-----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, O29HSAqTQPKN+19boDf3EkAVo/VBXoxQskVjpqJLbHLpYPXdqjvBgX9JG604UjCu BUJk4Bk+9H5vz1GVh+88Aw== 0001209191-05-052533.txt : 20051017 0001209191-05-052533.hdr.sgml : 20051017 20051017125533 ACCESSION NUMBER: 0001209191-05-052533 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051017 FILED AS OF DATE: 20051017 DATE AS OF CHANGE: 20051017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROBEY DOROTHY L CENTRAL INDEX KEY: 0001193455 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25980 FILM NUMBER: 051140505 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 bcl16437_bcl1dlr.xml MAIN DOCUMENT DESCRIPTION X0202 5 2005-10-17 1 0 0 0000944745 FIRST CITIZENS BANC CORP /OH FCZA 0001193455 ROBEY DOROTHY L 459 WASHINGTON ST NEW WASHINGTON OH 44854 0 0 0 1 Affiliate Director Common 56000 D As a result of a merger on 10/17/2005 Mrs. Robey is no longer a director or insider of FCBC /s/ Dorothy L Robey 2005-10-17 -----END PRIVACY-ENHANCED MESSAGE-----