SEC Form 4 · accession 0001209191-17-044339
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
Jul 5, 2017
Accepted (ET)
Jul 7, 2017 · 2:55 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 | Jul 5, 2017 | F | 171 | $13.98 | D | 22,532 | D | |
| Common Stock, par value $0.01 per share | Jul 5, 2017 | M | 1,000 | $5.65 | A | 23,532 | 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 | $5.65 | Jul 5, 2017 | M | 1,000 | D | — | Jul 2, 2022 | Common Stock | 1,000 | 0 | D |
| Common Stock (right to buy)F3 | $6.12 | holding | — | — | — | — | Jan 24, 2023 | Common Stock | 586 | 586 | D |
| Common Stock (right to buy)F4 | $8.00 | holding | — | — | — | — | Jan 24, 2024 | Common Stock | 6,000 | 6,000 | D |
| Common Stock (right to buy)F5 | $9.20 | holding | — | — | — | — | Mar 3, 2025 | Common Stock | 10,000 | 10,000 | D |
| Common Stock (right to buy)F6 | $9.21 | holding | — | — | — | — | Jan 24, 2026 | Common Stock | 5,000 | 5,000 | D |
Explanation of responses
- F1The reporting person surrendered a total of 171 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.
- F2The 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.
- F3The common stock options and restricted shares of Common Stock vest pro rata over a five year period on each of January 24, 2014, January 24, 2015, January 24, 2016, January 24, 2017 and January 24, 2018.
- F4The common stock options and restricted shares of Common Stock vest pro rata over a five year period on each of January 24, 2015, January 24, 2016, January 24, 2017, January 24, 2018 and January 24, 2019.
- F5The 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.
- F6The common stock option awarded under the Company's 2008 Equity Incentive Plan vests as follows: 20% of the shares vest on each of January 24, 2017, January 24, 2018, January 24, 2019, January 24, 2020 and January 24, 2021.