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