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