0001209191-18-062914.txt : 20181217 0001209191-18-062914.hdr.sgml : 20181217 20181217155534 ACCESSION NUMBER: 0001209191-18-062914 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180919 FILED AS OF DATE: 20181217 DATE AS OF CHANGE: 20181217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McLaughlin Elmer G CENTRAL INDEX KEY: 0001351858 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 181238121 MAIL ADDRESS: STREET 1: 18817 PERSIMMON WOODS COURT 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/A 1 doc3a.xml FORM 3/A SUBMISSION X0206 3/A 2018-09-19 2018-09-14 0 0000944745 CIVISTA BANCSHARES, INC. CIVB 0001351858 McLaughlin Elmer G 18817 PERSIMMON WOODS COURT LAWRENCEBURG IN 47025 0 0 0 1 Subsidiary Director Common 24798 D Common 37942 I IRA Common 23056.405 I ESOP Represents number of Civista Bancshares, Inc. shares into which shares of former company, shares held through 401(k) or ESOP, were converted upon completion of the merger. /s/Elmer G McLaughlin 2018-12-17