0001367859-23-000060.txt : 20230123 0001367859-23-000060.hdr.sgml : 20230123 20230123162151 ACCESSION NUMBER: 0001367859-23-000060 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230119 FILED AS OF DATE: 20230123 DATE AS OF CHANGE: 20230123 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bertrand William Glen CENTRAL INDEX KEY: 0001946559 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33003 FILM NUMBER: 23544739 MAIL ADDRESS: STREET 1: E3420 N PINECREEK ROAD CITY: ELEVA STATE: WI ZIP: 54738 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_167450889806775.xml FORM 4 X0306 4 2023-01-19 0 0001367859 Citizens Community Bancorp Inc. CZWI 0001946559 Bertrand William Glen C/O CITIZENS COMMUNITY BANCORP, INC. 2174 EASTRIDGE CENTER EAU CLAIRE WI 54701 0 0 0 1 Director of Subsidiary Common Stock 2023-01-19 4 A 0 1294 12.36 A 1673 D Represents restricted shares of Common Stock awarded under the Company's 2018 Equity Incentive Plan, which shares vest December 31, 2023. Rebecca L. Johnson, Attorney-in-fact 2023-01-23