0001209191-15-011415.txt : 20150210 0001209191-15-011415.hdr.sgml : 20150210 20150210165045 ACCESSION NUMBER: 0001209191-15-011415 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: HECKELMAN JAMES D CENTRAL INDEX KEY: 0001193427 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 15594491 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 0001193427 HECKELMAN JAMES D 4694 OLD STATE ROAD NORWALK OH 44857 0 0 0 1 Director Emeritus Common 2014-12-31 5 J 0 57.464 0.00 A 2733.929 I Spouse IRA Common 2014-12-31 5 J 0 57.464 0.00 A 2733.929 I IRA Common 9518 I Spouse Common 9517 D Depositary Shares 2500 I James D Heckelman Trust UAD 6/1/06 Depositary Shares 2500 I Margaret F Heckelman Trust UAD 6/1/06 End of year - common shares acquired on company dividend reinvestment feature. /s/James D Heckelman 2015-02-10