-----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, DzKMz+hmkcrTTAQkvKHuVfH9moiV7Hca9kL1WQs8ip07hIRjxdS8fuCL03KrJuOO DSXQlSs/1moGdQ133T9MYg== 0000763563-04-000008.txt : 20040109 0000763563-04-000008.hdr.sgml : 20040109 20040109163701 ACCESSION NUMBER: 0000763563-04-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040109 FILED AS OF DATE: 20040109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FALCK FREDERICK Q CENTRAL INDEX KEY: 0001183771 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13888 FILM NUMBER: 04518395 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 42004-01-09 0000763563 CHEMUNG FINANCIAL CORP CHMG 0001183771 FALCK FREDERICK Q 111 THE PARKWAY ITHACA NY 14851 1000Common Stock 1800DCommon Stock126342IVarious TrustsPhantom Stock2003-12-312004-01-094A0104.8636.00ACommon Stock104.864488.17DSecurity converts to common stock on one-for-one basis.Phantom Stock Units are to be settled 100% in Issuer's Common Stock in accordance with the terms of the Company's Deferred Directors Fee Plan and at the director's election.Includes dividends reinvested periodically under Issuer's Dividend Reinvestment Plan.Includes shares held in various trusts of which the reporting person is a co-trustee or income beneficiary. Excludes 141,282 shares owned by The Rathbone Corporation of which Mr. Falck is an officer and director and a co-trustee of various tru sts owning an interest in said corporation.Jane H. Adamy Power of Attorney dated November 8, 20002004-01-09 -----END PRIVACY-ENHANCED MESSAGE-----