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