SEC Form 4 · accession 0001437749-17-016524
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
Sep 28, 2017
Accepted (ET)
Sep 29, 2017 · 3:27 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 28, 2017 | M | 2,325 | $19.88 | A | 14,293 | D | |
| Common Stock | Sep 28, 2017 | F | 1,839 | $25.14 | D | 12,454 | D | |
| Common Stock | holding | — | — | — | 6,613 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Options | $19.88 | Sep 28, 2017 | M | 2,325 | D | Jul 5, 2009 | Jan 5, 2019 | Common Stock | 2,325 | 0 | D |
Remarks
Payment of Exercise Price by delivering securities incident to the exercise of a vested option in accordance with Rule 16b-3