0001367859-23-000150.txt : 20231204
0001367859-23-000150.hdr.sgml : 20231204
20231204083529
ACCESSION NUMBER: 0001367859-23-000150
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231130
FILED AS OF DATE: 20231204
DATE AS OF CHANGE: 20231204
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: 231461399
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
wk-form4_1701696920.xml
FORM 4
X0508
4
2023-11-30
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
0
Common Stock, par value $0.01 per share
2023-11-30
4
P
0
100
10.76
A
68153
D
Common Stock, par value $0.01 per share
2023-11-30
4
P
0
200
10.65
A
68353
D
Common Stock, par value $0.01 per share
52500
I
By IRA
Common Stock Option (right to buy)
11
2026-06-24
Common Stock
20000
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
2023-12-04