SEC Form 4 · accession 0001437749-16-043730
CITIZENS & NORTHERN CORP · CZNC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stan R Dunsmore
Officer — EVP & Chief Credit Officer
Period of report
Dec 22, 2016
Accepted (ET)
Dec 23, 2016 · 11:37 am 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 | Dec 22, 2016 | M | 810 | $17.50 | A | 8,120 | D | |
| Common Stock | Dec 22, 2016 | M | 1,005 | $19.88 | A | 9,125 | D | |
| Common Stock | Dec 22, 2016 | M | 1,853 | $15.06 | A | 10,978 | D | |
| Common Stock | Dec 22, 2016 | F | 2,434 | $25.495 | D | 8,544 | D | |
| Common Stock | holding | — | — | — | 58 | I | By Child | |
| Common Stock | holding | — | — | — | 2,940 | I | By ESOP |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Options | $17.50 | Dec 22, 2016 | M | 810 | D | Jul 3, 2008 | Jan 3, 2018 | Common Stock | 810 | 0 | D |
| Director Stock Options | $19.88 | Dec 22, 2016 | M | 1,005 | D | Jul 5, 2009 | Jan 5, 2019 | Common Stock | 1,005 | 0 | D |
| Director Stock Options | $15.06 | Dec 22, 2016 | M | 1,853 | D | Jul 4, 2011 | Jan 4, 2021 | Common Stock | 1,853 | 0 | D |
Remarks
Payment of Exercise Price by delivering securities incident to the exercise of a vested option in accordance with Rule 16b-3