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