0001209191-21-001821.txt : 20210106 0001209191-21-001821.hdr.sgml : 20210106 20210106115929 ACCESSION NUMBER: 0001209191-21-001821 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210104 FILED AS OF DATE: 20210106 DATE AS OF CHANGE: 20210106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Stark Paul J CENTRAL INDEX KEY: 0001464773 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 21509574 MAIL ADDRESS: STREET 1: 101 E GRAND RIVER STREET 2: P O BOX 800 CITY: HOWELL STATE: MI ZIP: 48844-0800 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 2021-01-04 0 0000944745 CIVISTA BANCSHARES, INC. CIVBP 0001464773 Stark Paul J 11 ASHLEY COURT ROCKY RIVER OH 44116 0 1 0 0 Senior Vice President Common 2021-01-04 4 F 0 248 17.71 D 5824 D Common 4100 I Trust /s/ Amy L. Grant, by Power of Attorney 2021-01-06