0001209191-12-012360.txt : 20120223
0001209191-12-012360.hdr.sgml : 20120223
20120223115645
ACCESSION NUMBER: 0001209191-12-012360
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111231
FILED AS OF DATE: 20120223
DATE AS OF CHANGE: 20120223
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WHITE DANIEL J
CENTRAL INDEX KEY: 0001196384
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25980
FILM NUMBER: 12632736
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
1
doc5.xml
FORM 5 SUBMISSION
X0304
5
2011-12-31
0
0
0
0000944745
FIRST CITIZENS BANC CORP /OH
FCZA
0001196384
WHITE DANIEL J
38 EAGLE CREEK DRIVE
NORWALK
OH
44857
1
0
0
0
Common
775.3854
D
Common
646.8638
D
Catch up filing of DRIP shares acquired as of 12/31/2011
/s/Daniel J White
2012-02-23