0001209191-16-121161.txt : 20160518 0001209191-16-121161.hdr.sgml : 20160518 20160518114907 ACCESSION NUMBER: 0001209191-16-121161 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160517 FILED AS OF DATE: 20160518 DATE AS OF CHANGE: 20160518 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: FRIEDLEY BLYTHE A CENTRAL INDEX KEY: 0001078308 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 161659867 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-05-17 0 0000944745 CIVISTA BANCSHARES, INC. CIVB 0001078308 FRIEDLEY BLYTHE A 423 WEST MAIN STREET NEW WASHINGTON OH 44854 0 0 0 1 Subsidiary Director Common 2016-05-17 4 A 0 945 0.00 A 1155 D Common 13799 I Trusteee on Arlene M. Friedley CRUT Trust Common 57062 I Trust Common 11023 I Trusts Common 4766 I TTEE on Arlene M. Friedley Trust Depositary Shares 200 I BLYTHE A FRIEDLEY TRUST UAD 2/23/99 Stock award granted from First Citizens Banc Corp's 2014 Incentive Plan /s/ Blythe A Friedley 2016-05-18