SEC Form 4 · accession 0001209191-17-056095
Citizens Community Bancorp Inc. · CZWI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brian R Schilling
Director
Period of report
Oct 3, 2017
Accepted (ET)
Oct 5, 2017 · 12:51 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 share | Oct 3, 2017 | M | 1,250 | $7.04 | A | 2,001 | 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 | $7.04 | Oct 3, 2017 | M | 1,250 | D | — | Feb 4, 2020 | Common Stock | 1,250 | 12,990 | D |
Explanation of responses
- F1The common stock options awarded under the Issuer's 2004 Stock Option and Incentive Plan vested in five equal installments beginning on February 4, 2006.