0000739421-19-000064.txt : 20190523 0000739421-19-000064.hdr.sgml : 20190523 20190523114235 ACCESSION NUMBER: 0000739421-19-000064 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190522 FILED AS OF DATE: 20190523 DATE AS OF CHANGE: 20190523 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: 19848747 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 2019-05-22 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 2019-05-22 4 A 0 151 0 A 31672.8725 D COMMON CLASS 297 I BY SPOUSE STOCK AWARDS GRANTED PURSUANT TO THE CITIZENS FINANCIAL SERVICES, INC. 2016 EQUITY INCENTIVE PLAN VEST IN THREE EQUAL ANNUAL INSTALLMENTS COMMENCING ON MAY 22, 2020. GINA MARIE BOOR FOR RANDALL E. BLACK UNDER POWER OF ATTORNEY DATED 08/30/2002 2019-05-23