0001209191-15-011178.txt : 20150210 0001209191-15-011178.hdr.sgml : 20150210 20150210130008 ACCESSION NUMBER: 0001209191-15-011178 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: NICKLES ALLEN R CENTRAL INDEX KEY: 0001265669 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 15592196 MAIL ADDRESS: STREET 1: 100 EAST WATER STREET CITY: SANDUSKY STATE: OH ZIP: 44870 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2014-12-31 0 0 0 0000944745 FIRST CITIZENS BANC CORP /OH FCZA 0001265669 NICKLES ALLEN R 3308 E BEVERLY DRIVE SANDUSKY OH 44870 1 0 0 0 Common 2014-12-31 5 J 0 105 0.00 D 895 I Benefit IRA Common 2014-12-31 5 J 0 105 0.00 A 1605 I Spouse Common 94545 I SEP IRA Common 725 I Daughter Depositary Shares 3200 D End of year - shares were transferred from Allen R. Nickles, Benefit IRA to spouse Shares at year-end totaled 91,108 (purchases of 1,000 shares made in Jan & 545 shares in Feb 2015) /s/ Allen R Nickles 2015-02-10