0001567619-22-021332.txt : 20221206
0001567619-22-021332.hdr.sgml : 20221206
20221206123640
ACCESSION NUMBER: 0001567619-22-021332
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221205
FILED AS OF DATE: 20221206
DATE AS OF CHANGE: 20221206
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ball David R
CENTRAL INDEX KEY: 0001842134
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38778
FILM NUMBER: 221447166
MAIL ADDRESS:
STREET 1: 7001 WEST EDGERTON AVENUE
CITY: GREENFIELD
STATE: WI
ZIP: 53220
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: 1895 Bancorp of Wisconsin, Inc.
CENTRAL INDEX KEY: 0001751692
STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTIONS, NOT FEDERALLY CHARTERED [6036]
IRS NUMBER: 000000000
STATE OF INCORPORATION: X1
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 7001 WEST EDGERTON AVENUE
CITY: GREENFIELD
STATE: WI
ZIP: 53220
BUSINESS PHONE: 414-421-8200
MAIL ADDRESS:
STREET 1: 7001 WEST EDGERTON AVENUE
CITY: GREENFIELD
STATE: WI
ZIP: 53220
4
1
doc1.xml
FORM 4
X0306
4
2022-12-05
0
0001751692
1895 Bancorp of Wisconsin, Inc.
BCOW
0001842134
Ball David R
7001 WEST EDGERTON AVENUE
GREENFIELD
WI
53220
1
1
0
0
President and CEO
Common Stock
2022-12-05
4
P
0
500
10.10
A
47120
D
Stock Options
7.7566
2022-02-26
2031-02-26
Common Stock
37316
37316
D
Stock Options
10.05
2023-10-28
2032-10-28
Common Stock
79695
79695
D
Includes shares of restricted stock which vest at a rate of 20% per year commencing on February 26, 2022.
Includes shares of restricted stock which vest at a rate of 20% per year commencing on October 28, 2023.
Stock options vest at a rate of 20% per year commencing on February 26, 2022.
Stock options vest at a rate of 20% per year commencing on October 28, 2023.
/s/ Marc P. Levy, pursuant to Power of Attorney
2022-12-06