0001209191-22-008719.txt : 20220211 0001209191-22-008719.hdr.sgml : 20220211 20220211113803 ACCESSION NUMBER: 0001209191-22-008719 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: Shaffer Dennis G CENTRAL INDEX KEY: 0001509681 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 22618075 MAIL ADDRESS: STREET 1: 2606 OPEN BAY COURT CITY: GALENA STATE: OH ZIP: 43021 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 0001509681 Shaffer Dennis G 2141 BAILIWICK DRIVE MARBLEHEAD OH 43440 1 1 0 0 CEO and President Common 2021-05-01 5 J 0 22.0428 0.00 A 19938.2758 D Common 2021-05-01 5 J 0 34.236 0.00 A 19972.5118 D Common 2021-08-02 5 J 0 26.038 0.00 A 19998.5498 D Common 2021-08-02 5 J 0 40.832 0.00 A 20039.3818 D Common 2021-11-01 5 J 0 24.4367 0.00 A 20063.8185 D Common 2021-11-01 5 J 0 37.691 0.00 A 20101.5095 D Common 2021-05-01 5 J 0 6.71 0.00 A 1313.832 I IRA Common 2021-08-02 5 J 0 8.004 0.00 A 1321.836 I IRA Common 2021-11-01 5 J 0 7.388 0.00 A 1329.224 I IRA Common shares acquired by company dividend reinvestment feature. /s/Amy L. Grant, by Power of Attorney 2021-12-31