0001209191-17-022264.txt : 20170322 0001209191-17-022264.hdr.sgml : 20170322 20170322150900 ACCESSION NUMBER: 0001209191-17-022264 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170320 FILED AS OF DATE: 20170322 DATE AS OF CHANGE: 20170322 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: MCGOOKEY JAMES E CENTRAL INDEX KEY: 0001213312 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 17706557 MAIL ADDRESS: STREET 1: 100 EAST WALTER STREET CITY: SANDUSKY STATE: OH ZIP: 44870 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-03-20 0 0000944745 CIVISTA BANCSHARES, INC. CIVB 0001213312 MCGOOKEY JAMES E 311 46TH STREET SANDUSKY OH 44870 0 1 0 0 Senior Vice President Common 2017-03-20 4 A 0 1059 0.00 A 4816 D Common 985 I IRA Common 1480 D Depositary Shares 1040 D Restricted shares granted from First Citizens Banc Corp's 2014 Incentive Plan are subject to time-based vesting. /s/James E McGookey 2017-03-22