EXHIBIT 10.2
CITIZENS & NORTHERN CORPORATION
EMPLOYEE STOCK INCENTIVE PLAN
STOCK OPTION AGREEMENT
A qualified STOCK OPTION for a total of _______ SHARES of common stock, par
value $1.00, of Citizens & Northern Corporation, a Pennsylvania business
corporation (herein the "Corporation") is hereby granted as of January 3, 2005
to _____________ (herein the "Employee"), subject in all respects to the terms
and provisions of Citizens & Northern Corporation 1995 Stock Incentive Plan, as
amended April 15, 2003 (herein the "Plan"), which has been adopted by the
Corporation's shareholders and which is incorporated herein by reference. The
option price as determined under paragraph 7 of the Plan is _____________
($______) Dollars per share.
This Option may not be exercised more than ten (10) years from the date of
its grant, and may be exercised during such term only in accordance with the
terms of the Plan.
RESTRICTED STOCK AGREEMENT
A total of ________ SHARES of RESTRICTED common STOCK, par value $1.00, of
Citizens & Northern Corporation, a Pennsylvania business corporation (herein the
"Corporation") is hereby awarded as of January 3, 2005 to ______________ (herein
the "Employee"), subject in all respects to the terms and provisions of Citizens
& Northern Corporation 1995 Stock Incentive Plan (herein the "Plan"), amended
April 15, 2003, which has been adopted by the Corporation's shareholders and
which is incorporated herein by reference.
These shares cannot be sold, exchanged, transferred, pledged or otherwise
disposed of, except in accordance with the Plan. These transferability
restrictions will lapse as follows: ___ shares on ______ __, 2____; ___ shares
on ______ __, 2___; and ___ shares on ______ __, 2___.
Dated: January 3, 2005
CITIZENS & NORTHERN CORPORATION
BY
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Xxxxx X. Xxxxxxxxxx
Chairman, President &
Chief Executive Officer
ATTEST:
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Xxxxxxxx X. Xxxxxx
Corporate Secretary
The Employee acknowledges receipt of a copy of the Plan, and represents
that he or she is familiar with the terms and provisions thereof. The Employee
hereby accepts this Option and Award subject to all the terms and provisions of
the Plan.
Dated: BY
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Employee
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