0001209191-23-005393.txt : 20230130 0001209191-23-005393.hdr.sgml : 20230130 20230130111155 ACCESSION NUMBER: 0001209191-23-005393 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230130 DATE AS OF CHANGE: 20230130 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: 23565994 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 2022-12-31 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 2022-05-25 5 J 0 54.2587 0.00 A 24097.1618 D Common 2022-05-25 5 J 0 44.997 0.00 A 24142.1588 D Common 2022-08-23 5 J 0 52.7188 0.00 A 24194.8776 D Common 2022-08-23 5 J 0 43.28 0.00 A 24238.1576 D Common 2022-11-22 5 J 0 49.8892 0.00 A 24288.0468 D Common 2022-11-22 5 J 0 40.951 0.00 A 24328.9978 D Common 2022-05-25 5 J 0 8.82 0.00 A 1345.859 I IRA Common 2022-08-23 5 J 0 8.483 0.00 A 1354.342 I IRA Common 2022-11-22 5 J 0 8.027 0.00 A 1362.369 I IRA Common 24328.9978 D Common 1362.369 I IRA Common shares acquired by company dividend reinvestment feature. /s/Lori A. Castillo, By Power of Attorney 2023-01-30