0001209191-16-115477.txt : 20160425 0001209191-16-115477.hdr.sgml : 20160425 20160425150205 ACCESSION NUMBER: 0001209191-16-115477 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160425 FILED AS OF DATE: 20160425 DATE AS OF CHANGE: 20160425 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: Stark Paul J CENTRAL INDEX KEY: 0001464773 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 161588795 MAIL ADDRESS: STREET 1: 101 E GRAND RIVER STREET 2: P O BOX 800 CITY: HOWELL STATE: MI ZIP: 48844-0800 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-04-25 0 0000944745 CIVISTA BANCSHARES, INC. CIVB 0001464773 Stark Paul J 29224 REGENCY CIRCLE WESTLAKE OH 44145-6701 0 1 0 0 Senior Vice President Common 2016-04-25 4 A 0 782 0.00 A 1652 D Common 4100 I Trust Depositary Shares 600 D Restricted shares granted from First Citizens Banc Corp's 2014 Incentive Plan are subject to time-based vesting. /s/Paul J Stark 2016-04-25