0001209191-11-048371.txt : 20110919
0001209191-11-048371.hdr.sgml : 20110919
20110919163802
ACCESSION NUMBER: 0001209191-11-048371
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110503
FILED AS OF DATE: 20110919
DATE AS OF CHANGE: 20110919
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Close Michael J
CENTRAL INDEX KEY: 0001519755
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25980
FILM NUMBER: 111097639
MAIL ADDRESS:
STREET 1: 4951 WINDSOR PARK
CITY: SARASOTA
STATE: FL
ZIP: 34235
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/A
1
doc4a.xml
FORM 4/A SUBMISSION
X0304
4/A
2011-05-03
2011-05-03
0
0000944745
FIRST CITIZENS BANC CORP /OH
FCZA
0001519755
Close Michael J
4951 WINDSOR PARK
SARASOTA
FL
34235
1
0
0
0
Common
5200
I
Adult Daughter's account - spouse is Trustee
Common
34917
D
Common
12297
D
Common
3800
I
Spouse
Common
72240
I
Mary Lee G Close Trust
Common
49083
I
Mary Lee G Close Dec Trust
Common
16475
I
NLS Asset Mgmt Corp Defined Plan
Common
7000
I
NLS Asset Mgmt Corp 401K
We were not aware at initial filing that Nancy Close (spouse) was a Trustee on this account. This 4A was done to bring accounts up to date. A form 3A was also filed on this date to bring initial filing up to date.
/s/Michael J Close
2011-09-19