0001209191-13-058261.txt : 20131220
0001209191-13-058261.hdr.sgml : 20131220
20131220172736
ACCESSION NUMBER: 0001209191-13-058261
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: Shaffer Dennis G
CENTRAL INDEX KEY: 0001509681
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 131292556
MAIL ADDRESS:
STREET 1: 2606 OPEN BAY COURT
CITY: GALENA
STATE: OH
ZIP: 43021
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2013-12-19
0
0000944745
FIRST CITIZENS BANC CORP /OH
FCZA
0001509681
Shaffer Dennis G
2606 OPEN BAY COURT
GALENA
OH
43021
0
1
0
0
Sr VP Commercial Lender
Depositary Shares
2013-12-19
4
P
0
400
10000.00
A
400
D
Each Depositary Share represents a 1/40th interest in a share of the Company's 6.50% Series B Preferred Shares.
FBO Dennis G Shaffer IRA #900159013 c/o Citizens Trust
/s/Dennis G Shaffer
2013-12-19