0001209191-20-006820.txt : 20200205 0001209191-20-006820.hdr.sgml : 20200205 20200205152427 ACCESSION NUMBER: 0001209191-20-006820 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191231 FILED AS OF DATE: 20200205 DATE AS OF CHANGE: 20200205 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: 20578532 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 2019-12-31 0 0 0 0000944745 CIVISTA BANCSHARES, INC. CIVBP 0001421685 Boerger Barry W 4010 HAWK ROAD MECHANICSBURG OH 43044 0 0 0 1 Subsidiary Director Common 2019-08-01 5 J 0 14.506 0.00 A 2969.83 D Common 2019-11-01 5 J 0 14.4 0.00 A 2984.23 D Common 2020-02-01 5 J 0 14.655 0.00 A 2998.885 D Common 7162.389 I SEP IRA Common 1774 I Trust Common shares acquired by company dividend reinvestment feature. /s/Amy L. Grant, by Power of Attorney 2020-02-05