0001209191-12-052648.txt : 20121113 0001209191-12-052648.hdr.sgml : 20121112 20121113110922 ACCESSION NUMBER: 0001209191-12-052648 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121109 FILED AS OF DATE: 20121113 DATE AS OF CHANGE: 20121113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mattie Raymond R CENTRAL INDEX KEY: 0001398336 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16084 FILM NUMBER: 121196844 MAIL ADDRESS: STREET 1: 622 STATE ROUTE 864 CITY: MONTOURSVILLE STATE: PA ZIP: 17754 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2012-11-09 0 0000810958 CITIZENS & NORTHERN CORP CZNC 0001398336 Mattie Raymond R 622 STATE ROUTE 864 MONTOURSVILLE PA 17754 1 0 0 0 Common Stock 2012-11-09 4 P 0 71 18.1999 A 15427 D Teri L. Mitchell for Raymond R. Mattie under Power of Attorney dated 07/23/09. 2012-11-13