0001209191-21-036483.txt : 20210528 0001209191-21-036483.hdr.sgml : 20210528 20210528142825 ACCESSION NUMBER: 0001209191-21-036483 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: WHITE DANIEL J CENTRAL INDEX KEY: 0001196384 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 21979253 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 0001196384 WHITE DANIEL J 403 SAIL AWAY DRIVE HURON OH 44839 1 0 0 0 Common 2021-02-01 4 J 0 19.573 0.00 A 2843.878 D Common 2021-05-01 4 J 0 14.6 0.00 A 2858.478 D Common 2021-05-27 4 A 0 628 0.00 A 3486.478 D Common 78921.326 I LLC 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 2021-05-28