0001209191-21-048414.txt : 20210728 0001209191-21-048414.hdr.sgml : 20210728 20210728133404 ACCESSION NUMBER: 0001209191-21-048414 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210728 FILED AS OF DATE: 20210728 DATE AS OF CHANGE: 20210728 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Singer Harry CENTRAL INDEX KEY: 0001605759 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 211121644 MAIL ADDRESS: STREET 1: 5309 GOLFWAY LANE CITY: LYNDHURST STATE: OH ZIP: 44124 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 2021-07-28 0 0000944745 CIVISTA BANCSHARES, INC. CIVB 0001605759 Singer Harry 5309 GOLFWAY LANE LYNDHURST OH 44124 1 0 0 0 Common 2021-07-28 4 P 0 325 23.50 A 1075 I SEP IRA Common 7900 I President of Sandusco Inc (corporate owner) Common 5937.664 D Common 1875 I Rollover IRA /s/Amy L. Grant, by Power of Attorney 2021-07-28