0001209191-15-067036.txt : 20150820
0001209191-15-067036.hdr.sgml : 20150820
20150820103110
ACCESSION NUMBER: 0001209191-15-067036
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150818
FILED AS OF DATE: 20150820
DATE AS OF CHANGE: 20150820
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CIVISTA BANCSHARES, INC.
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
FORMER COMPANY:
FORMER CONFORMED NAME: FIRST CITIZENS BANC CORP /OH
DATE OF NAME CHANGE: 19950502
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WURM GERALD B
CENTRAL INDEX KEY: 0001193469
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 151065579
MAIL ADDRESS:
STREET 1: 100 EAST WATER STREET
CITY: SANDUSKY
STATE: OH
ZIP: 44870
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-08-18
0
0000944745
CIVISTA BANCSHARES, INC.
CIVB
0001193469
WURM GERALD B
4905 ALBAUGH ROAD
NEW WASHINGTON
OH
44854
0
0
0
1
Subsidiary Director
Common
2015-08-18
4
P
0
305
10.26
A
9457
I
Mary L. Wurm Trust
Common
2015-08-19
4
P
0
199
10.26
A
9656
I
Mary L. Wurm Trust
Common
2550
I
Grandson #1 Trust
Common
550
I
Grandson #2 Trust
Common
2926.15
I
Trust
Common
51061
I
Trust
Depositary Shares
9000
I
Gerald B Wurm Trust UAD 2/26/99
/s/Gerald B Wurm
2015-08-20