 Class A Common 19041 I By spouse as trustee for CRB Trust 2011 Class A Common 19041 I By spouse as trustee for EHB Trust 2011 Class B Common 43786 I Claire Holding Bristow 2nd Amended and Restated Trust Class B Common 2022-05-26 4 G 0 40014 0.00 D 0 I Claire H. Bristow 2020 GRAT Class B Common 2022-05-26 4 G 0 40014 0.00 A 40014 I By Spouse as Trustee for Claire H. Bristow 2020 GRAT Family Trust Class B Common 1250 I As beneficiary of Trust Class B Common 538 I By spouse as trustee for Peter M. Bristow 2nd Amended and Restate Trust Agreement 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 2295 I By daughter Ella Bristow Depositary Shares 41285 I Claire Holding Bristow 2nd Amended and Restated Trust In connection with the termination of the Claire H. Bristow 2020 grantor retained annuity trust (the "GRAT") on May 24, 2022, 39,668 shares of Class A Common Stock were distributed to the reporting person's revocable trust and continue to be reported on this Form 4 as indirectly owned, and on May 26, 2022, the remaining 42,078 shares of Class A Common Stock previously held by the GRAT were distributed by gift to Peter M. Bristow as Trustee of the Claire H. Bristow 2020 GRAT Family Trust. 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. In connection with the termination of the Claire H. Bristow 2020 grantor retained annuity trust (the "GRAT"), on May 26, 2022, 40,014 shares of Class B Common Stock were distributed by gift to Peter M. Bristow as Trustee of the Claire H. Bristow 2020 GRAT Family Trust. Each Depositary Share represents a 1/40th interest in a share of the Issuer's 5.375% Non-Cumulative Perpetual Preferred Stock, Series A. Claire H. Bristow, By: E. Knox Proctor V, Attorney-in-Fact 2022-07-29