0001209191-21-061862.txt : 20211028
0001209191-21-061862.hdr.sgml : 20211028
20211028105012
ACCESSION NUMBER: 0001209191-21-061862
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211022
FILED AS OF DATE: 20211028
DATE AS OF CHANGE: 20211028
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Betts John A
CENTRAL INDEX KEY: 0001566871
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 211355863
MAIL ADDRESS:
STREET 1: 7 OAKFIELD DRIVE
CITY: MILAN
STATE: OH
ZIP: 44846
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
2021-10-22
1
0000944745
CIVISTA BANCSHARES, INC.
CIVB
0001566871
Betts John A
7 OAKFIELD DRIVE
MILAN
OH
44846
0
1
0
0
Senior Vice President
Common
2021-05-01
4
J
0
11.531
0.00
A
4488.52
D
Common
2021-08-02
4
J
0
13.752
0.00
A
4502.272
D
Common
2021-10-22
4
D
0
2231
0.00
D
2271.272
D
Common
1488
D
Common
2562
I
IRA
Common shares acquired by company dividend reinvestment feature.
Reflects restricted common shares forfeited to the issuer upon termination of employment.
/s/Amy L. Grant, by Power of Attorney
2021-10-28