-----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, L28eDxvExqKepx1WcNqM4s2smQMk7KUB228yV5mA+WH/v5A53OcbA/RRanaNXLrp O599jMROrtpzf5h/DrX6og== 0000763563-04-000089.txt : 20041008 0000763563-04-000089.hdr.sgml : 20041008 20041008110217 ACCESSION NUMBER: 0000763563-04-000089 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041008 FILED AS OF DATE: 20041008 DATE AS OF CHANGE: 20041008 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: 041071402 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 X0202 4 2004-10-08 0000763563 CHEMUNG FINANCIAL CORP CHMG 0001183775 POTTER JOHN F 822 UPPER UNDERWOOD AVENUE ELMIRA NY 14905 1 0 0 0 Common Stock 8615.806 D Common Stock 14994.196 I Seneca Beverage Phantom Stock 2004-09-30 2004-10-07 4 A 0 124.28 30.375 A Common Stock 124.28 14117.97 D Security 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, 2000 2004-10-08 -----END PRIVACY-ENHANCED MESSAGE-----