Form Type: 4

SEC EDGAR Link
Accession Number:0001367859-21-000128
Date:2021-08-02
Issuer: CITIZENS COMMUNITY BANCORP INC. (CZWI)
Original Submission Date:

Reporting Person:

BIANCHI STEPHEN M
C/O CITIZENS COMMUNITY BANCORP, INC.
2174 EASTRIDGE CENTER EAU CLAIRE, WI 54701

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
COMMON STOCK, PAR VALUE $0.01 PER SHARE 2021-08-02 P 500 a $13.84 44,841 indirect f1
COMMON STOCK, PAR VALUE $0.01 PER SHARE 2021-08-02 P 100 a $13.81 44,941 indirect f1
COMMON STOCK, PAR VALUE $0.01 PER SHARE 2021-08-03 P 400 a $13.81 45,341 indirect f1
COMMON STOCK, PAR VALUE $0.01 PER SHARE 2021-08-02 0 $0.00 50,768 direct
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
COMMON STOCK OPTION (RIGHT TO BUY) 11.0 deemed execution date 0 ( ) 2026-06-24 common stock 20,000 $11.00 20,000 direct
Footnotes
IDfootnote
f1 these shares are held in the reporting person's self-directed ira.
f2 the price reported in column 4 is a weighted average price. these shares were purchased in multiple transactions at prices ranging from $13.75 to $13.85, inclusive. the reporting person undertakes to provide the sec staff, citizens community bancorp, inc., or any security holder of citizens community bancorp, inc., upon request, full information regarding the number of shares purchased at each separate price within the ranges set forth in this footnote.
f3 the 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.
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