0001209191-24-000669.txt : 20240104 0001209191-24-000669.hdr.sgml : 20240104 20240104105147 ACCESSION NUMBER: 0001209191-24-000669 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240102 FILED AS OF DATE: 20240104 DATE AS OF CHANGE: 20240104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILLER JAMES O CENTRAL INDEX KEY: 0001193441 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 24510332 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] ORGANIZATION NAME: 02 Finance 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 X0508 4 2024-01-02 0 0000944745 CIVISTA BANCSHARES, INC. CIVB 0001193441 MILLER JAMES O 3922 DEERPATH DRIVE SANDUSKY OH 44870 1 0 0 1 Chairman of the Board 0 Common 2024-01-02 4 G 0 1000 0.00 D 12053 D Common 2024-01-02 4 G 0 1000 0.00 A 1000 I Grandaughter #1 Common 8715 I IRA Common 5718 I Spouse IRA Common 1511 D Common 12053 D Common 1000 I Grandaughter #1 Shares distributed to Mr. Miller's granddaughter from a custodial account for which Mr. Miller served as custodian on behalf of his granddaughter. /s/Lori A. Castillo, by Power of Attorney 2024-01-04