0001209191-19-032021.txt : 20190522
0001209191-19-032021.hdr.sgml : 20190522
20190522154420
ACCESSION NUMBER: 0001209191-19-032021
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190501
FILED AS OF DATE: 20190522
DATE AS OF CHANGE: 20190522
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WURM GERALD B
CENTRAL INDEX KEY: 0001193469
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 19845615
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]
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
X0306
4
2019-05-01
0
0000944745
CIVISTA BANCSHARES, INC.
CIVB
0001193469
WURM GERALD B
4905 ALBAUGH ROAD
NEW WASHINGTON
OH
44854
0
0
0
1
Subsidiary Director
Common
2019-05-01
4
J
0
15.408
0.00
A
3097.513
I
Trust
Common
2019-05-21
4
A
0
639
0.00
A
2878
D
Common
1275
I
Grandson #1 Trust
Common
51461
I
Trust
Common
11900
I
Mary L. Wurm Trust
Depositary Shares
9000
I
Gerald B Wurm Trust UAD 2/26/99
Common shares acquired by company dividend reinvestment feature.
Stock award granted from Civista Bancshares, Inc. 2014 Incentive Plan
/s/Amy L. Grant, by power of attorney
2019-05-22