SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 2 Exit Filing)
CIVISTA BANCSHARES, INC.
(Name of Issuer)
Common Shares, No Par Value
(Title of Class of Securities)
178867107
(CUSIP Number)
February 7, 2017
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
☐ Rule 13d-1(b)
☐ Rule 13d-1(c)
☒ Rule 13d-1(d)
CUSIP No. 178867107 | 13G |
1 | NAMES OF REPORTING PERSONS
Eric M. Muehlhauser, Trustee of the George L. Mylander Second Restated Voting Trust Agreement dated June 29, 2014, as amended | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ☐ (b) ☐
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
Ohio | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 | SOLE VOTING POWER
403,183 | ||||
6 | SHARED VOTING POWER
-0- | |||||
7 | SOLE DISPOSITIVE POWER
403,183 | |||||
8 | SHARED DISPOSITIVE POWER
-0- | |||||
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
403,183 | |||||
10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
Not Applicable | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
4.77% | |||||
12 | TYPE OF REPORTING PERSON*
OO |
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CUSIP No. 178867107 | 13G |
Item 1(a). | Name of Issuer: |
Civista Bancshares, Inc.
Item 1(b). | Address of Issuers Principal Executive Offices: |
100 East Water Street
Sandusky, Ohio 44870
Item 2(a). | Name of Person Filing: |
Eric M. Muehlhauser, Trustee of the George L. Mylander Second Restated Voting Trust Agreement dated June 29, 2014, as amended
Item 2(b). | Address of Principal Business Office or, if None, Residence: |
Eric M. Muehlhauser, Trustee
165 E. Washington Row
Sandusky, Ohio 44870
Item 2(c). Citizenship:
Ohio
Item 2(d). | Title of Class of Securities: |
Common Shares, No Par Value
Item 2(e). | CUSIP Number: |
178867107
Item 3. | If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a: |
(a) | ☐ | Broker or Dealer registered under Section 15 of the Act (15 U.S.C. 78o). | ||
(b) | ☐ | Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c). | ||
(c) | ☐ | Insurance Company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c). | ||
(d) | ☐ | Investment Company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8). | ||
(e) | ☐ | An investment adviser in accordance with § 240.13d-1(b)(1)(ii)(E). |
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(f) | ☐ | An employee benefit plan or endowment fund in accordance with § 240.13d-1(b)(1)(ii)(F). | ||
(g) | ☐ | A parent holding company or control person in accordance with § 240.13d-1(b)(1)(ii)(G). | ||
(h) | ☐ | A savings association as defined in Section 13(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813). | ||
(i) | ☐ | A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3). | ||
(j) | ☐ | A non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J) | ||
(k) | ☐ | Group, in accordance with § 240.13d-1(b)(1)(ii)(K). |
If filing as a non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J), please specify the type of institution: |
Item 4. | Ownership: |
(a) | Amount Beneficially Owned: |
403,183
(b) | Percent of Class: |
4.77%
(c) | Number of shares as to which such person has: |
(i) | sole power to vote or to direct the vote: 403,183 |
(ii) | shared power to vote or to direct the vote: -0- |
(iii) | sole power to dispose or to direct the disposition of: 403,183 |
(iv) | shared power to dispose or to direct the disposition of: -0- |
Item 5. | Ownership of Five Percent or Less of a Class: |
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than 5 percent of the class of securities, check the following [X].
Item 6. | Ownership of More Than Five Percent on Behalf of Another Person: |
Not Applicable
Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company: |
Not Applicable
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Item 8. | Identification and Classification of Members of the Group: |
Not Applicable
Item 9. | Notice of Dissolution of Group: |
Not Applicable
Item 10. | Certification: |
By signing below, I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under §240.14a-11.
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
February 9, 2017 |
(Date) |
/s/ Eric M. Muehlhauser |
(Signature) |
Eric M. Muehlhauser, Trustee of the George L. Mylander Second Restated Voting Trust Agreement dated June 29, 2014, as amended |
(Name and Title) |
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