SEC Form 4/A · accession 0001209191-16-149028
Citizens Community Bancorp Inc. · CZWI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Stephen M Bianchi
Officer — CEO and President
Period of report
Sep 14, 2016
Accepted (ET)
Nov 9, 2016 · 3:19 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 shareF2,F3,F4 | Sep 14, 2016 | P | 1,000 | $10.91 | A | 6,000 | I | By IRA |
| Common Stock, par value $0.01 per shareF1 | holding | — | — | — | 11,591 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The original Form 4 filed on September 14, 2016 incorrectly reported 1,000 shares purchased as direct ownership. As of September 14, 2016, the reporting person had direct ownership of 11,591 shares.
- F2The price reported above is the average transaction price. The range of prices for such transactions is $10.90 to $10.91. Upon request by the Commission staff, the reporting person will provide full information regarding the number of shares sold at each separate price.
- F3The original Form 4 filed on September 14, 2016 should have reported 1,000 shares purchased with indirect ownership. As of September 14, 2016, the reporting person had indirect ownership of 6,000 shares held in the reporting person's self-directed IRA.
- F4These shares are held in the reporting person's self-directed IRA.