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