SEC Form 4 · accession 0001437749-18-022176
CITIZENS & NORTHERN CORP · CZNC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Shelley L D'Haene
Officer — EVP
Period of report
Dec 17, 2018
Accepted (ET)
Dec 18, 2018 · 3:13 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 | Dec 17, 2018 | M | 635 | $19.88 | A | 7,234 | D | |
| Common Stock | Dec 17, 2018 | F | 492 | $25.64 | D | 6,742 | D | |
| Common Stock | holding | — | — | — | 4,036 | 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 | $19.88 | Dec 17, 2018 | M | 635 | A | Jul 5, 2009 | Jan 5, 2019 | Common Stock | 635 | 0 | D |
Remarks
Payment of Exercise Price by delivering securities incident to the exercise of a vested option in accordance with Rule 16b-3.