-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, FuTmyUuNR8RJ7KVMrDJBZXRN9c39juzzEH97O7I+g2BdJWm+qCFqcZPJwM07KGOB qWH3jEuT9dZ+jJrEsP4L9g== 0000950152-05-007668.txt : 20050915 0000950152-05-007668.hdr.sgml : 20050915 20050915161433 ACCESSION NUMBER: 0000950152-05-007668 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050915 DATE AS OF CHANGE: 20050915 GROUP MEMBERS: MEDIA INVESTMENTS, LLC SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FC BANC CORP CENTRAL INDEX KEY: 0000893539 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 341718070 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-60231 FILM NUMBER: 051086869 BUSINESS ADDRESS: STREET 1: 123 NORTH SANDUSKY AVE STREET 2: BOX 5657 CITY: BUCYRUS STATE: OH ZIP: 44820 BUSINESS PHONE: 4195627040 MAIL ADDRESS: STREET 1: 123 NNORTH SANDUSKY AVE STREET 2: BOX 567 CITY: BUCYRUS STATE: OH ZIP: 44820 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MEDIA SOURCE INC CENTRAL INDEX KEY: 0000354564 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MISCELLANEOUS NONDURABLE GOODS [5190] IRS NUMBER: 341297143 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 6360 RINGS RD CITY: AMLIN STATE: OH ZIP: 43002 BUSINESS PHONE: 8002428749 MAIL ADDRESS: STREET 1: 6360 RINGS RD CITY: AMLIN STATE: OH ZIP: 43002 FORMER COMPANY: FORMER CONFORMED NAME: PAGES INC /OH/ DATE OF NAME CHANGE: 19930621 FORMER COMPANY: FORMER CONFORMED NAME: SHORT C A INTERNATIONAL INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: FIRST NATIONAL CORP /OH/ DATE OF NAME CHANGE: 19900715 SC 13G 1 l16035asc13g.txt FC BANC CORP./MEDIA SOURCE, INC. SC 13G UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. )* FC Banc Corp. ------------------------------------------------------------------------------ (Name of Issuer) Common Stock ------------------------------------------------------------------------------ (Title of Class of Securities) 30243K109 ------------------------------------------------------------------------------ (CUSIP Number) September 9, 2005 ------------------------------------------------------------------------------ (Date of Event which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [ X ] Rule 13d-1(c) [ ] Rule 13d-1(d) * The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). SCHEDULE 13G CUSIP No. 30243K109 - ------------------------------------------------------------------------------- 1. Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only). Media Source, Inc. (I.R.S. Identification No. 34-1297143) 2. Check the Appropriate Box if a Member of a Group (See Instructions) (a) [ X ] (b) [ ] 3. SEC USE ONLY 4. Citizenship or Place of Organization Delaware corporation Number of 5. Sole Voting Power Shares Beneficially 4,652 as of September 9, 2005 (See Item 4 below for number Owned by of shares beneficially owned by each member of the group) Each Reporting Person With: 6. Shared Voting Power 0 7. Sole Dispositive Power 4,652 as of September 9, 2005 (See Item 4 below for number of shares beneficially owned by each member of the group) 8. Shared Dispositive Power 0 9. Aggregate Amount Beneficially Owned by Each Reporting Person 4,652 as of September 9, 2005 (See Item 4 below for number of shares beneficially owned by each member of the group) 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) [ ] 11. Percent of Class Represented by Amount in Row (9) 0.7% as of September 9, 2005 12. Type of Reporting Person CO 2 SCHEDULE 13G CUSIP No. 30243K109 - ------------------------------------------------------------------------------- 1. Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only). Media Investments, LLC (I.R.S. Identification No. 54-2079062) 2. Check the Appropriate Box if a Member of a Group (See Instructions) (a) [ X ] (b) [ ] 3. SEC USE ONLY 4. Citizenship or Place of Organization Ohio limited liability company Number of 5. Sole Voting Power Shares Beneficially 44,771 as of September 9, 2005 (See Item 4 below for number Owned by of shares beneficially owned by each member of the group) Each Reporting Person With: 6. Shared Voting Power 0 7. Sole Dispositive Power 44,771 as of September 9, 2005 (See Item 4 below for number of shares beneficially owned by each member of the group) 8. Shared Dispositive Power 0 9. Aggregate Amount Beneficially Owned by Each Reporting Person 44,771 as of September 9, 2005 (See Item 4 below for number of shares beneficially owned by each member of the group) 