0001042167-15-000153.txt : 20151001
0001042167-15-000153.hdr.sgml : 20151001
20151001164617
ACCESSION NUMBER: 0001042167-15-000153
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151001
FILED AS OF DATE: 20151001
DATE AS OF CHANGE: 20151001
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Citizens Community Bancorp Inc.
CENTRAL INDEX KEY: 0001367859
STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035]
IRS NUMBER: 000000000
STATE OF INCORPORATION: MD
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 2174 EASTRIDGE CENTER
CITY: EAU CLAIRE
STATE: WI
ZIP: 54701
BUSINESS PHONE: 715 836 9994
MAIL ADDRESS:
STREET 1: 2174 EASTRIDGE CENTER
CITY: EAU CLAIRE
STATE: WI
ZIP: 54701
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Schaefer Edward H
CENTRAL INDEX KEY: 0001480691
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33003
FILM NUMBER: 151137504
MAIL ADDRESS:
STREET 1: C/O CITIZENS COMMUNITY BANCORP, INC.
STREET 2: 2174 EASTRIDGE CENTER
CITY: EAU CLAIRE
STATE: WI
ZIP: 54701
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2015-10-01
0
0001367859
Citizens Community Bancorp Inc.
CZWI
0001480691
Schaefer Edward H
C/O CITIZENS COMMUNITY BANCORP, INC.
2174 EASTRIDGE CENTER
EAU CLAIRE
WI
54701
0
1
0
0
Chief Exec. Officer/President
Common Stock, par value $.01 per share
2015-10-01
4
F
0
657
8.84
D
74994
D
The reporting person surrendered 657 shares of the Company's common stock to satisfy the withholding taxes due upon the vesting of certain previously awarded shares of restricted stock issued under the Company's 2004 Recognition and Retention Plan.
/s/ Edward Schaefer
2015-10-01