-----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, B8m1OopdU6RnobhRz4oriDDi8N0pxY7GoqYizk2M6/rzLFTk4tcGAtvtYumRio01 3ZaXHw03xndhZWjZ4biwjw== 0001209191-05-052540.txt : 20051017 0001209191-05-052540.hdr.sgml : 20051017 20051017130408 ACCESSION NUMBER: 0001209191-05-052540 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: GUERRA ANTHONY S CENTRAL INDEX KEY: 0001193425 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25980 FILM NUMBER: 051140525 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 bcl16429_bcl1asg.xml MAIN DOCUMENT DESCRIPTION X0202 5 2005-10-17 1 0 0 0000944745 FIRST CITIZENS BANC CORP /OH FCZA 0001193425 GUERRA ANTHONY S 3503 ANN DRIVE SANDUSKY OH 44870 0 0 0 1 Affiliate Director Common 2326 I Spouse Common 6901 D As the result of a merger on 10/17/2005 Mr. Guerra is no longer a director or insider of FCBC /s/ Anthony S Guerra 2005-10-17 -----END PRIVACY-ENHANCED MESSAGE-----