0001042167-11-000222.txt : 20111214
0001042167-11-000222.hdr.sgml : 20111214
20111214160400
ACCESSION NUMBER: 0001042167-11-000222
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111209
FILED AS OF DATE: 20111214
DATE AS OF CHANGE: 20111214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Swenson Michael L
CENTRAL INDEX KEY: 0001384583
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33003
FILM NUMBER: 111261209
MAIL ADDRESS:
STREET 1: 1414 WEST HAMILTON AVE.
STREET 2: STE 3
CITY: EAU CLAIRE
STATE: WI
ZIP: 54701
ISSUER:
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
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
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0304
4
2011-12-09
0
0001367859
Citizens Community Bancorp Inc.
CZWI
0001384583
Swenson Michael L
C/O CITIZENS COMMUNITY BANCORP, INC.
2174 EASTRIDGE CENTER
EAU CLAIRE
WI
54701
1
0
0
0
Common Stock, par value $.01 per share
2011-12-09
4
P
0
400
4.95
A
2000
D
/s/ Michael L. Swenson
2011-12-09