Lang James R 4
4 · Citizens Community Bancorp Inc. · Filed Sep 28, 2018
Insider Transaction Report
Form 4
Lang James R
Director
Transactions
- Conversion
Common Stock, par value $.01 per share
[F1][F2]2018-09-28+19,230→ 49,230 total(indirect: By IRA) - Conversion
Common Stock, par value $.01 per share
[F1][F3]2018-09-28+8,460→ 8,460 total(indirect: By IRA) - Conversion
Series A Preferred Stock
[F1][F2]2018-09-28−1,923→ 0 total(indirect: By IRA)→ Common Stock (19,230 underlying) - Conversion
Series A Preferred Stock
[F1][F3]2018-09-28−846→ 0 total(indirect: By IRA)→ Common Stock (8,460 underlying)
Holdings
- 3,980(indirect: By Trust)
Common Stock, par value $.01 per share
[F4] - 2,500(indirect: By Trust)
Common Stock, par value $.01 per share
[F5] - 515
Common Stock, par value $.01 per share
Footnotes (5)
- [F1]Each share of 8% Series A Mandatorily Convertible Non-Cumulative Non-Voting Perpetual Stock was mandatorily converted into ten (10) shares of the Company's common stock three days following stockholder approval of the issuance of the underlying common stock and had no expiration date.
- [F2]These shares are held in the reporting person's self-directed IRA.
- [F3]These shares are held in the reporting person's self-directed Roth IRA.
- [F4]These shares are held by the James & Patricia Lang Grandchildren Education Trust UAD 01/01/2002, pursuant to which Mr. Lang serves as an investment manager and has investment discretion over such shares. Mr. Lang disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
- [F5]These shares are held by the Leah Delaney Karge Trust pursuant to which Mr. Lang serves as trustee and has investment discretion. Mr. Lang disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
Signature
/s/ Rebecca L. Johnson, by Power of Attorney|2018-09-28