-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, T79huIK9vEpb5MtLs7nKqFLogGsXUvgoUjDNmkh2762rPb5XG+fTNIpNH/fs6zdh ZqYy8ddHckAQGvVJ7DUOAA== 0001209191-04-024652.txt : 20040510 0001209191-04-024652.hdr.sgml : 20040510 20040510145350 ACCESSION NUMBER: 0001209191-04-024652 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040420 FILED AS OF DATE: 20040510 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOFFMAN H LOWELL CENTRAL INDEX KEY: 0001193430 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25980 FILM NUMBER: 04792543 MAIL ADDRESS: STREET 1: 100 EAST WATER STREET CITY: SANDUSKY STATE: OH ZIP: 44870 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST CITIZENS BANC CORP /OH CENTRAL INDEX KEY: 0000944745 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 341558688 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 EAST WATER ST STREET 2: P O BOX 5016 CITY: SANDUSKY STATE: OH ZIP: 44870 BUSINESS PHONE: 4196254121 MAIL ADDRESS: STREET 1: 100 EAST WATER ST STREET 2: P O BOX 5016 CITY: SANDUSKY STATE: OH ZIP: 44870 5 1 bcl07561_bclhlh.xml MAIN DOCUMENT DESCRIPTION X0202 5 2004-04-20 1 0 0 0000944745 FIRST CITIZENS BANC CORP /OH FCZA 0001193430 HOFFMAN H LOWELL 311 MARSHALL AVE. SANDUSKY OH 44870 1 0 0 0 Common 22400 I IRA/Trust Common 800 D No longer a director /s/ H. Lowell Hoffman 2004-05-10 -----END PRIVACY-ENHANCED MESSAGE-----