-----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, PzsshH+rbOCwtjFV4+QKo1DhF390oFqIJLpzaaamt2WHC4QKQilYCxRu/QpYJJIV QQ8I18EPUJeGuNx6Wal6pQ== 0001209191-04-055642.txt : 20041202 0001209191-04-055642.hdr.sgml : 20041202 20041202172125 ACCESSION NUMBER: 0001209191-04-055642 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041130 FILED AS OF DATE: 20041202 DATE AS OF CHANGE: 20041202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Depler Thomas A CENTRAL INDEX KEY: 0001308958 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25980 FILM NUMBER: 041181434 BUSINESS ADDRESS: BUSINESS PHONE: 419-625-4121 MAIL ADDRESS: STREET 1: 100 E 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 4 1 bcl10822_bcl2tad.xml MAIN DOCUMENT DESCRIPTION X0202 4 2004-11-30 0000944745 FIRST CITIZENS BANC CORP /OH FCZA 0001308958 Depler Thomas A 61 EDGEWATER DR SHELBY OH 44875 0 0 0 1 Affiliate Director Common 2004-11-30 4 P 0 2674 22.85 A 6763 D Common 2004-11-30 4 P 0 200 22.84 A 6963 D Common 2004-11-30 4 P 0 1502 23.00 A 8465 D Common 2004-12-01 4 P 0 99 22.97 A 8564 D Common 2004-12-01 4 P 0 525 23.00 A 9089 D Common 168.6883 D /s/ Thomas A. Depler 2004-12-02 -----END PRIVACY-ENHANCED MESSAGE-----