0001367859-21-000041.txt : 20210211
0001367859-21-000041.hdr.sgml : 20210211
20210211115512
ACCESSION NUMBER: 0001367859-21-000041
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210209
FILED AS OF DATE: 20210211
DATE AS OF CHANGE: 20210211
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Olson Timothy L
CENTRAL INDEX KEY: 0001736138
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33003
FILM NUMBER: 21617845
MAIL ADDRESS:
STREET 1: 2727 PINE VIEW ROAD
CITY: EAU CLAIRE
STATE: WI
ZIP: 54703
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Citizens Community Bancorp Inc.
CENTRAL INDEX KEY: 0001367859
STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035]
IRS NUMBER: 205120010
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
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
4
1
wf-form4_161306249441754.xml
FORM 4
X0306
4
2021-02-09
0
0001367859
Citizens Community Bancorp Inc.
CZWI
0001736138
Olson Timothy L
C/O CITIZENS COMMUNITY BANCORP, INC.
2174 EASTRIDGE CENTER
EAU CLAIRE
WI
54701
1
0
0
0
Common Stock, par value $0.01 per share
2021-02-09
4
P
0
1000
11.21
A
15121
D
/s/ Rebecca L. Johnson, Attorney-in-fact
2021-02-11