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