0001367859-21-000103.txt : 20210602
0001367859-21-000103.hdr.sgml : 20210602
20210602173913
ACCESSION NUMBER: 0001367859-21-000103
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210528
FILED AS OF DATE: 20210602
DATE AS OF CHANGE: 20210602
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bianchi Stephen M
CENTRAL INDEX KEY: 0001497054
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33003
FILM NUMBER: 21990398
MAIL ADDRESS:
STREET 1: 225 S. MAIN AVENUE
CITY: SIOUX FALLS
STATE: SD
ZIP: 57104
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
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
wf-form4_162266993465843.xml
FORM 4
X0306
4
2021-05-28
0
0001367859
Citizens Community Bancorp Inc.
CZWI
0001497054
Bianchi Stephen M
C/O CITIZENS COMMUNITY BANCORP, INC.
2174 EASTRIDGE CENTER
EAU CLAIRE
WI
54701
1
1
0
0
CEO and President
Common Stock, par value $0.01 per share
2021-05-28
4
P
0
900
13.50
A
43541
I
By IRA
Common Stock, par value $0.01 per share
2021-06-01
4
P
0
100
13.91
A
43641
I
By IRA
Common Stock, par value $0.01 per share
2021-06-01
4
P
0
100
13.91
A
51007
D
Common Stock Option (right to buy)
11.0
2026-06-24
Common Stock
20000.0
20000
D
The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $13.45 to $13.52, inclusive. The reporting person undertakes to provide the SEC staff, Citizens Community Bancorp, Inc., or any security holder of Citizens Community Bancorp, Inc., upon request, full information regarding the number of shares purchased at each separate price within the ranges set forth in this footnote.
These shares are held in the reporting person's self-directed IRA.
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 24, 2017, June 24, 2018, June 24, 2019, June 24, 2020 and June 24, 2021.
/s/ Rebecca L. Johnson, Attorney-in-fact
2021-06-02