0001140361-13-016391.txt : 20130412
0001140361-13-016391.hdr.sgml : 20130412
20130412180703
ACCESSION NUMBER: 0001140361-13-016391
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130411
FILED AS OF DATE: 20130412
DATE AS OF CHANGE: 20130412
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: 13759618
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
X0306
4
2013-04-11
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
2013-04-11
4
D
0
22500
0.00
D
18429
D
Common Stock
2013-04-11
4
P
0
32908
1.50
A
51337
D
Common Stock
2013-04-12
4
A
0
37092
1.50
A
88429
D
Common Stock
1634
I
Patricia K. Tietz Income Only Trust
Forfeiture of non-transferable restricted stock pursuant to terms of the award.
/s/ Christopher G. Tietz: By: /s/ John R. Haddock, as Attorney-in-Fact
2013-04-12