Filing Details

Accession Number:
0001367859-18-000139
Form Type:
4
Zero Holdings:
No
Publication Time:
2018-11-02 17:53:41
Reporting Period:
2018-10-31
Accepted Time:
2018-11-02 17:53:41
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1367859 Citizens Community Bancorp Inc. CZWI () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1204872 S James Broucek C/O Citizens Community Bancorp, Inc.
2174 Eastridge Center
Eau Claire WI 54701
Evp/Cfo/Treasurer/Secretary No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock, Par Value $0.01 Per Share Disposition 2018-10-31 415 $12.75 4,905 No 4 F Direct
Common Stock, Par Value $0.01 Per Share Acquisiton 2018-11-02 500 $12.50 23,056 No 4 P Indirect By IRA
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 F Direct
No 4 P Indirect By IRA
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Common Stock Option (right to buy) $13.60 2027-10-31 8,000 8,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2027-10-31 8,000 8,000 Direct
Footnotes
  1. The reporting person surrendered a total of 581 shares of the Company's common stock to satisfy the withholding taxes due upon the vesting of certain previously awarded shares of restricted stock issued under the Company's 2008 Equity Incentive Plan.
  2. These shares are held in the reporting person's self-directed IRA.
  3. The common stock option awarded under the Company's 2008 Equity Incentive Plan vests as follows: 20% of the shares vest on each of October 31, 2018, October 31, 2019, October 31, 2020, October 31, 2021 and October 31, 2022.