0001209191-11-029649.txt : 20110519 0001209191-11-029649.hdr.sgml : 20110519 20110519141843 ACCESSION NUMBER: 0001209191-11-029649 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110519 FILED AS OF DATE: 20110519 DATE AS OF CHANGE: 20110519 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MCGOOKEY JAMES E CENTRAL INDEX KEY: 0001213312 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25980 FILM NUMBER: 11857417 MAIL ADDRESS: STREET 1: 100 EAST WALTER 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 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2011-05-19 0 0000944745 FIRST CITIZENS BANC CORP /OH FCZA 0001213312 MCGOOKEY JAMES E 311 46TH STREET SANDUSKY OH 44870 0 1 0 0 Senior Vice President Common 2011-05-19 4 P 0 500 4.08 A 850 D Common 985 D Joint w/spouse /s/James E McGookey 2011-05-19