0001003297-12-000448.txt : 20121023
0001003297-12-000448.hdr.sgml : 20121023
20121023111625
ACCESSION NUMBER: 0001003297-12-000448
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121022
FILED AS OF DATE: 20121023
DATE AS OF CHANGE: 20121023
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SMITHEAL GREEN III
CENTRAL INDEX KEY: 0001241533
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11709
FILM NUMBER: 121155935
MAIL ADDRESS:
STREET 1: 1090 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
smithheal.xml
PRIMARY DOCUMENT
X0306
4
2012-10-22
0000719264
FIRST CITIZENS BANCSHARES INC /TN/
FIZN
0001241533
SMITHEAL GREEN III
1090 VALLEY ROAD
DYERSBURG
TN
38024
1
0
0
0
Common Capital Stock
2012-10-22
2012-10-22
4
P
0
1334
39
A
3407
I
Spouse
Common Capital Stock
30655
D
/s/ Green Smitheal III
2012-10-22