0001042167-14-000090.txt : 20140801
0001042167-14-000090.hdr.sgml : 20140801
20140801145138
ACCESSION NUMBER: 0001042167-14-000090
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140801
FILED AS OF DATE: 20140801
DATE AS OF CHANGE: 20140801
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Nettesheim Timothy A.
CENTRAL INDEX KEY: 0001493854
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33003
FILM NUMBER: 141009677
MAIL ADDRESS:
STREET 1: C/O REINHART BOERNER VAN DEUREN S.C.
STREET 2: N16 W23250 STONE RIDGE DRIVE, SUITE 1
CITY: WAUKESHA
STATE: WI
ZIP: 53187
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2014-08-01
0
0001367859
Citizens Community Bancorp Inc.
CZWI
0001493854
Nettesheim Timothy A.
C/O REINHART BOERNER VAN DEUREN S.C.
N16 W23250 STONE RIDGE DRIVE, SUITE 1
WAUKESHA
WI
53187
1
0
0
0
Common stock, par value $.01 per share
2014-08-01
4
P
0
2000
8.8
A
22000
I
Note
Common stock, par value $.01 per share
2014-08-01
4
P
0
300
8.8
A
1500
D
These shares are held in the reporting person's self-directed IRA.
/s/ Timothy A Nettesheim
2014-08-01