0001209191-17-033062.txt : 20170517
0001209191-17-033062.hdr.sgml : 20170517
20170517162059
ACCESSION NUMBER: 0001209191-17-033062
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: Maurice Allen R
CENTRAL INDEX KEY: 0001421684
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 17851657
MAIL ADDRESS:
STREET 1: 1568 WINDING WAY
CITY: URBANA
STATE: OH
ZIP: 43078
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-05-16
0
0000944745
CIVISTA BANCSHARES, INC.
CIVB
0001421684
Maurice Allen R
1568 WINDING WAY
URBANA
OH
43078
1
0
0
0
Common
2017-05-16
4
A
0
567
0.00
A
3363
D
Common
56840
I
IRA
Common
450
I
Spouse
Depositary Shares
4000
I
Susan C Maurice
Stock award granted from First Citizens Banc Corp's 2014 Incentive Plan
/s/Allen R Maurice
2017-05-17