0001209191-23-005202.txt : 20230127 0001209191-23-005202.hdr.sgml : 20230127 20230127154940 ACCESSION NUMBER: 0001209191-23-005202 CONFORMED SUBMISSION TYPE: 5/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230127 DATE AS OF CHANGE: 20230127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DUTTON RICHARD J CENTRAL INDEX KEY: 0001255208 FILING VALUES: FORM TYPE: 5/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 23562578 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/A 1 doc5a.xml FORM 5/A SUBMISSION X0306 5/A 2022-12-31 2023-01-26 0 0 0 0000944745 CIVISTA BANCSHARES, INC. CIVB 0001255208 DUTTON RICHARD J 325 COUNTRYSIDE DR TROY OH 45373-4561 0 1 0 0 Senior Vice President Common 2022-05-25 5 J 0 44.07 0.00 A 15418.3388 D Common 2022-08-23 5 J 0 24.8228 0.00 A 15443.1616 D Common 2022-08-23 5 J 0 42.389 0.00 A 15485.5506 D Common 2022-11-22 5 J 0 23.4905 0.00 A 15509.0411 D Common 2022-11-22 5 J 0 40.108 0.00 A 15549.1491 D Common 15549.1491 D Common 7109.909 I IRA Common 1278 D Amendment to Form 5 for incorrect dividend amount of $4.00 /s/Lori A. Castillo, By Power of Attorney 2023-01-27