-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Nz4ijIekIUt6cMz2dsM3kI/LT0b7zpKQcYr4OFT9W50aIIUAcb7Ox1AyJ7IXPXQ3 AZf98BdQFGE6XlCjCcQ1wg== 0001239944-04-000017.txt : 20040123 0001239944-04-000017.hdr.sgml : 20040123 20040123185549 ACCESSION NUMBER: 0001239944-04-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040121 FILED AS OF DATE: 20040123 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BURGESS JOHN M CENTRAL INDEX KEY: 0001233241 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13695 FILM NUMBER: 04541692 MAIL ADDRESS: STREET 1: 39 MEADOW LANE CITY: GOUVERNEUR STATE: NY ZIP: 13642 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 4 1 edgar.xml PRIMARY DOCUMENT X0201 42004-01-21 0000723188 COMMUNITY BANK SYSTEM INC CBU 0001233241 BURGESS JOHN M 27 HOWARD STREET GOUVERNEUR NY 13642 1000Common Stock10220DCommon Stock2003-12-264G015000D3600IBy SpouseStock Option48.302004-01-214A022600A2004-01-212014-01-21Common Stock22602260DPhantom Stock (Stock Balance Plan)02004-01-214A 0350.290ACommon Stock350.294780.08DPhantom Stock awards (Stock Balance Plan) may be exercised upon the later of the reporting person's attainment of age 55 or termination of service on the Board.Donna J. Drengel, attorney-in-fact, pursuant to a power of attorney2004-01-23 -----END PRIVACY-ENHANCED MESSAGE-----