0001437749-16-042313.txt : 20161117 0001437749-16-042313.hdr.sgml : 20161117 20161117132635 ACCESSION NUMBER: 0001437749-16-042313 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161117 FILED AS OF DATE: 20161117 DATE AS OF CHANGE: 20161117 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: 877-838-2517 MAIL ADDRESS: STREET 1: 90-92 MAIN ST CITY: WELLSBORO STATE: PA ZIP: 16901 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: D'Haene Shelley L CENTRAL INDEX KEY: 0001565902 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16084 FILM NUMBER: 162004537 MAIL ADDRESS: STREET 1: 471 BAILEY RD CITY: LAWRENCEVILLE STATE: RI ZIP: 16901 4 1 rdgdoc.xml FORM 4 X0306 4 2016-11-17 0000810958 CITIZENS & NORTHERN CORP CZNC 0001565902 D'Haene Shelley L 471 BAILEY ROAD LAWRENCEVILLE PA 16929 1 EVP Common Stock 2016-11-17 5 J 0 33 24.9939 A 3175 I By ESOP Common Stock 4357 D Exempt aquisition in ESOP via dividend reinvestment under D/R plan /s/ Teri L. Mitchell POA for Shelley D'Haene 01/02/13 2016-11-17