0001209191-16-096311.txt : 20160208
0001209191-16-096311.hdr.sgml : 20160208
20160208143346
ACCESSION NUMBER: 0001209191-16-096311
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151231
FILED AS OF DATE: 20160208
DATE AS OF CHANGE: 20160208
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: HECKELMAN JAMES D
CENTRAL INDEX KEY: 0001193427
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 161395298
MAIL ADDRESS:
STREET 1: 100 EAST WATER STREET
CITY: SANDUSKY
STATE: OH
ZIP: 44870
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2015-12-31
0
0
0
0000944745
CIVISTA BANCSHARES, INC.
CIVB
0001193427
HECKELMAN JAMES D
4694 OLD STATE ROAD
NORWALK
OH
44857
0
0
0
1
Director Emeritus
Common
2015-12-31
5
J
0
51.539
0.00
A
2785.468
I
IRA
Common
2015-12-31
5
J
0
51.539
0.00
A
2785.468
I
Spouse IRA
Common
9518
I
Spouse
Common
9517
D
Depositary Shares
2500
I
James D Heckelman Trust UAD 6/1/06
Depositary Shares
2500
I
Margaret F Heckelman Trust UAD 6/1/06
End of year - common shares acquired on company dividend reinvestment feature.
/s/James D Heckelman
2016-02-08