0001209191-15-003090.txt : 20150108 0001209191-15-003090.hdr.sgml : 20150108 20150108144032 ACCESSION NUMBER: 0001209191-15-003090 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150105 FILED AS OF DATE: 20150108 DATE AS OF CHANGE: 20150108 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 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: 15516005 MAIL ADDRESS: STREET 1: 471 BAILEY RD CITY: LAWRENCEVILLE STATE: RI ZIP: 16901 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-01-05 0 0000810958 CITIZENS & NORTHERN CORP CZNC 0001565902 D'Haene Shelley L 471 BAILEY ROAD LAWRENCEVILLE PA 16929 0 1 0 0 EVP Common Stock 2015-01-05 4 A 0 1069 21.04 A 2882 D Common Stock 2580 I By ESOP Award of Restricted Stock Teri L. Mitchell for Shelley L. D'Haene under Power of Attorney dated 01/02/2013. 2015-01-08