0001209191-20-006877.txt : 20200205 0001209191-20-006877.hdr.sgml : 20200205 20200205161743 ACCESSION NUMBER: 0001209191-20-006877 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200110 FILED AS OF DATE: 20200205 DATE AS OF CHANGE: 20200205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McLaughlin W Michael CENTRAL INDEX KEY: 0001351859 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 20578967 MAIL ADDRESS: STREET 1: 18543 RUNNING DEER LANE 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-01-10 1 0000944745 CIVISTA BANCSHARES, INC. CIVBP 0001351859 McLaughlin W Michael 18543 RUNNING DEER LANE LAWRENCEBURG IN 47025 0 0 0 1 Senior Vice President Common 24589 I IRA Common 2611 I Spouse IRA Common 12287 D Retired from Company 01/10/2020 /s/Amy L. Grant, by Power of Attorney 2020-02-05