0001209191-15-011902.txt : 20150211
0001209191-15-011902.hdr.sgml : 20150211
20150211150016
ACCESSION NUMBER: 0001209191-15-011902
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141231
FILED AS OF DATE: 20150211
DATE AS OF CHANGE: 20150211
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: WURM GERALD B
CENTRAL INDEX KEY: 0001193469
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 15599068
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
0001193469
WURM GERALD B
4905 ALBAUGH ROAD
NEW WASHINGTON
OH
44854
0
0
0
1
Subsidiary Director
Common
2014-12-31
5
J
0
564
0.00
D
0
I
Joint w/spouse - daughter #2's Trust
Common
2014-12-31
5
J
0
60.6475
0.00
A
2885.324
I
Trust
Common
2014-12-31
5
J
0
564
0.00
D
448.4973
I
Joint w/spouse - daughter #1's Trust
Common
2014-12-31
5
J
0
21.737
0.00
A
470.2343
I
Joint w/spouse - daughter #1's Trust
Common
2550
I
Grandson #1 Trust
Common
550
I
Grandson #2 Trust
Common
46769
I
Trust
Depositary Shares
9000
I
Gerald B Wurm Trust UAD 2/26/99
Common
5000
I
Mary L. Wurm Trust
End of year - reporting person no longer reports as beneficially owned any securities owned by daughter.
End of year - common shares acquired on company dividend reinvestment feature.
/s/Gerald B Wurm
2015-02-11