0001209191-17-033005.txt : 20170517 0001209191-17-033005.hdr.sgml : 20170517 20170517151142 ACCESSION NUMBER: 0001209191-17-033005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170516 FILED AS OF DATE: 20170517 DATE AS OF CHANGE: 20170517 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: Bacon John O CENTRAL INDEX KEY: 0001324887 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 17851198 MAIL ADDRESS: STREET 1: 100 E WATER STREET CITY: SANDUSKY STATE: OH ZIP: 44870 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-05-16 0 0000944745 CIVISTA BANCSHARES, INC. CIVB 0001324887 Bacon John O P.O. BOX 574 SANDUSKY OH 44870 0 0 0 1 Subsidiary Director Common 2017-05-16 4 A 0 567 0.00 A 1722 D Common 6981 I Trust Common 1290 I IRA Common 1784 I Co-Trustee of Deceased Father's Trust Restricted shares granted from First Citizens Banc Corp's 2014 Incentive Plan are subject to time-based vesting. /s/John O Bacon 2017-05-17