0001398344-16-021806.txt : 20161216 0001398344-16-021806.hdr.sgml : 20161216 20161216113426 ACCESSION NUMBER: 0001398344-16-021806 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161114 FILED AS OF DATE: 20161216 DATE AS OF CHANGE: 20161216 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Eagle Bancorp Montana, Inc. CENTRAL INDEX KEY: 0001478454 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1400 PROSPECT AVE. STREET 2: P.O. BOX 4999 CITY: HELENA STATE: MT ZIP: 59604 BUSINESS PHONE: 406-442-3080 MAIL ADDRESS: STREET 1: 1400 PROSPECT AVE. STREET 2: P.O. BOX 4999 CITY: HELENA STATE: MT ZIP: 59604 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rudolf John C CENTRAL INDEX KEY: 0001622933 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-34682 FILM NUMBER: 162055518 MAIL ADDRESS: STREET 1: 500 108TH AVE NE, STE 905 CITY: BELLEVUE STATE: WA ZIP: 98006 4/A 1 fp0022959_4a.xml OWNERSHIP DOCUMENT X0306 4/A 2016-11-14 2016-11-16 0 0001478454 Eagle Bancorp Montana, Inc. EBMT 0001622933 Rudolf John C 500 108TH AVE NE, STE 905 BELLEVUE WA 98006 0 0 1 0 EBMT 2016-11-14 4 S 0 6049 17.65 D 449696 D EBMT 2016-11-15 4 S 0 5088 17.65 D 444608 D EBMT 2016-11-15 4 S 0 8324 17.6 D 436284 D /s/ John C Rudolf 2016-12-16