0001209191-18-051971.txt : 20180921
0001209191-18-051971.hdr.sgml : 20180921
20180921180321
ACCESSION NUMBER: 0001209191-18-051971
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180914
FILED AS OF DATE: 20180921
DATE AS OF CHANGE: 20180921
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: McLaughlin W Michael
CENTRAL INDEX KEY: 0001351859
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 181082346
MAIL ADDRESS:
STREET 1: 18543 RUNNING DEER LANE
CITY: LAWRENCEBURG
STATE: IN
ZIP: 47025
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
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2018-09-14
0
0000944745
CIVISTA BANCSHARES, INC.
CIVB
0001351859
McLaughlin W Michael
18543 RUNNING DEER LANE
LAWRENCEBURG
IN
47025
0
0
0
1
Senior Vice President
Common
12923
D
Common
2611
I
Spouse IRA
Represents number of Civista Bancshares, Inc. shares into which shares of former company were converted upon completion of the merger on September 14, 2018.
/s/W Michael McLaughlin
2018-09-21