SEC Form 4 · accession 0001209191-17-062454
Citizens Community Bancorp Inc. · CZWI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stephen M Bianchi
Officer — CEO and President
Period of report
Nov 21, 2017
Accepted (ET)
Nov 24, 2017 · 4:43 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 | Nov 21, 2017 | P | 200 | $13.48 | A | 18,000 | I | By IRA |
| Common Stock, par value $0.01 per share | holding | — | — | — | 21,345 | 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 | $11.00 | holding | — | — | — | — | Jun 24, 2026 | Common Stock | 20,000 | 20,000 | D |
Explanation of responses
- F1These shares are held in the reporting person's self-directed IRA.
- F2The common stock option awarded under the Company's 2008 Equity Incentive Plan vests as follows: 20% of the shares vest on each of June 24, 2017, June 24, 2018, June 24, 2019, June 24, 2020 and June 24, 2021.