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