0001209191-15-011171.txt : 20150210 0001209191-15-011171.hdr.sgml : 20150210 20150210123426 ACCESSION NUMBER: 0001209191-15-011171 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141231 FILED AS OF DATE: 20150210 DATE AS OF CHANGE: 20150210 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: FRIEDLEY BLYTHE A CENTRAL INDEX KEY: 0001078308 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 15592001 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2014-12-31 0 0 0 0000944745 FIRST CITIZENS BANC CORP /OH FCZA 0001078308 FRIEDLEY BLYTHE A 423 WEST MAIN STREET NEW WASHINGTON OH 44854 0 0 0 1 Subsidiary Director Common 2014-12-31 5 J 0 675 0.00 D 14529 I Trusteee on sister's CRUT Trust Common 2014-12-31 5 J 0 675 0.00 A 56332 I Trust Common 11023 I Trusts Common 4766 I TTEE on sister's Trust Depositary Shares 200 I BLYTHE A FRIEDLEY TRUST UAD 2/23/99 End of year - Transferred shares from Arlene M Friedley CRUT, Blythe A Friedley, TTE to Blythe A Friedley Trust, Blythe A Friedley, TTEE /s/ Blythe A Friedley 2015-02-10