0001209191-15-067945.txt : 20150826 0001209191-15-067945.hdr.sgml : 20150826 20150826141812 ACCESSION NUMBER: 0001209191-15-067945 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150826 FILED AS OF DATE: 20150826 DATE AS OF CHANGE: 20150826 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: MILLER JAMES O CENTRAL INDEX KEY: 0001193441 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 151075596 MAIL ADDRESS: STREET 1: 100 EAST WATER STREET CITY: SANDUSKY STATE: OH ZIP: 44870 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-08-26 0 0000944745 CIVISTA BANCSHARES, INC. CIVB 0001193441 MILLER JAMES O 3922 DEERPATH DRIVE SANDUSKY OH 44870 1 1 0 0 President and CEO Common 2015-08-26 4 P 0 1000 10.044 A 2000 D Common 4240 I IRA Common 3800 I Spouse IRA Common 240 I Daughter #1 Common 240 I Daughter #2 Common 3439 D \s\ James O Miller 2015-08-26