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OMB APPROVAL
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OMB Number 3235-0287
Expires: January 31, 2005
Estimated average burden
hours per response ....... 0.5
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(h) of the Investment Company Act of 1940
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
(Print or Type Responses)
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1. Name and Address of Reporting Person*
Davis, Jr. William W.
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(Last) (First) (Middle)
717 Main Street
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(Street)
Honesdale PA 18431
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Norwood Financial Corp/NWFL
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3. IRS or Identification Number of Reporting Person, if an entity (Voluntary)
--
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4. Statement for Month/Day/Year
12/10/2002
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5. If Amendment, Date of Original (Month/Day/Year)
12/12/2002
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6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[ X ] Director [ ] 10% Owner
[ X ] Officer (give title below) [ ] Other (specify below)
President & CEO
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7. Individual or Joint/Group Filings
(Check Applicable Line)
[ X ] Form filed by One Reporting Person
[ ] Form filed by More than One Reporting Person
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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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5.
Amount of 6.
4. Securities Owner-
Securities Acquired (A) Beneficially ship
2A. 3. or Disposed of (D) Owned Form: 7.
Deemed Transaction (Instr. 3, 4 and 5) Following Direct Nature of
2. Execution Code ----------------------- Reported (D) or Indirect
1. Transaction Date, (Instr. 8) (A) Transaction(s) Indirect Beneficial
Title of Security Date if any ----------- Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4)
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Common 20,353 D
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
*If the form is filed by more than one reporting person, see Instruction 4(b)(v).
Persons who respond to the collection of information contained (Over)
in this form are not required to respond unless the form displays SEC 1474 (9-02)
a currently valid OMB control number.
FORM 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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10.
9. Owner-
Number ship
of Form
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- 3A. 4. Securities Date Securities Price Bene- ity: In-
cise 3. Deemed Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- Execution action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Date Code of (D) (Month/Day/Year) Amount ative Following In- ficial
Title of Deriv- Date if any (Instr. (Instr. 3, ---------------- or Secur- Reported direct Owner-
Derivative ative (Month/ (Month/ 8) 4 and 5) Date Expira- Number ity Trans- (I) ship
Security Secur- Day/ Day/ ------ ------------ Exer- tion of (Instr. action(s) (Instr. (Instr.
(Instr. 3) ity Year) Year) Code V (A) (D) cisable Date Title Shares 5) (Instr. 4) 4) 4)
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Options -
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Right-to-buy $30 12/10/ 12/10 12/10
2002 A 2,500 2003 2012 Common 2,500 ^18,500 D
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Explanation of Responses:
by: Lewis J. Critelli
/s/William W. Davis, Jr. Attoney-in-Fact 12/12/02
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**Signature of Reporting Person Date
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure.
Potential persons who are to respond to the collections of information contained
in this form are not required to respond unless the form displays a currently
valid OMB Number.
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