0001209191-21-007156.txt : 20210203
0001209191-21-007156.hdr.sgml : 20210203
20210203150559
ACCESSION NUMBER: 0001209191-21-007156
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201231
FILED AS OF DATE: 20210203
DATE AS OF CHANGE: 20210203
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Betts John A
CENTRAL INDEX KEY: 0001566871
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 21585881
MAIL ADDRESS:
STREET 1: 7 OAKFIELD DRIVE
CITY: MILAN
STATE: OH
ZIP: 44846
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
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2020-12-31
0
0
0
0000944745
CIVISTA BANCSHARES, INC.
CIVBP
0001566871
Betts John A
7 OAKFIELD DRIVE
MILAN
OH
44846
0
1
0
0
Senior Vice President
Common
2020-02-21
5
J
0
570
0.00
A
820
D
Common
2020-02-25
5
J
0
668
0.00
A
1488
D
Common
2020-02-21
5
J
0
570
0.00
D
2802.594
D
Common
2020-02-25
5
J
0
668
0.00
D
2134.594
D
Common
2020-05-01
5
J
0
16.357
0.00
A
2966.951
D
Common
2020-08-01
5
J
0
18.099
0.00
A
2985.05
D
Common
2020-11-02
5
J
0
16.482
0.00
A
3001.532
D
Common
2562
I
IRA
Transferred shares from another account.
Transferred shares to another account.
Common shares acquired by company dividend reinvestment feature.
/s/Amy L. Grant, by Power of Attorney
2021-02-03