SEC Form 5 · accession 0001209191-15-011902
CIVISTA BANCSHARES, INC. · CIVB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gerald B Wurm
Other
Period of report
Dec 31, 2014
Accepted (ET)
Feb 11, 2015 · 3:00 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 | 564 | $0.00 | D | 0 | I | Joint w/spouse - daughter #2's Trust |
| CommonF2 | Dec 31, 2014 | J | 61 | $0.00 | A | 2,885 | I | Trust |
| CommonF1 | Dec 31, 2014 | J | 564 | $0.00 | D | 448 | I | Joint w/spouse - daughter #1's Trust |
| CommonF2 | Dec 31, 2014 | J | 22 | $0.00 | A | 470 | I | Joint w/spouse - daughter #1's Trust |
| Common | holding | — | — | — | 2,550 | I | Grandson #1 Trust | |
| Common | holding | — | — | — | 550 | I | Grandson #2 Trust | |
| Common | holding | — | — | — | 46,769 | I | Trust | |
| Depositary Shares | holding | — | — | — | 9,000 | I | Gerald B Wurm Trust UAD 2/26/99 | |
| Common | holding | — | — | — | 5,000 | I | Mary L. Wurm Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1End of year - reporting person no longer reports as beneficially owned any securities owned by daughter.
- F2End of year - common shares acquired on company dividend reinvestment feature.