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