0001209191-12-040457.txt : 20120806
0001209191-12-040457.hdr.sgml : 20120806
20120806161720
ACCESSION NUMBER: 0001209191-12-040457
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120806
FILED AS OF DATE: 20120806
DATE AS OF CHANGE: 20120806
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NICKLES ALLEN R
CENTRAL INDEX KEY: 0001265669
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25980
FILM NUMBER: 121010029
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2012-08-06
0
0000944745
FIRST CITIZENS BANC CORP /OH
FCZA
0001265669
NICKLES ALLEN R
3308 E BEVERLY DRIVE
SANDUSKY
OH
44870
1
0
0
0
Common
2012-08-06
4
P
0
1000
4.35
A
60063
D
Common
1400
D
Common
725
I
Daughter
Common
1100
I
Spouse
SEP IRA
Benefit IRA
/s/Allen R Nickles
2012-08-06