SEC Form 4 · accession 0001437749-17-015938
CITIZENS & NORTHERN CORP · CZNC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Deborah E Scott
Officer — Exec. VP & Sr. Trust Officer
Period of report
Sep 13, 2017
Accepted (ET)
Sep 14, 2017 · 3:07 pm EDT
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 | Sep 13, 2017 | M | 3,160 | $17.50 | A | 16,395 | D | |
| Common Stock | Sep 13, 2017 | M | 4,211 | $15.06 | A | 20,606 | D | |
| Common Stock | Sep 13, 2017 | F | 5,191 | $22.87 | D | 15,415 | D | |
| Common Stock | holding | — | — | — | 9,110 | 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 | Sep 13, 2017 | M | 3,160 | D | Jul 3, 2008 | Jan 3, 2018 | Common Stock | 3,160 | 0 | D |
| Employee Stock Options | $15.06 | Sep 13, 2017 | M | 4,211 | D | Jul 4, 2011 | Jan 4, 2021 | Common Stock | 4,211 | 0 | D |
Remarks
Payment of Exercise Price by delivering securities incident to the exercise of a vested option in accordance with Rule 16b-3