0001174947-22-000132.txt : 20220201 0001174947-22-000132.hdr.sgml : 20220201 20220201104240 ACCESSION NUMBER: 0001174947-22-000132 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220201 DATE AS OF CHANGE: 20220201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Keiler Leroy H III CENTRAL INDEX KEY: 0001350576 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17077 FILM NUMBER: 22577349 MAIL ADDRESS: STREET 1: P.O. BOX 573 STREET 2: 11 SHILO LANE CITY: AVIS STATE: PA ZIP: 17721 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 5 1 ownership.xml X0306 5 2021-12-31 0 0 0 0000716605 PENNS WOODS BANCORP INC PWOD 0001350576 Keiler Leroy H III 112 OAK RUN ROAD LOCK HAVEN PA 17745 1 0 0 0 Penns Woods Bancorp, Inc. common stock 2021-12-31 5 J 0 149 0 A 3349 D J1 - 2021 Dividend Reinvestment Shares /s/ Michelle M. Karas, Attorney in Fact 2022-01-31