0001209191-17-015093.txt : 20170228
0001209191-17-015093.hdr.sgml : 20170228
20170228120533
ACCESSION NUMBER: 0001209191-17-015093
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170228
FILED AS OF DATE: 20170228
DATE AS OF CHANGE: 20170228
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: Betts John A
CENTRAL INDEX KEY: 0001566871
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 17645648
MAIL ADDRESS:
STREET 1: 7 OAKFIELD DRIVE
CITY: MILAN
STATE: OH
ZIP: 44846
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-02-28
0
0000944745
CIVISTA BANCSHARES, INC.
CIVB
0001566871
Betts John A
7 OAKFIELD DRIVE
MILAN
OH
44846
0
1
0
0
Senior Vice President
Common
2017-02-28
4
P
0
650
22.50
A
1284
D
Common
250
D
Common
1538
D
Depositary Shares
400
I
IRA
/s/John A Betts
2017-02-28