0001209191-21-007162.txt : 20210203 0001209191-21-007162.hdr.sgml : 20210203 20210203152200 ACCESSION NUMBER: 0001209191-21-007162 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: Boerger Barry W CENTRAL INDEX KEY: 0001421685 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 21585979 MAIL ADDRESS: STREET 1: 12175 URBANNA WOODSTOCK PK CITY: MILFORD CENTER STATE: OH ZIP: 43045 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 0001421685 Boerger Barry W 4010 HAWK ROAD MECHANICSBURG OH 43044 0 0 0 1 Subsidiary Director Common 2020-08-01 5 J 0 33.302 0.00 A 4073.692 D Common 2020-11-02 5 J 0 30.325 0.00 A 4104.017 D Common 11562.389 I SEP IRA Common 1774 I Trust Common shares acquired by company dividend reinvestment feature. /s/ Amy L. Grant, by Power of Attorney 2021-02-03