0001209191-12-025980.txt : 20120504
0001209191-12-025980.hdr.sgml : 20120504
20120504143626
ACCESSION NUMBER: 0001209191-12-025980
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120504
FILED AS OF DATE: 20120504
DATE AS OF CHANGE: 20120504
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Close Michael J
CENTRAL INDEX KEY: 0001519755
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25980
FILM NUMBER: 12813647
MAIL ADDRESS:
STREET 1: 4951 WINDSOR PARK
CITY: SARASOTA
STATE: FL
ZIP: 34235
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FIRST CITIZENS BANC CORP /OH
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0305
4
2012-05-04
0
0000944745
FIRST CITIZENS BANC CORP /OH
FCZA
0001519755
Close Michael J
4951 WINDSOR PARK
SARASOTA
FL
34235
1
0
0
0
Common
3498
I
Daughter
Common
2012-05-03
4
P
0
600
6.95
A
34322
I
NLS Asset Mgmt Corp Defined Plan
Common
34917
D
Common
12297
D
Common
3800
I
Spouse
Common
72240
I
Mary Lee G Close Trust
Common
49083
I
Mary Lee G Close Dec Trust
Common
7000
I
NLS Asset Management Corp 401K
Common
5200
I
Adult daughter's acct - spouse is trustee
/s/Michael J Close
2012-05-04