SEC Form 4 · accession 0001209191-17-003558
Citizens Community Bancorp Inc. · CZWI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark C. Oldenberg
Officer — Chief Financial Officer
Period of report
Jan 12, 2017
Accepted (ET)
Jan 12, 2017 · 6:17 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 share | Jan 12, 2017 | M | 1,000 | $5.65 | A | 21,078 | D | |
| Common Stock, par value $0.01 per share | Jan 12, 2017 | M | 3,000 | $9.20 | A | 24,078 | 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)F1 | $5.65 | Jan 12, 2017 | M | 1,000 | D | — | Jul 2, 2022 | Common Stock | 1,000 | 1,000 | D |
| Common Stock Option (right to buy)F2 | $9.20 | Jan 12, 2017 | M | 3,000 | D | — | Mar 3, 2025 | Common Stock | 3,000 | 12,000 | D |
Explanation of responses
- F1The common stock option vests pro rata over a five-year period: 20% of the shares become exercisable on each July 2, 2013, July 2, 2014, July 2, 2015, July 2, 2016 and July 2, 2017.
- F2The common stock option vests pro rata over a five-year period: 20% of the shares become exercisable on each January 24, 2016, January 24, 2017, January 24, 2018, January 24, 2019 and January 24, 2020.