0001209191-23-004966.txt : 20230126
0001209191-23-004966.hdr.sgml : 20230126
20230126101635
ACCESSION NUMBER: 0001209191-23-004966
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221231
FILED AS OF DATE: 20230126
DATE AS OF CHANGE: 20230126
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Boerger Barry W
CENTRAL INDEX KEY: 0001421685
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 23555317
MAIL ADDRESS:
STREET 1: 12175 URBANNA WOODSTOCK PK
CITY: MILFORD CENTER
STATE: OH
ZIP: 43045
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
2022-12-31
0
0
1
0000944745
CIVISTA BANCSHARES, INC.
CIVB
0001421685
Boerger Barry W
4010 HAWK ROAD
MECHANICSBURG
OH
43044
0
0
0
1
Subsidiary Director
Common
2022-03-01
4
J
0
28.444
0.00
A
4866.134
D
Common
2022-05-25
4
A
0
602
0.00
A
5468.134
D
Common
2022-05-25
5
J
0
32.1
0.00
A
5500.234
D
Common
2022-08-23
5
J
0
34.67
0.00
A
5534.904
D
Common
2022-11-22
5
J
0
32.805
0.00
A
5567.709
D
Common
11593.232
I
SEP IRA
Common
1774
I
Trust
Common
0
I
Spouse's Trust
Common
5567.709
D
Common shares acquired by company dividend reinvestment feature.
/s/Lori A. Castillo, by Power of Attorney
2023-01-26