0001209191-21-036464.txt : 20210528
0001209191-21-036464.hdr.sgml : 20210528
20210528130402
ACCESSION NUMBER: 0001209191-21-036464
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210527
FILED AS OF DATE: 20210528
DATE AS OF CHANGE: 20210528
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MILLER JAMES O
CENTRAL INDEX KEY: 0001193441
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36192
FILM NUMBER: 21978786
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
2021-05-27
0
0000944745
CIVISTA BANCSHARES, INC.
CIVB
0001193441
MILLER JAMES O
3922 DEERPATH DRIVE
SANDUSKY
OH
44870
1
0
0
1
Chairman of the Board
Common
2021-05-27
4
A
0
628
0.00
A
13053
D
Common
8715
I
IRA
Common
5718
I
Spouse IRA
Stock award granted from Civista Bancshares, Inc. 2014 Incentive Plan
/s/Amy L Grant, by Power of Attorney
2021-05-28