0001209191-21-036426.txt : 20210528
0001209191-21-036426.hdr.sgml : 20210528
20210528100234
ACCESSION NUMBER: 0001209191-21-036426
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210527
FILED AS OF DATE: 20210528
DATE AS OF CHANGE: 20210528
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bacon John O
CENTRAL INDEX KEY: 0001324887
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 21976879
MAIL ADDRESS:
STREET 1: 100 E WATER STREET
CITY: SANDUSKY
STATE: OH
ZIP: 44870
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
2021-05-27
0
0000944745
CIVISTA BANCSHARES, INC.
CIVB
0001324887
Bacon John O
P.O. BOX 574
SANDUSKY
OH
44870
0
0
0
1
Subsidiary Director
Common
2021-05-27
4
A
0
628
0.00
A
4525
D
Common
6981
I
Trust
Common
1290
I
IRA
Common
1784
I
Co-Trustee of Deceased Father's Trust
Stock award granted from Civista Bancshares, Inc. 2014 Incentive Plan
/s/Amy L Grant, by power of attorney
2021-05-28