0001209191-11-061230.txt : 20111214 0001209191-11-061230.hdr.sgml : 20111214 20111214150708 ACCESSION NUMBER: 0001209191-11-061230 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111212 FILED AS OF DATE: 20111214 DATE AS OF CHANGE: 20111214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FRIEDLEY BLYTHE A CENTRAL INDEX KEY: 0001078308 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25980 FILM NUMBER: 111260845 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 X0304 4 2011-12-12 0 0000944745 FIRST CITIZENS BANC CORP /OH FCZA 0001078308 FRIEDLEY BLYTHE A 423 WEST MAIN STREET NEW WASHINGTON OH 44854 1 0 0 0 Common 2010-12-15 4 J 0 1300 0.00 D 15752 I Arlene M Friedley CRUT/Blythe A Friedley TTEE Common 2010-12-15 4 J 0 1300 0.00 A 55109 D Common 11023 D Common 4766 I Arlene M Friedley Trust/fbo Blythe A Friedley TTEE Transaction from this Trust to another Trust, each benefiting the insider Transaction to this Trust from another Trust, each benefiting the Insider /s/Blythe A Friedley 2011-12-14