0001209191-12-026861.txt : 20120509 0001209191-12-026861.hdr.sgml : 20120509 20120509122640 ACCESSION NUMBER: 0001209191-12-026861 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120503 FILED AS OF DATE: 20120509 DATE AS OF CHANGE: 20120509 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WHITE DANIEL J CENTRAL INDEX KEY: 0001196384 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25980 FILM NUMBER: 12824630 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 X0305 4 2012-05-03 0 0000944745 FIRST CITIZENS BANC CORP /OH FCZA 0001196384 WHITE DANIEL J 38 EAGLE CREEK DRIVE NORWALK OH 44857 1 0 0 0 Common 2012-05-03 4 P 0 166 6.98 A 819.9556 D Common 780.2198 D Difference due to DRIP shares acquired /s/Daniel J White 2012-05-09