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