0000739421-18-000086.txt : 20180629 0000739421-18-000086.hdr.sgml : 20180629 20180629095752 ACCESSION NUMBER: 0000739421-18-000086 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180629 FILED AS OF DATE: 20180629 DATE AS OF CHANGE: 20180629 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: 18927665 MAIL ADDRESS: STREET 1: POST OFFICE BOX 19 CITY: LIBERTY STATE: PA ZIP: 16930 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: 570-662-0444 MAIL ADDRESS: STREET 1: 15 S MAIN ST CITY: MANSFIELD STATE: PA ZIP: 16933 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2018-06-29 0 0000739421 CITIZENS FINANCIAL SERVICES INC CZFS 0001215809 BLACK RANDALL E POST OFFICE BOX 19 LIBERTY PA 16930 1 1 0 0 CEO & PRESIDENT COMMON CLASS 2018-06-29 4 J 0 289.7757 62.5 A 29392.3498 D COMMON CLASS 2018-06-29 4 J 0 2 62.5 A 297 I BY SPOUSE 1% STOCK DIVIDEND BASED ON THE DECLARATION DATE MARKET PRICE OF $62.50. GINA MARIE BOOR FOR RANDALL E. BLACK UNDER POWER OF ATTORNEY DATED 08/30/2002 2018-06-29