-----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, CPPQRNOoJCKHwPKG/XhJ8G3X6/4+WI24G4sIx6hfCjjep6l+ebrQtMhjvSSFHV1B U5A6siXw5Xz/H1KNO0cR/g== 0000763563-04-000012.txt : 20040109 0000763563-04-000012.hdr.sgml : 20040109 20040109164016 ACCESSION NUMBER: 0000763563-04-000012 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: LOUNSBERRY STEPHEN M III CENTRAL INDEX KEY: 0001183772 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13888 FILM NUMBER: 04518420 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 0001183772 LOUNSBERRY STEPHEN M III 3186 EAST RIVER ROAD NICHOLS NY 13812 1000Common Stock17438.767DPhantom Stock2003-12-312004-01-094A0107.6436.00ACommon Stock107.647392.46DSecurity converts to common sto ck 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-----