0001209191-15-011367.txt : 20150210
0001209191-15-011367.hdr.sgml : 20150210
20150210162143
ACCESSION NUMBER: 0001209191-15-011367
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: Boerger Barry W
CENTRAL INDEX KEY: 0001421685
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 15594155
MAIL ADDRESS:
STREET 1: 12175 URBANNA WOODSTOCK PK
CITY: MILFORD CENTER
STATE: OH
ZIP: 43045
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2014-12-31
0
0
0
0000944745
FIRST CITIZENS BANC CORP /OH
FCZA
0001421685
Boerger Barry W
12175 URBANNA WOODSTOCK PK
MILFORD CENTER
OH
43045
0
0
0
1
Subsidiary Director
Common
2014-12-31
5
J
0
1773
0.00
D
0
I
Spouse's Trust
Common
1774
I
Trusts
Common
6526
I
SEP IRA
End of year - The reporting person no longer reports as beneficially owned any securities owned by his ex-wife.
/s/Barry W Boerger
2015-02-10