0001437749-23-030056.txt : 20231102
0001437749-23-030056.hdr.sgml : 20231102
20231102173945
ACCESSION NUMBER: 0001437749-23-030056
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231101
FILED AS OF DATE: 20231102
DATE AS OF CHANGE: 20231102
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jensen Corey
CENTRAL INDEX KEY: 0001757133
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34682
FILM NUMBER: 231373799
MAIL ADDRESS:
STREET 1: 1400 PROSPECT AVENUE
CITY: HELENA
STATE: MT
ZIP: 59601
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
4
1
rdgdoc.xml
FORM 4
X0508
4
2023-11-01
0001478454
Eagle Bancorp Montana, Inc.
EBMT
0001757133
Jensen Corey
1400 PROSPECT AVENUE
HELENA
MT
59601
1
0
Common Stock
2023-11-01
4
A
0
980
0
A
6324
D
Common Stock
2023-11-01
4
A
0
1065
0
A
7389
D
Shares awarded in accordance with stock incentive plan approved by shareholders on October 20, 2011, as amended.
Shares awarded in accordance with non-employee director award plan approved by shareholders on April 23, 2020.
/s/ Corey Jensen
2023-11-02