0001209191-19-032011.txt : 20190522 0001209191-19-032011.hdr.sgml : 20190522 20190522153333 ACCESSION NUMBER: 0001209191-19-032011 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190501 FILED AS OF DATE: 20190522 DATE AS OF CHANGE: 20190522 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WHITE DANIEL J CENTRAL INDEX KEY: 0001196384 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 19845565 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 2019-05-01 0 0000944745 CIVISTA BANCSHARES, INC. CIVB 0001196384 WHITE DANIEL J 505 MARINER VILLAGE HURON OH 44839 1 0 0 0 Common 2019-05-21 4 A 0 639 0.00 A 1723 D Common 2019-05-01 4 J 0 10.304 0.00 A 2082.648 I LLC Depositary Shares 24000 D Stock award granted from Civista Bancshares, Inc. 2014 Incentive Plan Common shares acquired by company dividend reinvestment feature. /s/Amy L. Grant, by power of attorney 2019-05-01