0001191787-11-000003.txt : 20110909 0001191787-11-000003.hdr.sgml : 20110909 20110909154227 ACCESSION NUMBER: 0001191787-11-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110908 FILED AS OF DATE: 20110909 DATE AS OF CHANGE: 20110909 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LEASE DANIEL W CENTRAL INDEX KEY: 0001191790 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20159 FILM NUMBER: 111083469 MAIL ADDRESS: STREET 1: 2276 EAST STATE STREET CITY: FREMONT STATE: OH ZIP: 43420 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CROGHAN BANCSHARES INC CENTRAL INDEX KEY: 0000887149 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 311073048 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 323 CROGHAN ST CITY: FREMONT STATE: OH ZIP: 43420 BUSINESS PHONE: 4193327301 MAIL ADDRESS: STREET 1: 323 CROGHAN ST CITY: FREMONT STATE: OH ZIP: 43420 4 1 primary_doc.xml PRIMARY DOCUMENT X0304 4 2011-09-08 0 0000887149 CROGHAN BANCSHARES INC CHBH 0001191790 LEASE DANIEL W 2276 EAST STATE STREET FREMONT OH 43420 1 0 0 0 Common Stock (1) 2011-09-08 4 P 0 485 26 A 5314.8533 D (1) Amount reported in column 5 includes 64.8533 shares acquired under the Issuer's DRIP program, purchased in 2011 (through July) Amy A. LeJeune, attorney-in-fact for Daniel W. Lease 2011-09-09