0001367859-24-000034.txt : 20240129
0001367859-24-000034.hdr.sgml : 20240129
20240129160550
ACCESSION NUMBER: 0001367859-24-000034
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240128
FILED AS OF DATE: 20240129
DATE AS OF CHANGE: 20240129
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JOHNSON REBECCA
CENTRAL INDEX KEY: 0001279169
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33003
FILM NUMBER: 24573659
MAIL ADDRESS:
STREET 1: C/O CITIZENS COMMUNITY BANCORP
STREET 2: 2174 EASTRIDGE CENTER
CITY: EAU CLAIRE
STATE: WI
ZIP: 54701
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Citizens Community Bancorp Inc.
CENTRAL INDEX KEY: 0001367859
STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035]
ORGANIZATION NAME: 02 Finance
IRS NUMBER: 205120010
STATE OF INCORPORATION: MD
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
wk-form4_1706562336.xml
FORM 4
X0508
4
2024-01-28
0
0001367859
Citizens Community Bancorp Inc.
CZWI
0001279169
JOHNSON REBECCA
C/O CITIZENS COMMUNITY BANCORP, INC.
2174 EASTRIDGE CENTER
EAU CLAIRE
WI
54701
0
1
0
0
Vice President/Controller
0
Common Stock, par value $0.01 per share
2024-01-28
4
F
0
116
12.17
D
5129
D
Common Stock, par value $0.01 per share
12841
I
By 401(k) Plan
Common Stock Option (right to buy)
9.62
2026-06-14
Common Stock
2000
2000
D
The reporting person surrendered a total of 116 shares of the Company's common stock to satisfy the withholding taxes due upon the vesting of certain previously awarded shares of restricted stock issued under the Company's 2018 Equity Incentive Plan.
The common stock option awarded under the Company's 2008 Equity Incentive Plan vests as follows: 20% of the shares vest on each of June 14, 2017, June 14, 2018, June 14, 2019, June 14, 2020 and June 14, 2021.
/s/ Rebecca L. Johnson
2024-01-29