-----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, WJ+Vbf1oS6EG6Lvkk32WMgFO1yzvomC6obv6lkPhQwHjO4vkpOfRIPQHNc5DhHEV ZQFgrsfs18fs5ZeIS+eskw== 0001209191-05-005979.txt : 20050201 0001209191-05-005979.hdr.sgml : 20050201 20050201163910 ACCESSION NUMBER: 0001209191-05-005979 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041008 FILED AS OF DATE: 20050201 DATE AS OF CHANGE: 20050201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Williams J George CENTRAL INDEX KEY: 0001310755 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-25980 FILM NUMBER: 05566269 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 3/A 1 bcl11776_bcl1jgw.xml MAIN DOCUMENT DESCRIPTION X0202 3/A 2004-10-08 2004-12-07 0 0000944745 FIRST CITIZENS BANC CORP /OH FCZA 0001310755 Williams J George 2771 TAYLORTOWN RD SHELBY OH 44875-8636 1 0 0 0 Common 33722 D Common 1150 I Spouse Common 1446 D Holdings previously reported Holdings previously reported IRA - Insider unaware this needed to be reported /s/ J George Williams 2005-01-31 -----END PRIVACY-ENHANCED MESSAGE-----