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Colorado
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37-1442266
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(state or other jurisdiction of
incorporation or organization) |
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(I.R.S. Employer
Identification Number) |
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Large Accelerated Filer
☐
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Accelerated Filer
☒
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Non-Accelerated Filer
☐
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Smaller Reporting Company
☒
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Emerging Growth Company
☒
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CALCULATION OF REGISTRATION FEE
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Title of Each Class of Securities Being Registered
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| | |
Amount to be
Registered(1) |
| | |
Proposed
Maximum Offering Price Per Unit(1) |
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Proposed
Maximum Aggregate Offering Price(2) |
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Amount of
Registration Fee(3) |
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Common stock(4)(5)
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| | | | | | | | | | | | | | | | | | | | | | | | | |
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Preferred stock(4)
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Senior debt securities and subordinated debt securities(4)
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| | | | | | | | | | | | | | | | | | | | | | | | | |
| Warrants(6) | | | | | | | | | | | | | | | | | | | | | | | | | | |
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Depositary shares(4)(7)
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| | | | | | | | | | | | | | | | | | | | | | | | | |
| Units(8) | | | | | | | | | | | | | | | | | | | | | | | | | | |
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Total
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| | |
$100,000,000
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| | | | | 100% | | | | | | $ | 100,000,000 | | | | | | $ | 9,270 | | |
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Page
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| | | | 1 | | | |
| | | | 3 | | | |
| | | | 5 | | | |
| | | | 5 | | | |
| | | | 5 | | | |
| | | | 5 | | | |
| | | | 13 | | | |
| | | | 14 | | | |
| | | | 20 | | | |
| | | | 23 | | | |
| | | | 24 | | | |
| | | | 25 | | | |
| | | | 27 | | | |
| | | | 27 | | | |
| | | | 28 | | | |
| | | | 28 | | |
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SEC Registration fee
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| | | $ | 9,270 | | |
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FINRA Filing Fee
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| | | | * | | |
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Legal fees and expenses
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| | | | * | | |
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Accounting fees and expenses
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| | | | * | | |
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Printing and related expenses
|
| | | | * | | |
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Transfer agent and trustee fees and expenses
|
| | | | * | | |
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Miscellaneous expenses
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| | | | * | | |
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Total
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| | | $ | * | | |
| | | | | $ | * | | |
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Exhibit
No. |
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Description
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1.1
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| | Form of Underwriting Agreement* | |
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1.2
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| | Form of Distribution Agreement (Debt securities)* | |
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3.1
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| | Amended and Restated Articles of Incorporation of First Western Financial, Inc. (incorporated by reference to Exhibit 3.1 to the Company’s Form S-1/A filed with the Commission on July 3, 2018) | |
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3.2
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4.1
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4.2
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4.3
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| | Form of Senior Debt Security* | |
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4.4
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| | Form of Subordinated Debt Security* | |
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4.5
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| | Form of Warrant Agreement (Stock) (including form of warrant)* | |
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4.6
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| | Form of Warrant Agreement (Debt) (including form of warrant)* | |
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4.7
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| | Form of Deposit Agreement for Depositary shares* | |
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4.8
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| | Form of Depositary Receipt* | |
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4.9
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| | Form of Unit Agreement* | |
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Exhibit
No. |
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Description
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4.10
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| | Form of Unit Certificate* | |
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4.11
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| | Form of Certificate of Designation of Preferred Stock* | |
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5.1
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23.1
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24.1
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25.1
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| | Form T-1 statement of Eligibility of Trustee for senior Indenture under the Trust Indenture Act of 1939** | |
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25.2
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| | Form T-1 statement of Eligibility of Trustee for subordinated Indenture under the Trust Indenture Act of 1939** | |
| | | | FIRST WESTERN FINANCIAL, INC. | | |||
| | | | By: | | |
/s/ Scott C. Wylie
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| | | | | | | Scott C. Wylie | |
| | | | | | |
Chief Executive Officer
and President (principal executive officer) |
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| | | | By: | | |
/s/ Julie A. Courkamp
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| | | | | | | Julie A. Courkamp | |
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Chief Financial Officer
(Principal Financial Officer) |
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Signature
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Title
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Date
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/s/ Scott C. Wylie
Scott C. Wylie
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| | Chairman, Chief Executive Officer and President (principal executive officer) | | |
January 6, 2022
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/s/ Julie A. Courkamp
Julie A. Courkamp
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| | Director, Chief Financial Officer and Treasurer (principal financial and accounting officer) | | |
January 6, 2022
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/s/ Julie A. Caponi
Julie A. Caponi
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| | Director | | |
January 6, 2022
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/s/ David R. Duncan
David R. Duncan
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| | Director | | |
January 6, 2022
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Signature
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Title
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Date
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/s/ Thomas A. Gart
Thomas A. Gart
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| | Director | | |
January 6, 2022
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/s/ Patrick H. Hamill
Patrick H. Hamill
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| | Director | | |
January 6, 2022
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/s/ Scott C. Mitchell
Scott C. Mitchell
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| | Director | | |
January 6, 2022
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/s/ Luke A. Latimer
Luke A. Latimer
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| | Director | | |
January 6, 2022
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/s/ Eric D. Sipf
Eric D. Sipf
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| | Director | | |
January 6, 2022
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/s/ Mark L. Smith
Mark L. Smith
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| | Director | | |
January 6, 2022
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/s/ Joseph C. Zimlich
Joseph C. Zimlich
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| | Director | | |
January 6, 2022
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