0001351859-19-000003.txt : 20190221
0001351859-19-000003.hdr.sgml : 20190221
20190221151948
ACCESSION NUMBER: 0001351859-19-000003
CONFORMED SUBMISSION TYPE: 144
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20190221
DATE AS OF CHANGE: 20190221
SUBJECT COMPANY:
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
FILING VALUES:
FORM TYPE: 144
SEC ACT: 1933 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 19621589
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
REPORTING-OWNER:
COMPANY DATA:
COMPANY CONFORMED NAME: McLaughlin W Michael
CENTRAL INDEX KEY: 0001351859
RELATIONSHIP: OFFICER
FILING VALUES:
FORM TYPE: 144
MAIL ADDRESS:
STREET 1: 18543 RUNNING DEER LANE
CITY: LAWRENCEBURG
STATE: IN
ZIP: 47025
144
1
wmmclaughlin.txt
MCLAUGHLIN 144
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 144
NOTICE OF PROPOSED SALE OF SECURITIES PURSUANT TO RULE 144
UNDER THE SECURITIES ACT OF 1933
ATTENTION: Transmit for filing 3 copies of this form concurrently
with either placing an order with a broker to execute sale
or executing a sale directly with a market maker.
OMB
APPROVAL
OMB Number: 3235-0101
Expires: June 30, 2020 Estimated average burden hours per response 1.00
SEC USE ONLY
DOCUMENT SEQUENCE NO.
CUSIP NUMBER
1 (a) NAME OF ISSUER (Please type or print)
Civista Bancshares Inc
(b) IRS IDENT. NO.
(c) S.E.C. FILE NO.
025980
WORK LOCATION
1 (d) ADDRESS OF ISSUER STREET CITY STATE ZIP CODE
100 East Water Street Sandusky OH 44870
(b)
(e) TELEPHONE NO.
AREA CODE
800
NUMBER
645-4121
2 (a) NAME OF PERSON FOR WHOSE ACCOUNT THE SECURITIES ARE TO BE SOLD
W Michael McLaughlin
RELATIONSHIP TO ISSUER
Officer
(c) ADDRESS STREET CITY STATE ZIP CODE
18543 Running Deer Lane, Lawrenceburg IN 47025
INSTRUCTION: The person filing this notice should contact
the issuer to obtain the I.R.S. Identification Number
and the S.E.C. File Number.
3 (a)
(b)
SEC USE ONLY
(c)
Number of Shares or Other Units
To Be Sold
(See instr. 3(c))
(d)
Aggregate Market Value
(See instr. 3(d))
(e)
Number of Shares or Other Units Outstanding
(See instr. 3(e))
(f)
Approximate Date of Sale
(See instr. 3(f))
(MO. DAY YR.)
(g)
Name of Each Securities Exchange
(See instr. 3(g))
Title of the Class of Securities To Be Sold
Name and Address of Each Broker Through Whom the Securities
are to be Offered or Each Market Maker who is Acquiring
the Securities
Broker-Dealer File Number
Common
Ameriprise
5905 E Galbraith Road Suite 4200 Cincinnati OH 45236
1,663
35,545.13
2/20/2019
NASDAQ
Common
Ameriprise
5905 E Galbraith Road Suite 4200 Cincinnati OH 45236
9,337
196,640.95
2/20/2019
NASDAQ
INSTRUCTIONS: 3 . (a) Title of the class of securities to be sold
1. (a) Name of issuer (b) Name and address of each broker through
whom the securities are intended to be sold
(b) Issuers I.R.S. Identification Number
(c) Number of shares or other units to be sold (if debt securities,
give the aggregate face amount)
(c) Issuers S.E.C. file number, if any
(d) Aggregate market value of the securities to be sold as of a specified
date within 10 days prior to the filing of this notice
(d) Issuers address, including zip code
(e) Number of shares or other units of the class outstanding, or if debt
securities the face amount thereof outstanding, as shown
(e) Issuers telephone number, including area code by the most
recent report or statement published by the issuer
(f) Approximate date on which the securities are to be sold
2. (a) Name of person for whose account the securities are to be sold
(g) Name of each securities exchange, if any, on which the securities
are intended to be sold
(b) Such persons relationship to the issuer (e.g., officer, director,
10% stockholder, or member of immediate family of any of the foregoing)
(c) Such persons address, including zip code
Potential persons who are to respond to the collection of information
contained in this form are not required to respond unless the form
displays a currently valid OMB control number.SEC 1147 (08-07)
TABLE I SECURITIES TO BE SOLD
Furnish the following information with respect to the acquisition
of the securities to be sold and with respect to the payment of
all or any part of the purchase price or other consideration therefor:
1
INSTRUCTIONS: If the securities were purchased and full payment
therefor was not made in cash at the time of purchase, explain
in the table or in a note thereto the nature of the consideration
given. If the consideration consisted of any note or other obligation,
or if payment was made in installments describe the arrangement and
state when the note or other obligation was discharged in full or the
last installment paid.
TABLE II SECURITIES SOLD DURING THE PAST 3 MONTHS
Furnish the following information as to all securities of the issuer
sold during the past 3 months by the person for whose account the
securities are to be sold.
Name and Address of Seller
Title of Securities Sold
Date of Sale
Amount of Securities Sold
Gross Proceeds
REMARKS:
INSTRUCTIONS:
See the definition of person in paragraph (a) of Rule 144. Information
is to be given not only as to the person for whose account the securities
are to be sold but also as to all other persons included in that definition.
In addition, information shall be given as to sales by all persons whose sales
are required by paragraph (e) of Rule 144 to be aggregated with sales for the
account of the person filing this notice.
February 20, 2019
ATTENTION: The person for whose account the securities to which this notice
relates are to be sold hereby represents by signing this notice that he
does not know any material adverse information in regard to the current
and prospective operations of the Issuer of the securities to be sold which
has not been publicly disclosed. If such person has adopted a written trading
plan or given trading instructions to satisfy Rule 10b5-1 under the Exchange
Act, by signing the form and indicating the date that the plan was adopted or
the instruction given, that person makes such representation as of the plan
adoption or instruction date.
/s/ W Michael McLaughlin
DATE OF NOTICE (SIGNATURE)
DATE OF PLAN ADOPTION OR GIVING OF INSTRUCTION,
The notice shall be signed by the person for whose account the securities are
to be sold. At least one copy IF RELYING ON RULE 10B5-1 of the notice shall
be manually signed. Any copies not manually signed shall bear typed or
printed signatures.
SEC 1147 (02-08)