0001209191-19-015326.txt : 20190304 0001209191-19-015326.hdr.sgml : 20190304 20190304112150 ACCESSION NUMBER: 0001209191-19-015326 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181217 FILED AS OF DATE: 20190304 DATE AS OF CHANGE: 20190304 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Singer Harry CENTRAL INDEX KEY: 0001605759 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 19652439 MAIL ADDRESS: STREET 1: 5309 GOLFWAY LANE CITY: LYNDHURST STATE: OH ZIP: 44124 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/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2018-12-17 2018-12-17 0 0000944745 CIVISTA BANCSHARES, INC. CIVB 0001605759 Singer Harry 5309 GOLFWAY LANE LYNDHURST OH 44124 0 0 0 1 Subsidiary Director Common 2018-12-17 4 P 0 1100 17.9891 A 7900 I President of Sandusco Inc (corporate owner) Common 3049.823 D Shares were filed as an award, filing should reflect a purchase. /s/ Amy L Grant by power of attorney 2019-03-04