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