-----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, TxYZUo3+/yDaVCDNAj0q+FAjRuOKAfl6XHFXzI9bVaHTDGeECDOqYsuL88RgnEJK ig0Q3jFiHZ5VmtteyUB9xQ== 0001209191-10-009165.txt : 20100216 0001209191-10-009165.hdr.sgml : 20100215 20100216101448 ACCESSION NUMBER: 0001209191-10-009165 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091231 FILED AS OF DATE: 20100216 DATE AS OF CHANGE: 20100216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mattie Raymond R CENTRAL INDEX KEY: 0001398336 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16084 FILM NUMBER: 10603010 MAIL ADDRESS: STREET 1: 622 STATE ROUTE 864 CITY: MONTOURSVILLE STATE: PA ZIP: 17754 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: 7172656171 MAIL ADDRESS: STREET 1: 90-92 MAIN ST CITY: WELLSBORO STATE: PA ZIP: 16901 5 1 doc5.xml FORM 5 SUBMISSION X0303 5 2009-12-31 0 0 1 0000810958 CITIZENS & NORTHERN CORP CZNC 0001398336 Mattie Raymond R 622 STATE ROUTE 864 MONTOURSVILLE PA 17754 1 0 0 0 Common Stock 8206 D Director Stock Options (Right to Buy) 17.50 2008-01-03 4 A 0 L 679 0.00 A 2008-01-03 2018-01-03 Common Stock 679 679 D Director Stock Options (Right to Buy) 17.50 2008-08-15 4 M 0 L 679 0.00 D 2008-01-03 2018-01-03 Common Stock 679 0 D Director Stock Options (Right to Buy) 19.88 2009-01-05 4 A 0 L 1341 0.00 A 2009-01-05 2019-01-05 Common Stock 1341 1341 D Direct holdings were previously reported without including unvested restricted stock (which were reported separately.) Total direct holdings reported in this Form have been revised to include unvested restricted stock. Acquisition of shares pursuant to options exercised previously reported in Table I; however, the exercise was not reported in Table II. Jessica R. Brown for Raymond R. Mattie under Power of Attorney dated 8/23/07. 2010-02-16 -----END PRIVACY-ENHANCED MESSAGE-----