0001209191-12-010354.txt : 20120215 0001209191-12-010354.hdr.sgml : 20120215 20120215132227 ACCESSION NUMBER: 0001209191-12-010354 CONFORMED SUBMISSION TYPE: 5/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20120215 DATE AS OF CHANGE: 20120215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MICHEL TODD A CENTRAL INDEX KEY: 0001193438 FILING VALUES: FORM TYPE: 5/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-25980 FILM NUMBER: 12615244 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 5/A 1 doc5a.xml FORM 5/A SUBMISSION X0304 5/A 2011-12-31 2012-02-15 0 0 0 0000944745 FIRST CITIZENS BANC CORP /OH FCZA 0001193438 MICHEL TODD A 9307 BARROWS ROAD HURON OH 44839 0 1 0 0 Senior VP Common 22.9938 D Catch up filing of DRIP shares acquired as of 12/31/2011 The only change made on this Form 5A was the Total Shares were a result of DRIP for the year 2011. The previous Form 5 (also submitted today) stated the DRIP was for 2009. /s/Todd A Michel 2012-02-15