0001209191-22-008713.txt : 20220211 0001209191-22-008713.hdr.sgml : 20220211 20220211111736 ACCESSION NUMBER: 0001209191-22-008713 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: Parcher Charles A. CENTRAL INDEX KEY: 0001672984 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 22617824 MAIL ADDRESS: STREET 1: 25571 WILLOWBEND ROAD CITY: PERRYSBURG STATE: OH ZIP: 43551 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 0001672984 Parcher Charles A. 3602 TURFSIDE CIRCLE HURON OH 44839 0 1 0 0 Senior Vice President Common 2021-05-01 5 J 0 14.1363 0.00 A 9597.6802 D Common 2021-05-01 5 J 0 6.275 0.00 A 9603.9552 D Common 2021-08-02 5 J 0 16.6984 0.00 A 9620.6536 D Common 2021-08-02 5 J 0 7.485 0.00 A 9628.1386 D Common 2021-11-01 5 J 0 15.6715 0.00 A 9643.8101 D Common 2021-11-01 5 J 0 6.908 0.00 A 9650.7181 D Common 1750 I IRA Common shares acquired by company dividend reinvestment feature. /s/ Amy L. Grant, by Power of Attorney 2022-02-11