SEC Form 5 · accession 0001209191-15-011171
CIVISTA BANCSHARES, INC. · CIVB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Blythe A Friedley
Other
Period of report
Dec 31, 2014
Accepted (ET)
Feb 10, 2015 · 12:34 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000944745
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| CommonF1 | Dec 31, 2014 | J | 675 | $0.00 | D | 14,529 | I | Trusteee on sister's CRUT Trust |
| Common | Dec 31, 2014 | J | 675 | $0.00 | A | 56,332 | I | Trust |
| Common | holding | — | — | — | 11,023 | I | Trusts | |
| Common | holding | — | — | — | 4,766 | I | TTEE on sister's Trust | |
| Depositary Shares | holding | — | — | — | 200 | I | BLYTHE A FRIEDLEY TRUST UAD 2/23/99 |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1End of year - Transferred shares from Arlene M Friedley CRUT, Blythe A Friedley, TTE to Blythe A Friedley Trust, Blythe A Friedley, TTEE