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