Statement of Changes in Beneficial Ownership (4)
July 16 2019 - 5:02PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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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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1. Name and Address of Reporting Person
*
BRYANT HOPE HOLDING
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2. Issuer Name
and
Ticker or Trading Symbol
FIRST CITIZENS BANCSHARES INC /DE/
[
FCNCA
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
__
X
__ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Vice Chairman
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(Last)
(First)
(Middle)
4300 SIX FORKS ROAD
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3. Date of Earliest Transaction
(MM/DD/YYYY)
6/24/2019
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(Street)
RALEIGH, NC 27609
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Class A Common Stock
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265974
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D
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Class A Common Stock
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71600
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I
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Hope H. Bryant 2019 GRAT
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Class A Common Stock
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10772
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I
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As beneficiary of Trust
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Class A Common Stock
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6/24/2019
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G
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V
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160
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D
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$0.00
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15
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I
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By Spouse
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Class A Common Stock
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20677
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I
(1)
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As custodian for Hewlette
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Class A Common Stock
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18176
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I
(1)
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As custodian for John Patrick
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Class A Common Stock
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17922
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I
(1)
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As custodian for Elliot
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Class A Common Stock
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80
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I
(1)
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By Hewlette Collier Connell
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Class A Common Stock
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80
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I
(1)
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By John Patrick Connell
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Class A Common Stock
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115
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I
(1)
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By Samuel Hunter Bryant
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Class A Common Stock
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5325
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I
(1)
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John Connell as Custodian for Hewlette
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Class A Common Stock
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8660
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I
(1)
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John Connell as Custodian for John Patrick
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Class A Common Stock
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7830
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I
(1)
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By John Connell as custodian for Elliot Connell
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Class A Common Stock
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6/24/2019
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G
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V
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32
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A
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$0.00
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32
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I
(1)
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As Trustee for Bryant 2014 Trust fbo Samuel H. Bryant
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Class A Common Stock
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827
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I
(2)
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By E&F Properties
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Class A Common Stock
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12530
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I
(2)
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By Twin States Farming, Inc.
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Class A Common Stock
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192063
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I
(2)
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By Southern BancShares (N.C.), Inc. and subsidiary
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Class A Common Stock
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100000
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I
(2)
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By Fidelity BancShares (N.C.), Inc.
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(1)
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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.
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(2)
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The reporting person is a director, officer and/or shareholder of the companies that own these shares, but she disclaims beneficial ownership of the listed shares except to the extent of her pecuniary interest therein, if any, 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.
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Remarks:
Due to lack of space on the form, only Class A common stock is shown on this report.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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BRYANT HOPE HOLDING
4300 SIX FORKS ROAD
RALEIGH, NC 27609
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X
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X
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Vice Chairman
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Signatures
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Hope H. Bryant, By: William R. Lathan, Jr., Attorney-in-fact
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7/16/2019
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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 control number.
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