0001209191-11-030618.txt : 20110524
0001209191-11-030618.hdr.sgml : 20110524
20110524113959
ACCESSION NUMBER: 0001209191-11-030618
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110523
FILED AS OF DATE: 20110524
DATE AS OF CHANGE: 20110524
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NICKLES ALLEN R
CENTRAL INDEX KEY: 0001265669
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25980
FILM NUMBER: 11867251
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0303
4
2011-05-23
0
0000944745
FIRST CITIZENS BANC CORP /OH
FCZA
0001265669
NICKLES ALLEN R
3308 E BEVERLY DRIVE
SANDUSKY
OH
44870
1
0
0
0
Common
2011-05-23
4
P
0
37963
4.00
A
48363
D
Common
1100
I
Spouse
Common
625
I
Daughter
2 accounts (1,000 in one acct and remainder in other)
A. Nickles no longer custodian on acct. - daughter still resides in household
/s/Allen R Nickles
2011-05-24