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) [ ] 11. Percent of Class Represented by Amount in Row (9) 6.9% as of September 9, 2005 12. Type of Reporting Person OO (limited liability company) 3 ITEM 1. (a) Name of Issuer FC Banc Corp. (b) Address of Issuer's Principal Executive Offices 105 Washington Square, Bucyrus, Ohio 44820 ITEM 2. (a) Name of Person Filing Pursuant to Rule 13d-1(k)(1)-(2) of Regulation 13D of the General Rules and Regulations under the Securities Exchange Act of 1934, as amended, Media Source, Inc. and Media Investments, LLC are filing this Schedule 13G as a group. (b) Address of Principal Business Office or, if none, Residence Media Source, Inc. - 5695 Avery Road, Dublin, Ohio 43016 Media Investments, LLC - 7858 Industrial Parkway, Plain City, Ohio 43064 (c) Citizenship Media Source, Inc. - Delaware corporation Media Investments, LLC - Ohio limited liability company (d) Title of Class of Securities Common stock, no par value (e) CUSIP Number 30243K109 ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO SECTIONS 240.13D-1(B) OR 240.13D-2(B) OR (C), CHECK WHETHER THE PERSON FILING IS A: (a) [ ] Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o). (b) [ ] Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c). (c) [ ] Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c). (d) [ ] Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8). (e) [ ] An investment adviser in accordance with Section 240.13d-1(b)(1)(ii)(E); (f) [ ] An employee benefit plan or endowment fund in accordance with Section 240.13d-1(b)(1)(ii)(F); (g) [ ] A parent holding company or control person in accordance with Section 240.13d-1(b)(1)(ii)(G); (h) [ ] A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); (i) [ ] A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); (j) [ ] Group, in accordance with Section 240.13d-1(b)(1)(ii)(J). 4 ITEM 4. OWNERSHIP. (a) Amount beneficially owned: As of September 9, 2005, Media Source, Inc. and Media Investments, LLC owned an aggregate of 49,423 or 7.6% of the issuer's common shares of which 4,652 (0.7%) are owned by Media Source, Inc. and 44,771 (6.9%) are owned by Media Investments, LLC. Media Source, Inc. is the sole member of Media Investments, LLC and, as such, may be deemed to beneficially own the shares held by Media Investments, LLC. (b) Percent of class: 7.6% as of September 9, 2005 (c) Number of shares as to which the person has: (i) Sole power to vote or to direct the vote 49,423 as of September 9, 2005 (ii) Shared power to vote or to direct the vote 0 (iii) Sole power to dispose or to direct the disposition of 49,423 as of September 9, 2005 (iv) Shared power to dispose or to direct the disposition of 0 ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [ ]. ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON Not Applicable ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY Not Applicable ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP In lieu of a separate exhibit, see Item 2(a). ITEM 9. NOTICE OF DISSOLUTION OF GROUP Not Applicable 5 ITEM 10. CERTIFICATION By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.* Date: September 14, 2005 MEDIA SOURCE, INC. By: /s/ S. Robert Davis --------------------------- S. Robert Davis President and Chief Executive Officer MEDIA INVESTMENTS, LLC By: Media Source, Inc. Its: Sole Member By: /s/ S. Robert Davis ---------------------- S. Robert Davis President and Chief Executive Officer * In accordance with Rule 13d-1(k)(1)(iii) of the General Rules and Regulations under the Securities Exchange Act of 1934, as amended, this Schedule 13G is filed on the date hereof with the Securities and Exchange Commission on behalf of the above listed parties pursuant to an agreement among the above listed parties which is attached hereto as Exhibit A. 6 EXHIBIT A Pursuant to Rule 13d-1(k)(1)(iii) of Regulation 13D of the General Rules and Regulations under the Securities Exchange Act of 1934, as amended, the undersigned agree and consent to the joint filing on their behalf of this Schedule 13G in connection with their beneficial ownership of common stock, no par value, of FC Banc Corp. MEDIA SOURCE, INC. By: /s/ S. Robert Davis --------------------------- S. Robert Davis President and Chief Executive Officer MEDIA INVESTMENTS, LLC By: Media Source, Inc. Its: Sole Member By: /s/ S. Robert Davis ---------------------- S. Robert Davis President and Chief Executive Officer 7 -----END PRIVACY-ENHANCED MESSAGE-----