SEC Form 4 · accession 0001209191-17-033304
CIVISTA BANCSHARES, INC. · CIVB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gerald B Wurm
Other
Period of report
May 16, 2017
Accepted (ET)
May 17, 2017 · 5:46 pm EDT
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 | Feb 1, 2017 | J | 9 | $0.00 | A | 2,999 | I | Trust |
| CommonF1 | May 1, 2017 | J | 8 | $0.00 | A | 3,007 | I | Trust |
| CommonF2 | May 16, 2017 | A | 567 | $0.00 | A | 1,722 | D | |
| Common | holding | — | — | — | 1,275 | I | Grandson #1 Trust | |
| Common | holding | — | — | — | 51,461 | I | Trust | |
| Common | holding | — | — | — | 10,000 | I | Mary L. Wurm Trust | |
| 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
- F1Common shares acquired by company dividend reinvestment feature.
- F2Stock award granted from First Citizens Banc Corp's 2014 Incentive Plan