0001398344-16-021164.txt : 20161129 0001398344-16-021164.hdr.sgml : 20161129 20161129112738 ACCESSION NUMBER: 0001398344-16-021164 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161123 FILED AS OF DATE: 20161129 DATE AS OF CHANGE: 20161129 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Eagle Bancorp Montana, Inc. CENTRAL INDEX KEY: 0001478454 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1400 PROSPECT AVE. STREET 2: P.O. BOX 4999 CITY: HELENA STATE: MT ZIP: 59604 BUSINESS PHONE: 406-442-3080 MAIL ADDRESS: STREET 1: 1400 PROSPECT AVE. STREET 2: P.O. BOX 4999 CITY: HELENA STATE: MT ZIP: 59604 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rudolf John C CENTRAL INDEX KEY: 0001622933 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34682 FILM NUMBER: 162021783 MAIL ADDRESS: STREET 1: 500 108TH AVE NE, STE 905 CITY: BELLEVUE STATE: WA ZIP: 98006 4 1 fp0022637_4.xml OWNERSHIP DOCUMENT X0306 4 2016-11-23 0 0001478454 Eagle Bancorp Montana, Inc. EBMT 0001622933 Rudolf John C 500 108TH AVE NE, STE 905 BELLEVUE WA 98006 0 0 1 0 EBMT 2016-11-23 4 P 0 14575 18.5278 D 410929 D EBMT 2016-11-23 4 P 0 3342 18.70 D 407587 D /s/ John C Rudolf 2016-11-28