0001209191-20-006983.txt : 20200205 0001209191-20-006983.hdr.sgml : 20200205 20200205171246 ACCESSION NUMBER: 0001209191-20-006983 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: McLaughlin Elmer G CENTRAL INDEX KEY: 0001351858 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 20579713 MAIL ADDRESS: STREET 1: 18817 PERSIMMON WOODS COURT 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 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2019-12-31 0 0 0 0000944745 CIVISTA BANCSHARES, INC. CIVBP 0001351858 McLaughlin Elmer G 18817 PERSIMMON WOODS COURT LAWRENCEBURG IN 47025 0 0 0 1 Subsidiary Director Common 2019-09-26 5 J 0 23056 0.00 A 60998 I IRA Common 2019-09-26 5 J 0 23056.405 0.00 D 0 I ESOP Common 24517 D Includes 23,056 shares previously reported as owned through ESOP. /s/Amy L. Grant, by Power of Attorney 2020-02-05