0001209191-18-062642.txt : 20181214 0001209191-18-062642.hdr.sgml : 20181214 20181214142841 ACCESSION NUMBER: 0001209191-18-062642 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181213 FILED AS OF DATE: 20181214 DATE AS OF CHANGE: 20181214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILLER JAMES O CENTRAL INDEX KEY: 0001193441 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 181235335 MAIL ADDRESS: STREET 1: 100 EAST WATER STREET CITY: SANDUSKY STATE: OH ZIP: 44870 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 2018-12-13 0 0000944745 CIVISTA BANCSHARES, INC. CIVB 0001193441 MILLER JAMES O 3922 DEERPATH DRIVE SANDUSKY OH 44870 1 0 0 1 Chairman of the Board Common 2018-12-13 4 G 0 1000 0.00 D 8767 D Common 3800 I Spouse IRA Common 4240 I IRA Common 2000 D Depositary Shares 600 I FBO MARTHA M MILLER IRA 900183013 Depositary Shares 1400 D Transferred shares to Erie County Community Foundation for a self-directed donation account. /s/James O Miller 2018-12-14