0001003297-12-000330.txt : 20120727
0001003297-12-000330.hdr.sgml : 20120727
20120727144050
ACCESSION NUMBER: 0001003297-12-000330
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120726
FILED AS OF DATE: 20120727
DATE AS OF CHANGE: 20120727
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: EDWARDS BENTLEY F
CENTRAL INDEX KEY: 0001245597
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11709
FILM NUMBER: 12990170
MAIL ADDRESS:
STREET 1: 1039 VALLEY ROAD
CITY: DYERSBURG
STATE: TN
ZIP: 38024
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FIRST CITIZENS BANCSHARES INC /TN/
CENTRAL INDEX KEY: 0000719264
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 621180360
STATE OF INCORPORATION: TN
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: COURT ST
STREET 2: P O BOX 370
CITY: DYERSBURG
STATE: TN
ZIP: 38024-0370
BUSINESS PHONE: 9012854410
MAIL ADDRESS:
STREET 1: P O BOX 370
CITY: DYERSBURG
STATE: TN
ZIP: 38025-0370
4
1
edwards.xml
PRIMARY DOCUMENT
X0306
4
2012-07-26
0000719264
FIRST CITIZENS BANCSHARES INC /TN/
FIZN
0001245597
EDWARDS BENTLEY F
2104 FAIRWAY DRIVE
DYERSBURG
TN
38024
1
0
0
0
Common Capital Stock
2012-07-26
2012-07-26
4
P
0
500
37.80
A
2520
D
/s/ Bentley F. Edwards
2012-07-27