0001209191-12-041617.txt : 20120814
0001209191-12-041617.hdr.sgml : 20120814
20120814164006
ACCESSION NUMBER: 0001209191-12-041617
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120813
FILED AS OF DATE: 20120814
DATE AS OF CHANGE: 20120814
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WURM GERALD B
CENTRAL INDEX KEY: 0001193469
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25980
FILM NUMBER: 121033632
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
2012-08-13
0
0000944745
FIRST CITIZENS BANC CORP /OH
FCZA
0001193469
WURM GERALD B
4905 ALBAUGH ROAD
NEW WASHINGTON
OH
44854
1
0
0
0
Common
2012-08-13
4
P
0
611
5.77
A
39380
D
Common
2735.4438
D
Common
980.5107
I
Daughter #1's Trust
Common
564
I
Daughter #2's Trust
Common
550
I
Grandson #1
Common
550
I
Grandson #2
/s/Garld B Wurm
2012-08-14