0001209191-22-008699.txt : 20220211 0001209191-22-008699.hdr.sgml : 20220211 20220211104411 ACCESSION NUMBER: 0001209191-22-008699 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220211 DATE AS OF CHANGE: 20220211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Murray Dennis E Jr CENTRAL INDEX KEY: 0001574584 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 22617594 MAIL ADDRESS: STREET 1: 2035 CEDAR POINT ROAD 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 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2021-12-31 0 0 0 0000944745 CIVISTA BANCSHARES, INC. CIVB 0001574584 Murray Dennis E Jr 2035 CEDAR POINT ROAD SANDUSKY OH 44870 1 0 0 0 Common 2021-08-02 5 J 0 29.129 0.00 A 19662.802 D Common 2021-11-01 5 J 0 26.888 0.00 A 19689.69 D Common 13019 I IRA Rollover Common 6740 I Spouse Common shares acquired by company dividend reinvestment feature. /s/Amy L. Grant, by Power of Attorney 2022-02-11