0001209191-23-024088.txt : 20230412
0001209191-23-024088.hdr.sgml : 20230412
20230412162356
ACCESSION NUMBER: 0001209191-23-024088
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230323
FILED AS OF DATE: 20230412
DATE AS OF CHANGE: 20230412
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WURM GERALD B
CENTRAL INDEX KEY: 0001193469
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 23815959
MAIL ADDRESS:
STREET 1: 100 EAST WATER STREET
CITY: SANDUSKY
STATE: OH
ZIP: 44870
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/A
1
doc4a.xml
FORM 4/A SUBMISSION
X0407
4/A
2023-03-23
2023-04-12
0
0000944745
CIVISTA BANCSHARES, INC.
CIVB
0001193469
WURM GERALD B
4905 ALBAUGH ROAD
NEW WASHINGTON
OH
44854
0
0
0
1
Subsidiary Director
0
Common
2023-03-23
4
P
0
367
17.6999
A
32620
I
Mary L. Wurm Trust
Common
2023-03-23
4
P
0
1170
17.8692
A
33790
I
Mary L. Wurm Trust
Common
2023-03-23
4
P
0
30
17.72
A
33820
I
Mary L. Wurm Trust
Common
2023-03-23
4
P
0
33
17.67
A
33853
I
Mary L. Wurm Trust
Common
2023-03-23
4
P
0
400
17.69
A
34253
I
Mary L. Wurm Trust
Common
1275
I
Grandson #1 Trust
Common
40320.494
I
Trust
Common
51461
I
Trust
Common
34253
I
Mary L. Wurm Trust
Purchased shares were added to G. Wurm Trust instead of M. Wurm Trust.
/s/ Lori A. Castillo, By Power of Attorney
2023-04-12