0001209191-17-033042.txt : 20170517
0001209191-17-033042.hdr.sgml : 20170517
20170517161204
ACCESSION NUMBER: 0001209191-17-033042
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: FRIEDLEY BLYTHE A
CENTRAL INDEX KEY: 0001078308
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 17851487
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-05-16
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
2017-01-30
4
J
0
465
0.00
D
13334
I
Trusteee on Arlene M. Friedley CRUT Trust
Common
2017-01-30
4
J
0
465
0.00
A
57527
I
Trust
Common
2017-05-16
4
A
0
567
0.00
A
1722
D
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
Transferred shares from CRUT account to Trust account.
Stock award granted from First Citizens Banc Corp's 2014 Incentive Plan
/s/Blythe A Friedley
2017-05-17