0001437749-17-000303.txt : 20170106
0001437749-17-000303.hdr.sgml : 20170106
20170106093314
ACCESSION NUMBER: 0001437749-17-000303
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170104
FILED AS OF DATE: 20170106
DATE AS OF CHANGE: 20170106
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: 17513038
MAIL ADDRESS:
STREET 1: 471 BAILEY RD
CITY: LAWRENCEVILLE
STATE: RI
ZIP: 16901
4
1
rdgdoc.xml
FORM 4
X0306
4
2017-01-04
0000810958
CITIZENS & NORTHERN CORP
CZNC
0001565902
D'Haene Shelley L
471 BAILEY ROAD
LAWRENCEVILLE
PA
16929
1
EVP
Common Stock
2017-01-04
4
A
0
1078
25.97
A
5726
D
Common Stock
3175
I
By ESOP
Award of Restricted Stock
/s/ Kimberly N Battin POA for Shelley L D'Haene 5/26/15
2017-01-06