-----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, UW6zjZ79bIMNDRDGxdL3i73WsuNQjiIINcQAtRZYnAB1fAUjsA5J6Fcm8JGposCk 5Xsn1s65xVSZG3qiSAyoBQ== 0000763563-05-000010.txt : 20050111 0000763563-05-000010.hdr.sgml : 20050111 20050111172035 ACCESSION NUMBER: 0000763563-05-000010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050111 FILED AS OF DATE: 20050111 DATE AS OF CHANGE: 20050111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MEYER RALPH H CENTRAL INDEX KEY: 0001183774 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13888 FILM NUMBER: 05524133 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 2005-01-11 0000763563 CHEMUNG FINANCIAL CORP CHMG 0001183774 MEYER RALPH H 333 FULTON STREET SOUTH WAVERLY PA 18840 1 0 0 0 Common Stock 4190 D Phantom Stock 2004-12-31 2005-01-11 4 A 0 166.92 32.50 A Common Stock 166.92 14652.56 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 2005-01-11 -----END PRIVACY-ENHANCED MESSAGE-----