-----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, NsTQ7HPmu72ISemuH9v67KPD6uU7pqOFSYUHgK1TUlJj212pNthk97gu+dQ1HYC6 u5Hgm5go9mGl8hXNmy+DGQ== 0001209191-10-009162.txt : 20100216 0001209191-10-009162.hdr.sgml : 20100215 20100216101346 ACCESSION NUMBER: 0001209191-10-009162 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091231 FILED AS OF DATE: 20100216 DATE AS OF CHANGE: 20100216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: OWLETT EDWARD H III CENTRAL INDEX KEY: 0001242478 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16084 FILM NUMBER: 10603003 MAIL ADDRESS: STREET 1: 894 DEAN HILL ROAD CITY: WELLSBORO STATE: PA ZIP: 16901 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CITIZENS & NORTHERN CORP CENTRAL INDEX KEY: 0000810958 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 232451943 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 90-92 MAIN ST CITY: WELLSBORO STATE: PA ZIP: 16901 BUSINESS PHONE: 7172656171 MAIL ADDRESS: STREET 1: 90-92 MAIN ST CITY: WELLSBORO STATE: PA ZIP: 16901 5 1 doc5.xml FORM 5 SUBMISSION X0303 5 2009-12-31 0 0 1 0000810958 CITIZENS & NORTHERN CORP CZNC 0001242478 OWLETT EDWARD H III 894 DEAN HILL ROAD WELLSBORO PA 16901 1 0 0 0 Common Stock 6107 D Director Stock Options (Right to Buy) 18.0267 1997-04-15 4 A 0 L 300 0.00 A 1997-04-15 2007-04-15 Common Stock 300 300 D Director Stock Options (Right to Buy) 18.0267 2007-04-11 4 M 0 L 300 0.00 D 1997-04-15 2007-04-15 Common Stock 300 0 D Director Stock Options (Right to Buy) 24.3333 1998-04-21 4 A 0 L 300 0.00 A 1998-04-21 2008-04-21 Common Stock 300 300 D Director Stock Options (Right to Buy) 24.3333 2008-04-21 5 J 0 300 0.00 D 1998-04-21 2008-04-21 Common Stock 300 0 D Director Stock Options (Right to Buy) 22.0833 1999-04-20 4 A 0 L 300 0.00 A 1999-04-20 2009-04-20 Common Stock 300 300 D Director Stock Options (Right to Buy) 22.0833 2009-04-20 5 J 0 300 0.00 D 1999-04-20 2009-04-20 Common Stock 300 0 D Director Stock Options (Right to Buy) 16.6667 2000-04-18 4 A 0 L 300 0.00 A 2000-04-18 2010-04-18 Common Stock 300 300 D Director Stock Options (Right to Buy) 14.1667 2001-04-17 4 A 0 L 228 0.00 A 2001-04-17 2011-04-17 Common Stock 228 228 D Director Stock Options (Right to Buy) 17.00 2002-01-02 4 A 0 L 537 0.00 A 2002-01-02 2012-01-02 Common Stock 537 537 D Director Stock Options (Right to Buy) 20.7333 2003-01-02 4 A 0 L 411 0.00 A 2003-01-02 2013-01-02 Common Stock 411 411 D Director Stock Options (Right to Buy) 26.59 2004-01-02 4 A 0 L 327 0.00 A 2004-01-02 2014-01-02 Common Stock 327 327 D Director Stock Options (Right to Buy) 27.00 2005-01-03 4 A 0 L 473 0.00 A 2005-01-03 2015-01-03 Common Stock 473 473 D Director Stock Options (Right to Buy) 22.325 2007-01-03 4 A 0 L 538 0.00 A 2007-01-03 2017-01-03 Common Stock 538 538 D Director Stock Options (Right to Buy) 17.50 2008-01-03 4 A 0 L 679 0.00 A 2008-01-03 2018-01-03 Common Stock 679 679 D Director Stock Options (Right to Buy) 19.88 2009-01-05 4 A 0 L 1341 0.00 A 2009-01-05 2019-01-05 Common Stock 1341 1341 D Direct holdings were previously reported without including unvested restricted stock (which were reported separately.) Total direct holdings reported in this Form have been revised to include unvested restricted stock. Exercise prices and number of options shares adjusted for 2003 stock split. Acquisition of shares pursuant to options exercised previously reported in Table I; however, the exercise was not reported in Table II. Expiration of director stock option without value exempt under Rule 16b-6(d). Jessica R. Brown for Edward H. Owlett, III under Power of Attorney dated 8/23/07. 2010-02-16 -----END PRIVACY-ENHANCED MESSAGE-----