0001437749-18-018889.txt : 20181026 0001437749-18-018889.hdr.sgml : 20181026 20181026160953 ACCESSION NUMBER: 0001437749-18-018889 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181018 FILED AS OF DATE: 20181026 DATE AS OF CHANGE: 20181026 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jensen Corey CENTRAL INDEX KEY: 0001757133 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34682 FILM NUMBER: 181141752 MAIL ADDRESS: STREET 1: 1400 PROSPECT AVENUE CITY: HELENA STATE: MT ZIP: 59601 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Eagle Bancorp Montana, Inc. CENTRAL INDEX KEY: 0001478454 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1400 PROSPECT AVE. STREET 2: P.O. BOX 4999 CITY: HELENA STATE: MT ZIP: 59604 BUSINESS PHONE: 406-442-3080 MAIL ADDRESS: STREET 1: 1400 PROSPECT AVE. STREET 2: P.O. BOX 4999 CITY: HELENA STATE: MT ZIP: 59604 3 1 rdgdoc.xml FORM 3 X0206 3 2018-10-18 0 0001478454 Eagle Bancorp Montana, Inc. EBMT 0001757133 Jensen Corey 1400 PROSPECT AVENUE HELENA MT 59601 1 Common Stock 500 D /s/ Corey Jensen 2018-10-26