FEC Form 1 for FIRST CITIZENS BANCSHARES INC POLITICAL ACTION COMMITTEE (FIRST CITIZENS BANCSHARES PAC)Form 1 for FIRST CITIZENS BANCSHARES INC POLITICAL ACTION COMMITTEE (FIRST CITIZENS BANCSHARES PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-793336

1. FIRST CITIZENS BANCSHARES INC POLITICAL ACTION COMMITTEE (FIRST CITIZENS BANCSHARES PAC)

4300 Six Forks Road
FCC81
Raleigh, NC 27609

NOTE: Address is different than previously reported

Email: melody.reed@firstcitizens.com;megan.gillikin@firstcitizens.com

NOTE: Email address is different than previously reported

2. Date: 07/05/2012

3. FEC Committee ID #: C00334193 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

First Citizens BancShares, Inc.
4300 Six Forks Road
Raleigh, North Carolina 27609
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Don P Geaslen
4300 Six Forks Rd
FCC81
Raleigh, NC 27609
Title: Exec Vice President
Phone # (919) 716-7220

Treasurer:

Mr. Don P Geaslen
4300 Six Forks Rd
FCC81
Raleigh, North Carolina 27609
Title: Exec. Vice President
Phone # (919) 716-7220

Designated Agent(s):

Ms Melody B Reed
4300 Six Forks Rd
FCC81
Raleigh, North Carolina 27609
Title: VP
Phone # (919) 716-7043

Banks or Depositories

First Citizens Bank & Trust Company
4400 Six Forks Road
Raleigh, North Carolina 27609

Signed: Mr. Don P Geaslen
Date Signed: 07/05/2012

(End FEC FORM 1)

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