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