0001415889-21-000266.txt : 20210108 0001415889-21-000266.hdr.sgml : 20210108 20210108131843 ACCESSION NUMBER: 0001415889-21-000266 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210107 FILED AS OF DATE: 20210108 DATE AS OF CHANGE: 20210108 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: 21516756 MAIL ADDRESS: STREET 1: 471 BAILEY RD CITY: LAWRENCEVILLE STATE: RI ZIP: 16901 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 4 1 form4-01082021_100133.xml X0306 4 2021-01-07 0000810958 CITIZENS & NORTHERN CORP CZNC 0001565902 D'Haene Shelley L 471 BAILEY HILL ROAD LAWRENCEVILLE PA 16929 false true false false EXEC. VP Common Stock 2021-01-07 5 J 0 424 19.9884 A 5492 I By ESOP Common Stock 10257 D Exempt acquisition via year end contribution to ESOP. /s/ Amy B Wherley for Shelley L D'Haene, 10/31/17, Attorney-in-Fact 2021-01-08