0001174947-21-000965.txt : 20211101 0001174947-21-000965.hdr.sgml : 20211101 20211101154653 ACCESSION NUMBER: 0001174947-21-000965 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211029 FILED AS OF DATE: 20211101 DATE AS OF CHANGE: 20211101 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kephart Cameron CENTRAL INDEX KEY: 0001723033 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17077 FILM NUMBER: 211367012 MAIL ADDRESS: STREET 1: 300 MARKET STREET STREET 2: P.O. BOX 967 CITY: WILLIAMSPORT STATE: PA ZIP: 17703 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PENNS WOODS BANCORP INC CENTRAL INDEX KEY: 0000716605 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 232226454 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 115 S MAIN ST CITY: JERSEY SHORE STATE: PA ZIP: 17740 BUSINESS PHONE: 570-322-1111 MAIL ADDRESS: STREET 1: 115 S MAIN ST CITY: JERSEY SHORE STATE: PA ZIP: 17740 4 1 ownership.xml X0306 4 2021-10-29 0 0000716605 PENNS WOODS BANCORP INC PWOD 0001723033 Kephart Cameron 425 S. TORBERT LANE JERSEY SHORE PA 17740 1 0 0 0 Penns Woods Bancorp, Inc. Common Stock 2021-10-29 2021-10-29 4 A 0 304 23.80 A 3975 D /s/ Michelle M. Karas Attorney in Fact 2021-11-01