0001367859-22-000071.txt : 20220307
0001367859-22-000071.hdr.sgml : 20220307
20220307105112
ACCESSION NUMBER: 0001367859-22-000071
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220303
FILED AS OF DATE: 20220307
DATE AS OF CHANGE: 20220307
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bianchi Stephen M
CENTRAL INDEX KEY: 0001497054
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33003
FILM NUMBER: 22716728
MAIL ADDRESS:
STREET 1: 225 S. MAIN AVENUE
CITY: SIOUX FALLS
STATE: SD
ZIP: 57104
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_164666825935206.xml
FORM 4
X0306
4
2022-03-03
0
0001367859
Citizens Community Bancorp Inc.
CZWI
0001497054
Bianchi Stephen M
C/O CITIZENS COMMUNITY BANCORP, INC.
2174 EASTRIDGE CENTER
EAU CLAIRE
WI
54701
1
1
0
0
CEO and President
Common Stock, par value $0.01 per share
2022-03-03
4
P
0
200
15.59
A
56755
D
Common Stock, par value $0.01 per share
2022-03-03
4
P
0
200
15.59
A
51200
I
By IRA
Common Stock, par value $0.01 per share
2022-03-03
4
P
0
100
15.58
A
51300
I
By IRA
Common Stock Option (right to buy)
11.0
2026-06-24
Common Stock
20000.0
20000
D
These shares are held in the reporting person's self-directed IRA.
The common stock option awarded under the Company's 2008 Equity Incentive Plan vests as follows: 20% of the shares vest on each of June 24, 2017, June 24, 2018, June 24, 2019, June 24, 2020 and June 24, 2021.
/s/ Rebecca L. Johnson, Attorney-in-fact
2022-03-07