0001209191-16-092558.txt : 20160120 0001209191-16-092558.hdr.sgml : 20160120 20160120161631 ACCESSION NUMBER: 0001209191-16-092558 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160119 FILED AS OF DATE: 20160120 DATE AS OF CHANGE: 20160120 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: Depler Thomas A CENTRAL INDEX KEY: 0001308958 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 161351179 MAIL ADDRESS: STREET 1: 100 E WATER STREET CITY: SANDUSKY STATE: OH ZIP: 44870 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-01-19 0 0000944745 CIVISTA BANCSHARES, INC. CIVB 0001308958 Depler Thomas A 61 EDGEWATER DR SHELBY OH 44857 1 0 0 0 Common 2016-01-19 4 A 0 210 0.00 A 210 D Common 9168 I Co-trusteee of Father's Trust Common 12401 I Trust Common 393 D Depositary Shares 2400 D Stock award granted from First Citizens Banc Corp's 2014 Incentive Plan /s/Thomas A Depler 2016-01-20