0001209191-23-019175.txt : 20230316
0001209191-23-019175.hdr.sgml : 20230316
20230316143730
ACCESSION NUMBER: 0001209191-23-019175
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230314
FILED AS OF DATE: 20230316
DATE AS OF CHANGE: 20230316
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Waltz-Jaskolski Donna M.
CENTRAL INDEX KEY: 0001718888
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 23738382
MAIL ADDRESS:
STREET 1: 100 TIA TRAIL
CITY: LOWELL
STATE: MI
ZIP: 49331
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2023-03-14
0
0000944745
CIVISTA BANCSHARES, INC.
CIVB
0001718888
Waltz-Jaskolski Donna M.
1730 SANDPIPER COURT
HURON
OH
44839
0
1
0
0
Senior Vice President
Common
2023-01-03
4
F
0
327
21.52
D
2677
D
Common
2023-03-14
4
A
0
1467
0.00
A
4144
D
Reflects shares withheld by the company for payment of taxes upon vesting of restricted shares.
Restricted shares granted from Civista Bancshares Inc's 2017 Incentive Plan are subject to time-based vesting.
/s/ Lori A. Castillo, By Power of Attorney
2023-03-16