SEC Form 5 · accession 0001209191-16-096308
CIVISTA BANCSHARES, INC. · CIVB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Blythe A Friedley
Other
Period of report
Dec 31, 2015
Accepted (ET)
Feb 8, 2016 · 1:44 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, 2015 | J | 730 | $0.00 | D | 13,799 | I | Trusteee on Arlene M. Friedley CRUT Trust |
| Common | Dec 31, 2015 | J | 730 | $0.00 | A | 57,062 | I | Trust |
| Common | holding | — | — | — | 210 | D | ||
| Common | holding | — | — | — | 11,023 | I | Trusts | |
| Common | holding | — | — | — | 4,766 | I | TTEE on Arlene M. Friedley 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 CRUT account to Trust account.