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