SEC Form 4 · accession 0001042167-15-000037
Citizens Community Bancorp Inc. · CZWI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Edward H Schaefer
Officer — CEO & President
Period of report
Mar 3, 2015
Accepted (ET)
Mar 5, 2015 · 12:42 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001367859
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common stock, par value $.01 per shareF1 | Mar 3, 2015 | A | 10,000 | $0.00 | A | 60,502 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock Option (right to buy)F2 | $9.20 | Mar 3, 2015 | A | 20,000 | A | Jan 24, 2016 | Mar 3, 2025 | Common Stock | 20,000 | 20,000 | D |
Explanation of responses
- F1Represents shares of Common Stock awarded under the Company's 2008 Equity Incentive Plan of which the shares vest as follows: 20% of the shares vest on each of January 24, 2016 and January 24, 2017, January 24, 2018, January 24, 2019 and January 24, 2020.
- F2The common stock option awarded under the Company's 2008 Equity Incentive Plan vests as follows: 20% of the shares vest on January 24, 2016, January 24, 2017, January 24, 2018, January 24, 2019 and January 24, 2020.