Citizens Community Bancorp Inc. — Director's Dealing 2017

Nov 2, 2017

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: Citizens Community Bancorp Inc. (CZWI)
CIK: 0001367859
Period of Report: 2017-10-31

Reporting Person: BROUCEK JAMES S (Chief Financial Officer)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2017-10-31	Common Stock, par value $0.01 per share	A	4000	$0.00	Acquired	4000	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2017-10-31	Common Stock Option (right to buy)	$13.60	A	8000	Acquired	2027-10-31	Common Stock (8000)	Direct

Footnotes

F1: Represents restricted shares of Common Stock awarded under the Company's 2008 Equity Incentive Plan, which shares vest equally over three years on each of October 31, 2018, October 31, 2019 and October 31, 2020.

F2: The common stock option awarded under the Company's 2008 Equity Incentive Plan vests as follows: 20% of the shares vest on each of October 31, 2018, October 31, 2019, October 31, 2020, October 31, 2021 and October 31, 2022.