0001209191-13-058788.txt : 20131230 0001209191-13-058788.hdr.sgml : 20131230 20131230130904 ACCESSION NUMBER: 0001209191-13-058788 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131219 FILED AS OF DATE: 20131230 DATE AS OF CHANGE: 20131230 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: WURM GERALD B CENTRAL INDEX KEY: 0001193469 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 131302198 MAIL ADDRESS: STREET 1: 100 EAST WATER STREET CITY: SANDUSKY STATE: OH ZIP: 44870 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2013-12-19 2013-12-20 0 0000944745 FIRST CITIZENS BANC CORP /OH FCZA 0001193469 WURM GERALD B 4905 ALBAUGH ROAD NEW WASHINGTON OH 44854 1 0 0 0 Depositary Shares 2013-12-19 4 P 0 9000 25.00 A 9000 I Gerald B Wurm Trust UAD 2/26/99 Input total amount of purchase, should be purchase price per share. /s/ Gerald B Wurm 2013-12-30