0001127602-21-031324.txt : 20211217 0001127602-21-031324.hdr.sgml : 20211217 20211217154605 ACCESSION NUMBER: 0001127602-21-031324 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211215 FILED AS OF DATE: 20211217 DATE AS OF CHANGE: 20211217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bolus Mark J. CENTRAL INDEX KEY: 0001486056 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13695 FILM NUMBER: 211501345 MAIL ADDRESS: STREET 1: R.R. 1, BOX 412A CITY: DALTON STATE: PA ZIP: 18414 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COMMUNITY BANK SYSTEM, INC. CENTRAL INDEX KEY: 0000723188 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 161213679 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5790 WIDEWATERS PKWY CITY: DEWITT STATE: NY ZIP: 13214 BUSINESS PHONE: 8007242262 MAIL ADDRESS: STREET 1: 5790 WIDEWATERS PARKWAY CITY: DEWITT STATE: NY ZIP: 13214 FORMER COMPANY: FORMER CONFORMED NAME: COMMUNITY BANK NA, a subsidiary of Community Bank System Inc DATE OF NAME CHANGE: 20130729 FORMER COMPANY: FORMER CONFORMED NAME: COMMUNITY BANK NA, a subsidiary of Community Bank System Inc. DATE OF NAME CHANGE: 20130726 FORMER COMPANY: FORMER CONFORMED NAME: COMMUNITY BANK SYSTEM INC DATE OF NAME CHANGE: 19920703 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2021-12-15 0000723188 COMMUNITY BANK SYSTEM, INC. CBU 0001486056 Bolus Mark J. C/O COMMUNITY BANK SYSTEM, INC. 5790 WIDEWATERS PARKWAY DEWITT NY 13214 1 Common Stock 2021-12-15 4 M 0 899.2745 73.32 A 81126.1255 D Common Stock 5051.852 I By Austin Bolus Trust Common Stock 213.387 I By daughter, Paige Bolus Common Stock 213.387 I By daughter, Taylor Bolus Common Stock 6916.934 I By Mark Bolus Trust Common Stock 214.993 I By son, Austin Bolus Common Stock 214.993 I By son, Noah Bolus Common Stock 5051.852 I By Noah Bolus Trust Common Stock 5051.852 I By Paige Bolus Trust Common Stock 5051.852 I By Taylor Bolus Trust Phantom Stock (Deferred Stock Units) 2021-12-15 4 M 0 899.2745 0 D Common Stock 899.2745 576.1334 D The reporting person has received deferred stock units under the Community Bank System, Inc. 2014 Long-Term Incentive Plan. Each phantom stock unit which represents a deferred stock unit is the economic equivalent of one share of Community Bank System, Inc. common stock and will be settled in common stock at a predetermined date. Includes 21.7739 units of phantom stock acquired as dividend equivalents under the 2014 Long-Term Incentive Compensation Program. /s/ Danielle M. Cima, pursuant to a Confirming Statement executed by Mark J. Bolus 2021-12-17