0001367859-20-000125.txt : 20200521 0001367859-20-000125.hdr.sgml : 20200521 20200521163936 ACCESSION NUMBER: 0001367859-20-000125 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200520 FILED AS OF DATE: 20200521 DATE AS OF CHANGE: 20200521 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOLL JAMES D CENTRAL INDEX KEY: 0001235998 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33003 FILM NUMBER: 20902396 MAIL ADDRESS: STREET 1: 400 9TH AVE SW CITY: WELLS STATE: MN ZIP: 56097 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Citizens Community Bancorp Inc. CENTRAL INDEX KEY: 0001367859 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 205120010 FISCAL YEAR END: 1231 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 wf-form4_159009355807180.xml FORM 4 X0306 4 2020-05-20 0 0001367859 Citizens Community Bancorp Inc. CZWI 0001235998 MOLL JAMES D C/O CITIZENS COMMUNITY BANCORP, INC. 2174 EASTRIDGE CENTER EAU CLAIRE WI 54701 1 0 0 0 Common Stock, par value $0.01 per share 2020-05-20 4 P 0 500 7.50 A 28604 D Common Stock, par value $0.01 per share 10124 I By IRA These shares are held in the reporting person's self-directed IRA. /s/ Rebecca L. Johnson, Attorney-in-fact 2020-05-21