0001209191-23-005415.txt : 20230130 0001209191-23-005415.hdr.sgml : 20230130 20230130122402 ACCESSION NUMBER: 0001209191-23-005415 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: WHITE DANIEL J CENTRAL INDEX KEY: 0001196384 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 23566294 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 0001196384 WHITE DANIEL J 403 SAIL AWAY DRIVE HURON OH 44839 1 0 0 0 Common 2022-08-23 5 J 0 3.795 0.00 A 83034.121 I LLC Common 2022-11-22 5 J 0 3.59 0.00 A 83037.711 I LLC Common 83037.711 I LLC Common shares acquired by company dividend reinvestment feature. /s/Lori A. Castillo, By Power of Attorney 2023-01-30