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