0001437749-17-014953.txt : 20170817 0001437749-17-014953.hdr.sgml : 20170817 20170817151652 ACCESSION NUMBER: 0001437749-17-014953 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170811 FILED AS OF DATE: 20170817 DATE AS OF CHANGE: 20170817 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: 171038514 MAIL ADDRESS: STREET 1: 471 BAILEY RD CITY: LAWRENCEVILLE STATE: RI 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: 877-838-2517 MAIL ADDRESS: STREET 1: 90-92 MAIN ST CITY: WELLSBORO STATE: PA ZIP: 16901 4 1 rdgdoc.xml SHELLEY L. D'HAENE X0306 4 2017-08-11 0000810958 CITIZENS & NORTHERN CORP CZNC 0001565902 D'Haene Shelley L 471 BAILEY ROAD LAWRENCEVILLE PA 16929 1 EVP Common Stock 2017-08-11 5 J 0 35 22.315 A 5606 D Common Stock 2017-08-11 5 J 0 40 22.3637 A 3549 I By ESOP Dividend of 8/11/17 posted to D/R Account Exempt aquisition in ESOP via dividend reinvestment under D/R plan /s/ Kimberly N. Battin POA for Shelley L. D'haene 05/26/15 2017-08-17