SEC Form 4 · accession 0001144204-16-083817
Citizens Community Bancorp Inc. · CZWI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Edward H Schaefer
Officer — CEO and President
Period of report
Feb 22, 2016
Accepted (ET)
Feb 23, 2016 · 3:44 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 $0.01 per shareF1 | Feb 22, 2016 | S | 6,093 | $9.01 | D | 66,349 | D | |
| Common Stock, par value $0.01 per shareF2 | Feb 23, 2016 | S | 3,907 | $8.98 | D | 62,442 | D | |
| Common Stock, par value $0.01 per share | Feb 23, 2016 | M | 4,644 | $5.00 | A | 67,086 | D | |
| Common Stock, par value $0.01 per share | Feb 23, 2016 | M | 4,644 | $5.48 | A | 71,730 | D | |
| Common Stock, par value $0.01 per share | Feb 23, 2016 | M | 4,732 | $5.56 | A | 76,462 | D | |
| Common Stock, par value $0.01 per share | Feb 23, 2016 | M | 876 | $6.12 | A | 77,338 | 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)F3 | $5.00 | Feb 23, 2016 | M | 4,644 | D | Sep 30, 2012 | Sep 30, 2021 | Common Stock | 4,644 | 4,643 | D |
| Common Stock Option (right to buy)F4 | $5.48 | Feb 23, 2016 | M | 4,644 | D | Jun 14, 2012 | Jun 14, 2021 | Common Stock | 4,644 | 4,643 | D |
| Common Stock Option (right to buy)F5 | $5.56 | Feb 23, 2016 | M | 4,732 | D | Oct 31, 2013 | Oct 31, 2022 | Common Stock | 4,732 | 9,287 | D |
| Common Stock Option (right to buy)F6 | $6.12 | Feb 23, 2016 | M | 876 | D | Jan 24, 2014 | Jan 24, 2023 | Common Stock | 876 | 586 | D |
Explanation of responses
- F1The price reported above is the average transaction price. The range of prices for such transactions is $9.00 to $9.06. Upon request by the Commission staff, the reporting person will provide full information regarding the number of shares sold at each separate price.
- F2The price reported above is the average transaction price. The range of prices for such transactions is $8.96 to $8.98. Upon request by the Commission staff, the reporting person will provide full information regarding the number of shares sold at each separate price.
- F3The common stock option vests pro rata over a five-year period: 20% of the shares become exercisable on each of September 30, 2012, September 30, 2013, September 30, 2014, September 30, 2015 and September 30, 2016.
- F4The common stock option vests pro rata over a five-year period: 20% of the share become exercisable on each June 14, 2012, June 14, 2013, June 14, 2014, June 14, 2015 and June 14, 2016.
- F5The common stock option vests pro rata over a five-year period: 20% of the shares become exercisable on each of October 31, 2013, October 31, 2014, October 31, 2015, October 31, 2016 and October 31, 2017.
- F6The common stock option vests pro rata over a five-year period: 20% of the shares become exercisable on each January 24, 2014, January 24, 2015, January 24, 2016, January 24, 2017 and January 24, 2018.