0001567619-21-016166.txt : 20210820
0001567619-21-016166.hdr.sgml : 20210820
20210820141423
ACCESSION NUMBER: 0001567619-21-016166
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210818
FILED AS OF DATE: 20210820
DATE AS OF CHANGE: 20210820
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Schaefer Edward H
CENTRAL INDEX KEY: 0001480691
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39182
FILM NUMBER: 211193306
MAIL ADDRESS:
STREET 1: C/O CITIZENS COMMUNITY BANCORP, INC.
STREET 2: 2174 EASTRIDGE CENTER
CITY: EAU CLAIRE
STATE: WI
ZIP: 54701
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FFBW, Inc. /MD/
CENTRAL INDEX KEY: 0001787384
STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035]
IRS NUMBER: 000000000
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1360 SOUTH MOORLAND ROAD
CITY: BROOKFIELD
STATE: WI
ZIP: 53005
BUSINESS PHONE: (262) 542-4448
MAIL ADDRESS:
STREET 1: 1360 SOUTH MOORLAND ROAD
CITY: BROOKFIELD
STATE: WI
ZIP: 53005
4
1
doc1.xml
FORM 4
X0306
4
2021-08-18
0
0001787384
FFBW, Inc. /MD/
FFBW
0001480691
Schaefer Edward H
1360 SOUTH MOORLAND ROAD
BROOKFIELD
WI
53005
1
1
0
0
President and CEO
Common Stock
2021-08-18
4
P
0
500
11.50
A
71466
D
Common Stock
8334
I
By ESOP
Common Stock
1058
I
By IRA
Stock Options
11.25
2022-05-26
2031-05-26
Common Stock
5000
5000
D
Stock Options
9.1475
2019-12-19
2028-12-19
Common Stock
95016
95016
D
Includes shares of restricted stock which vest at a rate of 20% per year commencing on December 19, 2019.
Includes shares of restricted stock which vest at a rate of 20% per year commencing on May 26, 2022.
Stock options vest at a rate of 20% per year commencing on December 19, 2019.
Stock options vest at a rate of 20% per year commencing on May 26, 2022.
Reflects transactions not required to be reported pursuant to Section 16 of the Securities Exchange Act of 1934, as amended.
/s/ Steven T. Lanter, pursuant to Power of Attorney
2021-08-20