0001437749-16-043621.txt : 20161221
0001437749-16-043621.hdr.sgml : 20161221
20161221111757
ACCESSION NUMBER: 0001437749-16-043621
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161219
FILED AS OF DATE: 20161221
DATE AS OF CHANGE: 20161221
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: 162063103
MAIL ADDRESS:
STREET 1: 471 BAILEY RD
CITY: LAWRENCEVILLE
STATE: RI
ZIP: 16901
4
1
rdgdoc.xml
FORM 4
X0306
4
2016-12-19
0000810958
CITIZENS & NORTHERN CORP
CZNC
0001565902
D'Haene Shelley L
471 BAILEY ROAD
LAWRENCEVILLE
PA
16929
1
EVP
Common Stock
2016-12-19
4
M
0
420
22.325
A
4777
D
Common Stock
2016-12-19
4
M
0
745
17.50
A
5522
D
Common Stock
2016-12-19
4
F
0
874
25.635
D
4648
D
Common Stock
3175
I
By ESOP
Director Stock Options
22.325
2016-12-19
4
M
0
420
0
D
2007-07-03
2017-01-03
Common Stock
420
0
D
Director Stock Options
17.50
2016-12-19
4
M
0
745
0
D
2008-07-03
2018-01-03
Common Stock
745
0
D
Payment of Exercise Price by delivering securities incident to the exercise of a vested option in accordance with Rule 16b-3
/s/ Teri L. Mitchell POA for Shelley D'Haene 1/2/13
2016-12-21