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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 5
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
( ) Check box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue. See Instructions 1(b).
(X) Form 3 Holdings Reported
( ) Form 4 Transactions Reported
1. Name and Address of Reporting Person
Micallef, Jr., Michael A.
650 E. Elkcam Circle
Marco Island, FL 34145
USA
2. Issuer Name and Ticker or Trading Symbol
Citizens Community Bancorp, Inc.
CCBI
3. IRS or Social Security Number of Reporting Person (Voluntary)
###-##-####
4. Statement for Month/Year
12/97
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
( ) Director ( ) 10% Owner ( ) Officer (give title below) (X) Other
(specify below)
Director & Officer of Subsidiary
President & CEO of CCB
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Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect |
|Transaction| or Disposed of (D) | Securities |ect | Beneficial Ownership |
|Date |Code| | Beneficially |(D)or | |
| | | | A/| | Owned at |Indir | |
| | | Amount | D | Price | End of Year |ect(I)| |
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____________________________________________________________________________|___________________|__________________________________|
Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned |
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1.Title of Derivative |2.Con |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of|
Security |version |Transaction rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect |
|or Exer |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial |
|cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership |
|ice of | | | posed of(D) |Day/Year) | |rity |Benefi |or | |
|Deriva | | | |Date |Expir| | |ficially |Ind| |
|tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| |
|Secu | | | | D |cisa-|Date | of Shares | |End of |ct | |
|rity | | | Amount | |ble | | | |Year |(I)| |
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Options (1) |$5.00 |6/4/ |A(2)| 6,000 | |6/4/ |6/3/ |Common Stock 6,000 | -- |6,000 | D | |
| |1997 | | | | 1998| 2007|Par Value $.01 | | | | |
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Options (1) |$5.00 |6/4/ |A(2)| 6,000 | |6/4/ |6/3/ |Common Stock 6,000 | -- |6,000 | D | |
| |1997 | | | | 1999| 2007|Par Value $.01 | | | | |
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Options (1) |$5.00 |6/4/ |A(2)| 6,000 | |6/4/ |6/3/ |Common Stock 6,000 | -- |6,000 | D | |
| |1997 | | | | 2000| 2007|Par Value $.01 | | | | |
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Options (1) |$5.00 |6/4/ |A(2)| 6,000 | |6/4/ |6/3/ |Common Stock 6,000 | -- |6,000 | D | |
| |1997 | | | | 2001| 2007|Par Value $.01 | | | | |
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Options (1) |$5.00 |6/4/ |A(2)| 6,000 | |6/4/ |6/3/ |Common Stock 6,000 | -- |6,000 | D | |
| |1997 | | | | 2002| 2007|Par Value $.01 | | | | |
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Explanation of Responses:
(1) Shares and exercise prices adjusted to reflect two-for-one stock split
on 12/15/97.
(2) Employment at Citizens Community Bank commenced on 6/4/97 and options
issued at same time.
/S/ Michael A. Micallef, Jr. 2/10/98
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** Signature of Reporting Person Date
