0001209191-23-005640.txt : 20230131 0001209191-23-005640.hdr.sgml : 20230131 20230131103911 ACCESSION NUMBER: 0001209191-23-005640 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230131 DATE AS OF CHANGE: 20230131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Stark Paul J CENTRAL INDEX KEY: 0001464773 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 23570709 MAIL ADDRESS: STREET 1: 101 E GRAND RIVER STREET 2: P O BOX 800 CITY: HOWELL STATE: MI ZIP: 48844-0800 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 0001464773 Stark Paul J 11 ASHLEY COURT ROCKY RIVER OH 44116 0 1 0 0 Senior Vice President Common 2022-03-01 5 J 0 24.26 0.00 A 5659.26 D Common 2022-05-25 5 J 0 27.378 0.00 A 6945.638 D Common 2022-08-23 5 J 0 26.333 0.00 A 6971.971 D Common 2022-11-22 5 J 0 24.916 0.00 A 6996.887 D Common 4100 I Trust Common 6996.887 D Common shares acquired by company dividend reinvestment feature. /s/Lori A. Castillo, By Power of Attorney 2023-01-31