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