-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, G4boO5bgYQLWx5GA5V0TOi/GRV2KFPKEK7m3lBww9MewWZZam7niXmRtWbnHOVlz GoS2cT+9P/Sftczt/Ky0VQ== 0000927089-08-000085.txt : 20080214 0000927089-08-000085.hdr.sgml : 20080214 20080214152814 ACCESSION NUMBER: 0000927089-08-000085 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20080214 DATE AS OF CHANGE: 20080214 GROUP MEMBERS: FIRST BANKERS TRUST SERVICES, INC. SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Citizens Community Bancorp Inc. CENTRAL INDEX KEY: 0001367859 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 000000000 STATE OF INCORPORATION: MD FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-82260 FILM NUMBER: 08614492 BUSINESS ADDRESS: STREET 1: 2174 EASTRIDGE CENTER CITY: EAU CLAIRE STATE: WI ZIP: 54701 BUSINESS PHONE: 715 836 9994 MAIL ADDRESS: STREET 1: 2174 EASTRIDGE CENTER CITY: EAU CLAIRE STATE: WI ZIP: 54701 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Citizens Community Bancorp Inc. CENTRAL INDEX KEY: 0001367859 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 000000000 STATE OF INCORPORATION: MD FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 2174 EASTRIDGE CENTER CITY: EAU CLAIRE STATE: WI ZIP: 54701 BUSINESS PHONE: 715 836 9994 MAIL ADDRESS: STREET 1: 2174 EASTRIDGE CENTER CITY: EAU CLAIRE STATE: WI ZIP: 54701 SC 13G/A 1 ccbi13g08.htm
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549


SCHEDULE 13G

Under the Securities Exchange Act of 1934
(Amendment No. One)



CITIZENS COMMUNITY BANCORP, INC.
(Name of Issuer)

Common Stock, Par Value $0.01 per share
(Title of Class of Securities)



174 903 104
(CUSIP Number)


December 31, 2007
(Date of Event Which Requires Filing of this Statement)


Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

   [X]   Rule 13d-1(b)
   [   ]   Rule 13d-1(c)
   [   ]   Rule 13d-1(d)

* The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).


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CUSIP NO. 174 903 104

1 NAME OF REPORTING PERSON


Citizens Community Bancorp, Inc. Employee Stock Ownership Plan

 
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP(a)
(b)
 
3 SEC USE ONLY
 
4 CITIZENSHIP OR PLACE OF ORGANIZATION

Not applicable
 

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH
5SOLE VOTING POWER
67,962
 
6SHARED VOTING POWER
500,980
 
7SOLE DISPOSITIVE POWER
568,942
 
8SHARED DISPOSITIVE POWER
0
 
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING
PERSON
568,942
 
10 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
CERTAIN SHARES
 
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
 
8.4%
 
12 TYPE OF REPORTING PERSON
 
EP

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ITEM 1(a) Name of Issuer:

Citizens Community Bancorp, Inc.  (the "Corporation")
 
ITEM 1(b) Address of Issuer's Principal Executive Offices or, if none, Residence:

2174 EastRidge Center, Eau Claire, Wisconsin 54701
 
ITEM 2(a) Names of Persons Filing:

Citizens Community Bancorp, Inc. Employee Stock Ownership Plan (the "ESOP").
 
ITEM 2(b) Address of Principal Business Office:

The business address of the ESOP is:

2174 EastRidge Center, Eau Claire, Wisconsin 54701
 
ITEM 2(c) Citizenship:

Not Applicable.
 
ITEM 2(d) Title of Class of Securities:

Common stock, par value $.01 per share (the "Common Stock").
 
ITEM 2(e) CUSIP Number: 174 903 104

ITEM 3 If this statement is filed pursuant to Section 240.13d-1(b) or 240.13d-2(b)or (c), check whether the person filing is:
 
  (a) [    ] Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o);
  (b) [    ] Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c);
  (c) [    ] Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c);
  (d) [    ] Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8);
  (e) [    ] An investment adviser in accordance with Section 240.13d-1(b)(1)(ii)(E);
  (f) [ x ] An employee benefit plan or endowment fund in accordance with Section 240.13d-1(b)(1)(ii)(F);
  (g) [    ] A parent holding company or control person in accordance with Section 240.13d-1(b)(1)(ii)(G);
  (h) [    ] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
  (i) [    ] A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3)
  (j) [    ] Group, in accordance with Section 240.13d-1(b)(1)(ii)(J).

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ITEM 4 Ownership:

The ESOP holds an aggregate of 568,942 shares of Common Stock (8.4% of the outstanding shares). The ESOP has sole voting power with respect to shares held by it which have not been allocated to participant accounts, shared voting power with respect to shares held by it which have been allocated to participant accounts and sole dispositive power with respect to all shares (allocated and unallocated) held by the ESOP.

The Trustee may be deemed to beneficially own the 568,942 shares held by the ESOP. However, the Trustee expressly disclaims beneficial ownership of all of such shares. Other than the shares held by the ESOP, the Trustee does not beneficially own any shares of Common Stock.

Pursuant to the ESOP, participants in the ESOP are entitled to instruct the Trustee as to the voting of the shares allocated to their ESOP accounts. On each issue with respect to which shareholders are entitled to vote, the Trustee is required to vote the shares held by the ESOP which have not been allocated to participant accounts in the manner directed under the ESOP.
 
ITEM 5. Ownership of Five Percent or Less of a Class:

Not Applicable.
 
ITEM 6. Ownership of More Than Five Percent on Behalf of Another Person:

Not Applicable.
 
ITEM 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company:

Not Applicable.
 
ITEM 8. Identification and Classification of Members of the Group:

Not Applicable.
 
ITEM 9. Notice of Dissolution of Group:

Not Applicable.


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ITEM 10 Certifications

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

Signature:        After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.


Date: Februray 13, 2008 CITIZENS COMMUNITY BANCORP, INC.
EMPLOYEE STOCK OWNERSHIP PLAN
 
  By:     /s/ Linda Shultz
First Bankers Trust Services, Inc.,
as Trustee
Name: 
Title:   
Linda Shultz 
Trust Officer 
 


Date: Februray 13, 2008 FIRST BANKERS TRUST SERVICES, INC.
 
  By:     /s/ Linda Shultz
Name: 
Title:   
Linda Shultz 
Trust Officer 



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Februray 13, 2008



Citizens Community Bancorp, Inc.
Employee Stock Ownership Plan
2174 EastRidge Center
Eau Claire, Wisconsin 54701

Dear Sir/Madam:

This letter hereby confirms the agreement and understanding between you and the undersigned that the Schedule 13G being filed with the Securities and Exchange Commission on or about this date is being filed on behalf of each of us. Please confirm the same by signing the acknowledgement below.

Sincerely,

FIRST BANKERS TRUST SERVICES, INC.



By:  /s/ Linda Shultz
Name:  Linda Shultz
Title:    Trust Officer


Acknowledged and agreed:

CITIZENS COMMUNITY BANCORP, INC.
EMPLOYEE STOCK OWNERSHIP PLAN


By:   /s/ Linda Shultz
First Bankers Trust Services, Inc.,
    as Trustee
Name:  Linda Shultz
Title:    Trust Officer


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