0001209191-12-001086.txt : 20120104 0001209191-12-001086.hdr.sgml : 20120104 20120104160515 ACCESSION NUMBER: 0001209191-12-001086 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120104 FILED AS OF DATE: 20120104 DATE AS OF CHANGE: 20120104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Updegraff Charles H. JR CENTRAL INDEX KEY: 0001398230 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16084 FILM NUMBER: 12506133 MAIL ADDRESS: STREET 1: 28 PROSSER HOLLOW ROAD CITY: COUDERSPORT STATE: PA ZIP: 16915 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 2012-01-04 0 0000810958 CITIZENS & NORTHERN CORP CZNC 0001398230 Updegraff Charles H. JR 28 PROSSER HOLLOW ROAD COUDERSPORT PA 16915 1 1 0 0 Chief Executive Officer Common Stock 2012-01-04 4 A 0 2368 18.54 A 65275 D Common Stock 1838 I By ESOP Employee Stock Options (Right to Buy) 18.54 2012-01-04 4 A 0 14210 0.00 A 2012-07-04 2022-01-04 Common Stock 14210 14210 D Award of Restricted Stock Teri L. Mitchell for Charles H. Updegraff,Jr. under Power of Attorney dated 07/23/09 2012-01-04