0001567619-22-021420.txt : 20221208 0001567619-22-021420.hdr.sgml : 20221208 20221208155802 ACCESSION NUMBER: 0001567619-22-021420 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221207 FILED AS OF DATE: 20221208 DATE AS OF CHANGE: 20221208 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: 221452363 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 2022-12-07 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 2022-12-07 4 P 0 299 10.00 A 47419 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 2022-12-08