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