SEC Form 4 · accession 0001437749-16-042398
CITIZENS & NORTHERN CORP · CZNC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas L Rudy Jr.
Officer — Executive Vice President
Period of report
Nov 17, 2016
Accepted (ET)
Nov 18, 2016 · 2:14 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000810958
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Nov 17, 2016 | M | 1,635 | $22.325 | A | 11,474 | D | |
| Common Stock | Nov 17, 2016 | M | 2,945 | $17.50 | A | 14,419 | D | |
| Common Stock | Nov 17, 2016 | F | 3,773 | $23.335 | D | 10,646 | D | |
| Common Stock | holding | — | — | — | 6,078 | I | By ESOP | |
| Common Stock | holding | — | — | — | 14 | I | By Child |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Director Stock Options | $22.325 | Nov 17, 2016 | M | 1,635 | D | Jan 3, 2007 | Jan 3, 2017 | Common Stock | 1,635 | 0 | D |
| Director Stock Options | $17.50 | Nov 17, 2016 | M | 2,945 | D | Jan 3, 2008 | Jan 3, 2018 | Common Stock | 2,945 | 0 | D |
Remarks
Payment of Exercise Price by delivering securities incident to the exercise of a vested option in accordance with Rule 16b-3