0001042167-13-000130.txt : 20130826
0001042167-13-000130.hdr.sgml : 20130826
20130826160222
ACCESSION NUMBER: 0001042167-13-000130
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130823
FILED AS OF DATE: 20130826
DATE AS OF CHANGE: 20130826
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Citizens Community Bancorp Inc.
CENTRAL INDEX KEY: 0001367859
STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035]
IRS NUMBER: 000000000
STATE OF INCORPORATION: MD
FISCAL YEAR END: 0930
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lang James R
CENTRAL INDEX KEY: 0001563435
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33003
FILM NUMBER: 131060414
MAIL ADDRESS:
STREET 1: 2194 EASTRIDGE CENTER
CITY: EAU CLAIRE
STATE: WI
ZIP: 54701
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2013-08-23
0
0001367859
Citizens Community Bancorp Inc.
CZWI
0001563435
Lang James R
2174 EASTRIDGE CENTER
EAU CLAIRE
WI
54701
1
0
0
0
Common Stock, par value $.01 per share
2013-08-23
4
P
0
705
7.25
A
18205
I
Note
Common Stock, par value $.01 per share
2500
I
As Trustee
Common Stock, par value $.01 per share
3980
I
Note
These shares are held in the reporting person's self-directed IRA.
These shares are held by the Leah Delaney Karge Trust pursuant to which Mr. Lang serves as trustee and has investment discretion.
These shares are held by the James & Patricia Lang Grandchildren Education Trust UAD 01/01/2002, pursuant to which Mr. Lang serves as investment manager and has investment discretion over such shares. Mr. Lang disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
/s/ James R. Lang
2013-08-26