-----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, FmlBl4mFNG07YScAiZq5543E6MFo8grIUc1jljTnvZWPElir27aF345uTNWMsVPJ wjaQV5jWNWuVLSQpEduLjg== 0001209191-05-026716.txt : 20050518 0001209191-05-026716.hdr.sgml : 20050518 20050518163254 ACCESSION NUMBER: 0001209191-05-026716 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050517 FILED AS OF DATE: 20050518 DATE AS OF CHANGE: 20050518 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25980 FILM NUMBER: 05842089 MAIL ADDRESS: STREET 1: 100 EAST WATER STREET CITY: SANDUSKY STATE: OH ZIP: 44870 4 1 bcl14075_bcl1gbw.xml MAIN DOCUMENT DESCRIPTION X0202 4 2005-05-17 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 2005-05-17 4 P 0 2000 20.50 A 5579.6988 D Common 745.4606 I Joint w/spouse & daughter Common 564. I Joint w/spouse & daughter Updated account - Difference due to Dividend Reinvestment Updated account - Difference due to Dividend Reinvestment /s/ Gerald B Wurm 2005-05-17 -----END PRIVACY-ENHANCED MESSAGE-----