0001567619-21-019642.txt : 20211110
0001567619-21-019642.hdr.sgml : 20211110
20211110112231
ACCESSION NUMBER: 0001567619-21-019642
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211109
FILED AS OF DATE: 20211110
DATE AS OF CHANGE: 20211110
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Peterson Thomas K.
CENTRAL INDEX KEY: 0001763876
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40609
FILM NUMBER: 211395324
MAIL ADDRESS:
STREET 1: 7001 WEST EDGERTON AVENUE
CITY: GREENFIELD
STATE: WI
ZIP: 53220
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: 1895 Bancorp of Wisconsin, Inc. /MD/
CENTRAL INDEX KEY: 0001847360
STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTIONS, NOT FEDERALLY CHARTERED [6036]
IRS NUMBER: 000000000
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 7001 WEST EDGERTON AVENUE
CITY: GREENFIELD
STATE: WI
ZIP: 53220
BUSINESS PHONE: 4144218200
MAIL ADDRESS:
STREET 1: 7001 WEST EDGERTON AVENUE
CITY: GREENFIELD
STATE: WI
ZIP: 53220
4
1
doc1.xml
FORM 4
X0306
4
2021-11-09
0
0001847360
1895 Bancorp of Wisconsin, Inc. /MD/
BCOW
0001763876
Peterson Thomas K.
7001 WEST EDGERTON AVENUE
GREENFIELD
WI
53220
0
1
0
0
SVP and CLO
Common Stock
2021-11-09
4
S
0
1210
11.20
D
8950
D
Common Stock
1316
I
By 401(k)
Common Stock
708
I
By ESOP
Stock Options
5.9637
2021-04-24
2030-04-24
Common Stock
23035
23035
D
Includes shares of restricted stock which vest at a rate of 20% per year commencing on April 24, 2021.
Stock options vest at a rate of 20% per year commencing on April 24, 2021.
/s/ Marc Levy, pursuant to Power of Attorney
2021-11-10