0001209191-17-033024.txt : 20170517 0001209191-17-033024.hdr.sgml : 20170517 20170517153955 ACCESSION NUMBER: 0001209191-17-033024 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: Depler Thomas A CENTRAL INDEX KEY: 0001308958 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 17851301 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 0001308958 Depler Thomas A 61 EDGEWATER DR SHELBY OH 44875 1 0 0 0 Common 2017-05-16 4 A 0 567 0.00 A 1722 D Common 9168 I Co-trusteee of brother's trust Common 8792 D Depositary Shares 2400 I IRA Stock award granted from First Citizens Banc Corp's 2014 Incentive Plan /s/Thomas R Depler 2017-05-17