SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549FORM 8-AFOR REGISTRATION OF CERTAIN CLASSES OF SECURITIESPURSUANT TO SECTION 12(b) OR (g) OF THESECURITIES EXCHANGE ACT OF 1934Citizens Community Bancorp
(Exact name of registrant as specified in its charter)Federal
(State of incorporation or organization) | | 20-0663325
(I.R.S. Employer
Identification No.) |
| |
|
2174 Eastridge Center
(Address of principal executive offices) | | 54701
(Zip Code) |
If this form relates to the registration of a class of securities pursuant to Section12 (b) of the Exchange Act and is effective pursuant to General Instruction A.(c), check the following box. [ ]
If this form relates to the registration of a class of securities pursuant to Section12 (g) of the Exchange Act and is effective pursuant to General Instruction A.(d), check the following box. [X]
Securities Act registration statement file number to which this form relates: 333-111588Securities to be registered pursuant to Section 12(b) of the Act.
None
(Title of Class)
Securities to be registered pursuant to Section 12(g) of the Act:
Common Stock par value $.01 per share
(Title of Class)
Next Page
Item 1.
Description of Registrant's Securities to be Registered.
For a description of the Registrant's securities, reference is made to "Description of Capital Stock of Citizens Community Bancorp," "Our Policy Regarding Dividends," and "Market for the Common Stock" in the prospectus included in Registrant's Pre-Effective Amendment No. Two to the Registration Statement on Form SB-2 (Registration Number 333-111588) dated February 11, 2004, which is hereby incorporated by reference. For a description of the provisions of the Registrant's Articles of Incorporation and Bylaws that may render a change in control of the Registrant more difficult, reference is made to "Restrictions on Acquisition of Citizens Community Bancorp and Citizens Community Federal" in the Registrant's Pre-Effective Amendment No. Two to the Registration Statement on Form SB-2 referenced above.
Item 2.
Exhibits.
1. Pre-Effective Amendment No. Two to the Registration Statement on Form SB-2 (Registration Number 333-111588) dated February 11, 2004 is hereby incorporated by reference.
2. Articles of Incorporation for Citizens Community Bancorp, filed as Exhibit 3.1 to the Registration Statement on Form SB-2 (Registration Number 333-111588) dated December 29, 2003 is hereby incorporated by reference.
3. Bylaws of Citizens Community Bancorp, filed as Exhibit 3.2 to the Registration Statement on Form SB-2 (Registration Number 333-111588) dated December 29, 2003 is hereby incorporated by reference.
4. Specimen Stock Certificate, filed as Exhibit 4 to Registration Statement on Form SB-2 (Registration Number 333-111588) dated December 29, 2003 is hereby incorporated by reference.
Next Page
SIGNATURE Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereto duly authorized.
| | | CITIZENS COMMUNITY BANCORP
|
| Date: February 11, 2004 | By: | /s/ James G. Cooley
James G. Cooley, President and
Chief Executive Officer
|
End.
