SEC Form 4/A · accession 0001209191-17-056094
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
Brian R Schilling
Director
Period of report
Oct 31, 2006
Accepted (ET)
Oct 5, 2017 · 12:45 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001367859
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F1,F2 | $7.04 | Oct 31, 2006 | A | 14,240 | A | Feb 4, 2006 | Feb 4, 2020 | Common Stock | 14,240 | 14,240 | D |
Explanation of responses
- F1Transaction represents an award of stock options under Issuer's 2004 Stock Option and Incentive Plan. The stock options are scheduled to vest in five equal installments beginning on February 4, 2006.
- F2Due to a clerical error, the reporting person's original Form 4 and subsequent Forms 4 filed by the reporting person set forth an incorrect expiration date. This Form 4/A corrects the error and presents the correct expiration date.