0001209191-11-024108.txt : 20110422 0001209191-11-024108.hdr.sgml : 20110422 20110422150139 ACCESSION NUMBER: 0001209191-11-024108 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20110422 DATE AS OF CHANGE: 20110422 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Weidrick Richard A CENTRAL INDEX KEY: 0001421683 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25980 FILM NUMBER: 11775632 MAIL ADDRESS: STREET 1: 826 TOP O HILL DRIVE CITY: AKRON STATE: OH ZIP: 44333 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 doc5.xml FORM 5 SUBMISSION X0303 5 2011-12-31 1 0 0 0000944745 FIRST CITIZENS BANC CORP /OH FCZA 0001421683 Weidrick Richard A 826 TOP O HILL DRIVE AKRON OH 44333 1 0 0 0 Common 117 I Daughter Common 117 I Son /s/ Richard A Weidrick 2011-04-22