0001209191-11-056382.txt : 20111116 0001209191-11-056382.hdr.sgml : 20111116 20111116151212 ACCESSION NUMBER: 0001209191-11-056382 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111114 FILED AS OF DATE: 20111116 DATE AS OF CHANGE: 20111116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mattie Raymond R CENTRAL INDEX KEY: 0001398336 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16084 FILM NUMBER: 111209836 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 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2011-11-14 0 0000810958 CITIZENS & NORTHERN CORP CZNC 0001398336 Mattie Raymond R 622 STATE ROUTE 864 MONTOURSVILLE PA 17754 1 0 0 0 Common Stock 2011-11-14 2011-11-15 4 P 0 26 16.842 A 13056 D Common Stock 2011-11-14 4 J 0 97 16.65 A 13153 D Dividend of 11/14/11 posted to D/R Account Teri L. Mitchell for Raymond R. Mattie under Power of Attorney dated 7/23/09. 2011-11-16