0001209191-22-013993.txt : 20220301
0001209191-22-013993.hdr.sgml : 20220301
20220301161841
ACCESSION NUMBER: 0001209191-22-013993
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220301
FILED AS OF DATE: 20220301
DATE AS OF CHANGE: 20220301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NICKLES ALLEN R
CENTRAL INDEX KEY: 0001265669
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 22698302
MAIL ADDRESS:
STREET 1: 100 EAST WATER STREET
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-03-01
0
0000944745
CIVISTA BANCSHARES, INC.
CIVB
0001265669
NICKLES ALLEN R
3308 E BEVERLY DRIVE
SANDUSKY
OH
44870
1
0
0
0
Common
2022-03-01
4
S
0
5000
24.092
D
109759
I
SEP IRA
Common
895
I
Benefit IRA
Common
1605
I
Spouse
Common
725
I
Daughter
Common
4585
D
/s/Amy L Grant, by Power of Attorney
2022-03-01