-----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, Hlyut4AcnTeRKpCAWZmBvnGBiijndJZCtXCF6ZfKFDZf6s9iOh1R2ODkee+P7kdX Vl93iZmpKuwljTbks93gZA== 0001209191-05-042899.txt : 20050816 0001209191-05-042899.hdr.sgml : 20050816 20050816153734 ACCESSION NUMBER: 0001209191-05-042899 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050805 FILED AS OF DATE: 20050816 DATE AS OF CHANGE: 20050816 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STAUFFER JOHN F CENTRAL INDEX KEY: 0001193459 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25980 FILM NUMBER: 051030689 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 bcl15659_bcl1jfs.xml MAIN DOCUMENT DESCRIPTION X0202 5 2005-08-05 1 0 0 0000944745 FIRST CITIZENS BANC CORP /OH FCZA 0001193459 STAUFFER JOHN F 1131 ERIE BLVD SANDUSKY OH 44870 0 0 0 1 Affiliate Director Common 271.8705 D As of 8-5-2005 Mr. Stauffer is no longer with the company /s/ John F Stauffer 2005-08-15 -----END PRIVACY-ENHANCED MESSAGE-----