0001140361-12-028870.txt : 20120605 0001140361-12-028870.hdr.sgml : 20120605 20120605174605 ACCESSION NUMBER: 0001140361-12-028870 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120601 FILED AS OF DATE: 20120605 DATE AS OF CHANGE: 20120605 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tietz Christopher G CENTRAL INDEX KEY: 0001336915 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-49747 FILM NUMBER: 12890173 MAIL ADDRESS: STREET 1: 185 EAST MARKET STREET STREET 2: ATTN: LEGAL DEPARTMENT CITY: WARREN STATE: OH ZIP: 44481 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST SECURITY GROUP INC/TN CENTRAL INDEX KEY: 0001138817 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 582461486 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 531 BROAD STREET CITY: CHATTANOOGA STATE: TN ZIP: 37402 BUSINESS PHONE: 423-266-2000 MAIL ADDRESS: STREET 1: 531 BROAD STREET CITY: CHATTANOOGA STATE: TN ZIP: 37402 4 1 doc1.xml FORM 4 X0305 4 2012-06-01 0 0001138817 FIRST SECURITY GROUP INC/TN FSGI 0001336915 Tietz Christopher G C/O FIRST SECURITY GROUP, INC. 531 BROAD STREET CHATTANOOGA TN 37402 0 1 0 0 EVP/Chief Credit Officer Common Stock 2012-06-01 4 P 0 4929 2.466 A 40929 D Common Stock 2012-06-01 4 P 0 200 2.57 A 200 I Patricia K. Tietz Income Only Trust The price reported in Column 4 is a weighted average price. These shares were acquired in multiple transactions at prices ranging from $2.41 to $2.50, inclusive. The reporting person undertakes to provide to First Security Group, Inc., any security holder of First Security Group, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote to this Form 4. /s/ Christopher G. Tietz: By: /s/ John R. Haddock, as Attorney-in-Fact 2012-06-05