SEC Form 5 · accession 0001209191-17-009452
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, 2016
Accepted (ET)
Feb 10, 2017 · 2:48 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, 2016 | J | 25 | $0.00 | A | 2,990 | I | Trust |
| Common | holding | — | — | — | 1,275 | I | Grandson #1 Trust | |
| Common | holding | — | — | — | 51,461 | I | Trust | |
| Common | holding | — | — | — | 10,000 | I | Mary L. Wurm Trust | |
| Common | holding | — | — | — | 1,155 | D | ||
| Depositary Shares | holding | — | — | — | 9,000 | I | Gerald B Wurm Trust UAD 2/26/99 |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1End of year - common shares acquired by company dividend reinvestment feature.