SEC Form 4 · accession 0001209191-17-005489
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 24, 2017
Accepted (ET)
Jan 25, 2017 · 2:37 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 | Jan 24, 2017 | F | 1,375 | $12.59 | D | 22,703 | D | |
| Common Stock, par value $0.01 per share | Jan 25, 2017 | M | 2,000 | $8.00 | A | 24,703 | 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 | $8.00 | Jan 25, 2017 | M | 2,000 | D | — | Mar 3, 2025 | Common Stock | 2,000 | 13,000 | D |
Explanation of responses
- F1The reporting person surrendered a total of 1,375 shares of the Company's common stock to satisfy the withholding taxes due upon the vesting of certain previously awarded shares of restricted stock issued under the Company's 2004 Recognition and Retention Plan (402 shares) and under the Company's 2008 Equity Incentive Plan (973 shares).
- 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.