<SEC-DOCUMENT>0001209191-22-008709-index.html : 20220211 <SEC-HEADER>0001209191-22-008709.hdr.sgml : 20220211 <ACCEPTANCE-DATETIME>20220211105944 ACCESSION NUMBER: 0001209191-22-008709 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: Oliver Mary Patricia CENTRAL INDEX KEY: 0001289398 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 22617708 MAIL ADDRESS: STREET 1: P.O. BOX 1250 CITY: WINSTON SALEM STATE: NC ZIP: 27102-1250 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 </SEC-HEADER> <DOCUMENT> <TYPE>5 <SEQUENCE>1 <FILENAME>doc5.xml <DESCRIPTION>FORM 5 SUBMISSION <TEXT> Document 1 - file: doc5.html
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