SEC Form 4 · accession 0001209191-16-148822
Citizens Community Bancorp Inc. · CZWI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard McHugh
Director
Period of report
Nov 4, 2016
Accepted (ET)
Nov 8, 2016 · 2:09 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 | Nov 4, 2016 | P | 182 | $10.90 | A | 34,596 | I | By Spouse |
| Common Stock, par value $0.01 per share | holding | — | — | — | 159,624 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The shares purchased included 141 shares purchased by the reporting person's spouse directly and 41 shares purchased by the reporting person's spouse as custodian for the benefit of her grandchildren. Following such acquisitions, the reporting person's spouse owns 34,275 shares of our common stock directly and 321 shares are held by the reporting person's spouse as custodian for her grandchildren. Mr. McHugh disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.