0001209191-19-008371.txt : 20190208
0001209191-19-008371.hdr.sgml : 20190208
20190208095249
ACCESSION NUMBER: 0001209191-19-008371
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181231
FILED AS OF DATE: 20190208
DATE AS OF CHANGE: 20190208
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Boerger Barry W
CENTRAL INDEX KEY: 0001421685
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 19578281
MAIL ADDRESS:
STREET 1: 12175 URBANNA WOODSTOCK PK
CITY: MILFORD CENTER
STATE: OH
ZIP: 43045
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
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2018-12-31
0
0
0
0000944745
CIVISTA BANCSHARES, INC.
CIVB
0001421685
Boerger Barry W
4010 HAWK ROAD
MECHANICSBURG
OH
43044
0
0
0
1
Subsidiary Director
Common
2018-08-01
5
J
0
8.368
0.00
A
2285.008
D
Common
2018-11-01
5
J
0
8.882
0.00
A
2293.89
D
Common
2019-02-01
5
J
0
10.912
0.00
A
2304.802
D
Common
7162.389
I
SEP IRA
Common
1774
I
Trusts
Common shares acquired by company dividend reinvestment feature.
/s/Barry W Boerger
2019-02-08