| FORM
4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities
Exchange Act of 1934
or Section 30(h) of the Investment Company Act of
1940
|
| OMB APPROVAL |
| OMB Number: |
3235-0287 |
| Expires: |
December 31, 2014 |
| Estimated average burden |
| hours per response: |
0.5 |
|
|
|
Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue.
See
Instruction 1(b).
|
1. Name and Address of Reporting Person
*
(Street)
|
2. Issuer Name
and
Ticker or Trading Symbol
FIRST CITIZENS BANCSHARES INC /DE/
[
FCNCA
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
|
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
3. Date of Earliest Transaction
(Month/Day/Year)
05/05/2022
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
|
6. Individual or Joint/Group Filing (Check
Applicable Line)
| X |
Form filed by One Reporting Person |
|
Form filed by More than One Reporting
Person |
|
| Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned |
|---|
| 1.
Title of Security (Instr.
3)
|
2.
Transaction Date
(Month/Day/Year) |
2A.
Deemed Execution Date, if any
(Month/Day/Year) |
3.
Transaction Code (Instr.
8)
|
4.
Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
|
5.
Amount of Securities Beneficially Owned Following Reported
Transaction(s) (Instr.
3 and 4)
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6.
Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
|
7.
Nature of Indirect Beneficial Ownership (Instr.
4)
|
| Code |
V |
Amount |
(A) or (D) |
Price |
|
Class A Common Stock
|
05/05/2022 |
|
P |
|
750
|
A
|
$
669.546
|
1,000
|
D
|
|
|
Depositary Shares
|
|
|
|
|
|
|
|
6,000
|
I
|
Robert T. Newcomb Rev Trust
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 1. Title of Derivative Security (Instr.
3)
|
2. Conversion or Exercise Price of Derivative Security
|
3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
|
5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
|
6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
|
8. Price of Derivative Security (Instr.
5)
|
9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
|
10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
|
11. Nature of Indirect Beneficial Ownership (Instr.
4)
|
| Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Explanation of Responses: |
|
|
Robert T. Newcomb, By: William R. Lathan, Jr., Attorney-in-fact |
05/09/2022 |
|
** Signature of Reporting Person |
Date |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
| * If the form is filed by more than one reporting person,
see
Instruction
4
(b)(v). |
| ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
LIMITED POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that the undersigned hereby constitutes and
appoints each of MATTHEW G. T. MARTIN, IAN A. BIGGS, WILLIAM R. LATHAN,
JR., E. KNOX PROCTOR V AND BRIAN T. ATKINSON, or either of them, or any
substitute
appointed by either of them, jointly and severally, as the undersigned's true
and lawful attorney-in-fact to:
(1) prepare, execute and submit to the Securities and Exchange Commission (the
"SEC"), in the name and on behalf of the undersigned, a Form ID, including
any amendments thereto, and any other documents necessary or appropriate, to
obtain codes and passwords enabling the undersigned to make electronic
filings with the SEC of reports required by Section 16(a) of the Securities
Exchange Act of 1934 (the "Exchange Act") or any other section of the
Exchange Act or rule or regulation of the SEC.
(2) prepare, execute and file with the SEC, in the name and on behalf of the
undersigned in the undersigned's capacity as an officer, director and/or
principal shareholder of First Citizens BancShares, Inc. (the "Corporation"),
any and all Forms 3, 4 and 5, and any amendments thereto, in accordance with
Section 16(a) of the Exchange Act, and the rules thereunder, and any other
forms or reports the undersigned may be required to file pursuant to the
Exchange Act and rules thereunder (including Schedules 13D and 13G and
amendments thereto), pertaining to the undersigned's beneficial ownership of
shares of the Corporation's equity securities and any acquisition or
dispositions, or other changes in the undersigned's beneficial ownership, of
such equity securities;
(3) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4 and
5 or other form or report, or any amendments thereto, and timely file the
same with the SEC and any stock exchange or similar authority; and
(4) take any other action of any type whatsoever in connection with the
foregoing
which, in the opinion of either such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required to be done by, the undersigned,
it being understood that the documents executed by either such
attorney-in-fact on behalf of the undersigned pursuant to this Power of
Attorney shall be in such form and shall contain such terms and conditions as
such attorney-in-fact may approve in such attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact, acting
individually or jointly with each other, full power and authority to do and
perform any and every act and thing whatsoever required, necessary, or proper to
be done in the exercise of any of the rights and powers herein granted, as fully
to all intents and purposes as the undersigned might or could do if personally
present, with full power of substitution or revocation, and the undersigned
hereby ratifies and confirms all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the powers herein granted. The
undersigned acknowledges that the foregoing attorneys-in-fact, are serving in
such capacity at the request of the undersigned and are not assuming, nor is the
Corporation assuming, any of the undersigned's responsibilities to comply with
and to file forms or other reports such information as is required by Section
16(a) or any other section of the Exchange Act or any rule or regulation
thereunder.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 and 5, Schedules 13D and
13G, or other forms or reports, with respect to the undersigned's holdings of
and transactions in securities issued by the Corporation, unless earlier revoked
by the undersigned in a signed writing delivered to the foregoing
attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of this 25th day of January, 2022.
/s/Robert T. Newcomb (SEAL)
Signature
Robert T. Newcomb
Printed Name
Wake County, North Carolina
I certify that the following person personally appeared before me this day,
acknowledging to me that he/she signed the foregoing document: Robert T.
Newcomb
Date: 01/25/2022 Notary Public: /s/Marshella T. Baker
My Commission Expires: (Official Seal)
01/02/2026
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