0001209191-20-019110.txt : 20200316
0001209191-20-019110.hdr.sgml : 20200316
20200316094925
ACCESSION NUMBER: 0001209191-20-019110
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200313
FILED AS OF DATE: 20200316
DATE AS OF CHANGE: 20200316
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Shaffer Dennis G
CENTRAL INDEX KEY: 0001509681
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 20715617
MAIL ADDRESS:
STREET 1: 2606 OPEN BAY COURT
CITY: GALENA
STATE: OH
ZIP: 43021
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
2020-03-13
0
0000944745
CIVISTA BANCSHARES, INC.
CIVBP
0001509681
Shaffer Dennis G
2141 BAILIWICK DRIVE
MARBLEHEAD
OH
43440
1
1
0
0
CEO and President
Common
2020-03-13
4
A
0
3276
0.00
A
13771
D
Common
1278
I
IRA
Restricted shares granted from Civista Bancshares Inc's 2017 Incentive Plan are subject to time-based vesting.
Amy L. Grant, by Power of Attorney
2020-03-16