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