-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, JxR26cZh3cjhuHu4WB0sEzRc7jDO1M+7xSC5EZAIrgGajQo+nRbi5dzhXSxUnbkA cJYX5uIMCtOWXlsF35MLbA== 0001209191-04-000747.txt : 20040105 0001209191-04-000747.hdr.sgml : 20040105 20040105163217 ACCESSION NUMBER: 0001209191-04-000747 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040102 FILED AS OF DATE: 20040105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DECAMP R ROBERT CENTRAL INDEX KEY: 0001242445 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16084 FILM NUMBER: 04505472 MAIL ADDRESS: STREET 1: PO BOX 57 CITY: WELLSBORO STATE: PA ZIP: 16947 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: THOMPSON ST CITY: RALSTON STATE: PA ZIP: 17763 BUSINESS PHONE: 7172656171 MAIL ADDRESS: STREET 1: 90-92 MAIN ST CITY: WELLSBORO STATE: PA ZIP: 16901 4 1 doc4.xml FORM 4 SUBMISSION X0201 42004-01-0200000810958CITIZENS & NORTHERN CORP CZNC.OB0001242445DECAMP R ROBERTPO BOX 57WELLSBOROPA169011000Common Stock2004-01-024A035.000026.5900D56.0000DCommon Stock2004-01-024A037.000026.5900A93.0000DCommon Stock2004-01-024J035.000026.5900A1939.0000DRelease of Restricted Stock granted under Independent Directors Stock Incentive PlanAwar d of Restricted StockTotal Restricted Stock HoldingsRestricted Stock reissued to personal holdingsTotal Holdings, including shares received as dividend on Restricted Stock, which are not restrictedKathleen M. Osgood for R. Robert DeCamp under Power of Attorney dated 9/20/012004-01-05 -----END PRIVACY-ENHANCED MESSAGE-----