0001209191-18-024581.txt : 20180411 0001209191-18-024581.hdr.sgml : 20180411 20180411090308 ACCESSION NUMBER: 0001209191-18-024581 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180410 FILED AS OF DATE: 20180411 DATE AS OF CHANGE: 20180411 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Betts John A CENTRAL INDEX KEY: 0001566871 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 18749203 MAIL ADDRESS: STREET 1: 7 OAKFIELD DRIVE CITY: MILAN STATE: OH ZIP: 44846 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-04-10 0 0000944745 CIVISTA BANCSHARES, INC. CIVB 0001566871 Betts John A 7 OAKFIELD DRIVE MILAN OH 44846 0 1 0 0 Senior Vice President Common 2018-04-10 4 A 0 505 0.00 A 2591.67 D Common 1284 D Common 250 D Depositary Shares 400 I IRA Restricted shares granted from Civista Bancshares Inc's 2017 Incentive Plan are subject to time-based vesting. /s/John A Betts 2018-04-11