SEC Form 4 · accession 0001144204-16-110313
Citizens Community Bancorp Inc. · CZWI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stephen M Bianchi
Officer — CEO and President
Period of report
Jun 24, 2016
Accepted (ET)
Jun 28, 2016 · 6:14 pm EDT
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 | Jun 24, 2016 | A | 9,091 | $0.00 | A | 10,091 | 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 | $11.00 | Jun 24, 2016 | A | 20,000 | A | Jun 24, 2017 | Jun 24, 2026 | 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 June 24, 2017, June 24, 2018, June 24, 2019, June 24, 2020 and June 24, 2021.
- F2The Common Stock option awarded under the Company's 2008 Equity Incentive Plan vests as follows: 20% of the shares vest on each of June 24, 2017, June 24, 2018, June 24, 2019, June 24, 2020 and June 24, 2021.