-----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, Qt4y6pQ69UvyG1V3SPlVBpYIPx/D3GmZyDGAoHn+ctuYkukOH3KoLYsV0zvC3PFI qcpjMpEPLi37W3ulVihTrg== 0000763563-04-000011.txt : 20040109 0000763563-04-000011.hdr.sgml : 20040109 20040109163936 ACCESSION NUMBER: 0000763563-04-000011 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: POTTER JOHN F CENTRAL INDEX KEY: 0001183775 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13888 FILM NUMBER: 04518417 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 0001183775 POTTER JOHN F 822 UPPER UNDERWOOD AVENUE ELMIRA NY 14905 1000Common Stock8434.408DCommon Stock14678.503ISeneca BeveragePhantom Stock2003-12-312004-01-094A0122.9236.00ACommon Stock122.9213439.85DSecurity 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.Jane H. Adamy Power of Attorney dated November 8, 20002004-01-09 -----END PRIVACY-ENHANCED MESSAGE-----