-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, BBRB+mHKoYpyiaiCcH7BxF34f5yTrwUqUme1cjTXWLuYV5fgZdQ0oEzr1Mtl/7n3 H6UBkUFgkrx+uRVVLD+ATA== 0000739421-05-000048.txt : 20050729 0000739421-05-000048.hdr.sgml : 20050729 20050729132516 ACCESSION NUMBER: 0000739421-05-000048 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050729 FILED AS OF DATE: 20050729 DATE AS OF CHANGE: 20050729 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CITIZENS FINANCIAL SERVICES INC CENTRAL INDEX KEY: 0000739421 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 232265045 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 15 S MAIN ST CITY: MANSFIELD STATE: PA ZIP: 16933 BUSINESS PHONE: 5706622121 MAIL ADDRESS: STREET 1: 15 S MAIN ST CITY: MANSFIELD STATE: PA ZIP: 16933 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BLACK RANDALL E CENTRAL INDEX KEY: 0001215809 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13222 FILM NUMBER: 05983891 BUSINESS ADDRESS: STREET 1: POST OFFICE BOX 19 CITY: LIBERTY STATE: PA ZIP: 16930 BUSINESS PHONE: 5703242266 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2005-07-29 0 0000739421 CITIZENS FINANCIAL SERVICES INC CZFS 0001215809 BLACK RANDALL E 1 1 0 0 CEO AND PRESIDENT COMMON 2005-07-29 4 P 0 12.4866 21 A 1261.1465 D 1% STOCK DIVIDEND BASED ON THE MARKET PRICE OF $21.00 GINA MARIE BOOR, POWER OF ATTORNEY FOR RANDALL E. BLACK 2005-07-29 -----END PRIVACY-ENHANCED MESSAGE-----