-----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, JxlnOXXge+/BRONF5QUNR4IUi+2KbxL7wSPY7IQrfDXevfLM2/0J1BHkJpWHJk1c X2wtlvvI8lWop/oFuc6HYA== 0000763563-03-000128.txt : 20031118 0000763563-03-000128.hdr.sgml : 20031118 20031118113252 ACCESSION NUMBER: 0000763563-03-000128 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031118 FILED AS OF DATE: 20031118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DALRYMPLE ROBERT H CENTRAL INDEX KEY: 0001183768 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13888 FILM NUMBER: 031009760 MAIL ADDRESS: STREET 1: ONE CHEMUNG CANAL PLAZA STREET 2: PO BOX 1522 CITY: ELMIRA STATE: NY ZIP: 14902-1522 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHEMUNG FINANCIAL CORP CENTRAL INDEX KEY: 0000763563 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 161237038 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE CHEMUNG CANAL PLZ STREET 2: P O BOX 1522 CITY: ELMIRA STATE: NY ZIP: 14902 BUSINESS PHONE: 6077373711 MAIL ADDRESS: STREET 1: ONE CHEMUNG CANAL PLZ STREET 2: P O BOX 1522 CITY: ELMIRA STATE: NY ZIP: 14902 4 1 edgar.xml PRIMARY DOCUMENT X0201 42003-11-18 0000763563 CHEMUNG FINANCIAL CORP CHMG 0001183768 DALRYMPLE ROBERT H 875 UPLAND DRIVE ELMIRA NY 14905 1010Common Stock64690DCommon Stock2003-11-184P0430032.00A9450IBy Dalrymple TrustCommon Stock5007IBy SpouseCommon Stock448510 IBy Limited PartnershipCommon Stock2003-11-184S0430032.00D59416IBy Dalrymple Holding Corp.Common Stock30230IBy Susquehanna SupplyIncludes shares periodically allocated to reporting person's spouse under the terms of the Chemung Canal Trust Company Savings and Investment Plan. Reporting person disclaims for the purpose of Section 16, the beneficial ownership of these shares.The reporting person disclaims beneficial ownership of stock held by Dalrymple Family Limited Partnership except to the extent of his pecuniary interest.The reporting person disclaims for the purpose of Section 16, beneficial ownership of these shares.Jane H. Adamy, Attorney-in-Fact, pursuant to Power of Attorney dated November 8, 2000.2003-11-18 -----END PRIVACY-ENHANCED MESSAGE-----