0001367859-24-000025.txt : 20240129
0001367859-24-000025.hdr.sgml : 20240129
20240129160124
ACCESSION NUMBER: 0001367859-24-000025
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240125
FILED AS OF DATE: 20240129
DATE AS OF CHANGE: 20240129
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Amundsen Nicholas William
CENTRAL INDEX KEY: 0001907732
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33003
FILM NUMBER: 24573570
MAIL ADDRESS:
STREET 1: S4443 RYGG ROAD
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_1706562066.xml
FORM 4
X0508
4
2024-01-25
0
0001367859
Citizens Community Bancorp Inc.
CZWI
0001907732
Amundsen Nicholas William
C/O CITIZENS COMMUNITY BANCORP, INC.
2174 EASTRIDGE CENTER
EAU CLAIRE
WI
54701
0
0
0
1
Director of Subsidiary
0
Common Stock, par value $0.01 per share
2024-01-25
4
A
0
1473
11.88
A
3814
D
Represents restricted shares of Common Stock awarded under the Company's 2018 Equity Incentive Plan, which shares vest December 31, 2024.
/s/ Rebecca L. Johnson, Attorney-in-fact
2024-01-29