-----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, LWifLaiBO7pKipC7GLY+cRqRYjZbnMjPcL0FpKl9j6kZhQSLcawabQ/pg7DhSC2r xGVXUIus9ket9soNfw4mQA== 0001209191-05-012787.txt : 20050301 0001209191-05-012787.hdr.sgml : 20050301 20050301141037 ACCESSION NUMBER: 0001209191-05-012787 CONFORMED SUBMISSION TYPE: 5/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021201 FILED AS OF DATE: 20050301 DATE AS OF CHANGE: 20050301 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WURM GERALD B CENTRAL INDEX KEY: 0001193469 FILING VALUES: FORM TYPE: 5/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-25980 FILM NUMBER: 05649401 MAIL ADDRESS: STREET 1: 100 EAST WATER STREET CITY: SANDUSKY STATE: OH ZIP: 44870 5/A 1 bcl12491_bcl1gbw.xml MAIN DOCUMENT DESCRIPTION X0202 5/A 2002-12-01 2002-12-01 0 0 0000944745 FIRST CITIZENS BANC CORP /OH FCZA 0001193469 WURM GERALD B 4905 ALBOUGH ROAD NEW WASHINGTON OH 44854 0 0 0 1 Affiliate Director Common 3555.1078 D Common 736.6461 I Joint w/spouse & daughter Common 564. I Joint w/spouse & daughter Updated account - Difference from last reporting due to Dividend Reinvestment Updated account - Difference from last reporting due to Dividend Reinvestment December 2002 Insider reported this stock "Disposed of". However, his name is still on stock w/daughter's & address is the same /s/ Gerald B Wurm 2005-03-01 -----END PRIVACY-ENHANCED MESSAGE-----