0001209191-12-036055.txt : 20120702 0001209191-12-036055.hdr.sgml : 20120702 20120702141118 ACCESSION NUMBER: 0001209191-12-036055 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120628 FILED AS OF DATE: 20120702 DATE AS OF CHANGE: 20120702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Close Michael J CENTRAL INDEX KEY: 0001519755 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25980 FILM NUMBER: 12939768 MAIL ADDRESS: STREET 1: 4951 WINDSOR PARK CITY: SARASOTA STATE: FL ZIP: 34235 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 X0306 4 2012-06-28 0 0000944745 FIRST CITIZENS BANC CORP /OH FCZA 0001519755 Close Michael J 4951 WINDSOR PARK SARASOTA FL 34235 1 0 0 0 Preferred 2012-06-28 4 P 0 570 906.00 A 570 D Michael J. Close 2012-07-02