0001209191-12-038437.txt : 20120718
0001209191-12-038437.hdr.sgml : 20120718
20120718123520
ACCESSION NUMBER: 0001209191-12-038437
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121231
FILED AS OF DATE: 20120718
DATE AS OF CHANGE: 20120718
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BETTCHER LAURENCE A
CENTRAL INDEX KEY: 0001193413
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25980
FILM NUMBER: 12967366
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
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2012-12-31
1
0
0
0000944745
FIRST CITIZENS BANC CORP /OH
FCZA
0001193413
BETTCHER LAURENCE A
415 NEWPORT DR
HURON
OH
44839
1
0
0
0
Common
14600
D
Common
950
D
Common
799
I
Spouse
This filing is to remove Laurence A Bettcher from First Citizens Banc Corp (FCZA) Insider list. He is no longer a director.
/s/Laurence A Bettcher
2012-07-18