0001209191-13-058207.txt : 20131220 0001209191-13-058207.hdr.sgml : 20131220 20131220162803 ACCESSION NUMBER: 0001209191-13-058207 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131219 FILED AS OF DATE: 20131220 DATE AS OF CHANGE: 20131220 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Depler Thomas A CENTRAL INDEX KEY: 0001308958 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 131291868 MAIL ADDRESS: STREET 1: 100 E WATER STREET CITY: SANDUSKY STATE: OH ZIP: 44870 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2013-12-19 0 0000944745 FIRST CITIZENS BANC CORP /OH FCZA 0001308958 Depler Thomas A 61 EDGEWATER DR SHELBY OH 44857 1 0 0 0 Depositary Shares 2013-12-19 4 P 0 1200 30000.00 A 1200 D Depositary Shares 2013-12-19 4 P 0 1200 30000.00 A 2400 D Each Depositary Share represents a 1/40th interest in a share of the Company's 6.50% Series B Preferred Shares. FBO Thomas A Depler SEP IRA #900125014 FBO Thoms A Depler Rollover IRA #900124017 /s/Thomas A Depler 2013-12-20