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