-----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, Qa+SPctDgahq3sFUkaVP2uXQgsZUFP1dv4GUmxifnv5VwG29M5ZYV2DkdamBDR77 yhX1e7oWPKkf3aCfGd/TgA== 0000763563-05-000058.txt : 20050421 0000763563-05-000058.hdr.sgml : 20050421 20050421120414 ACCESSION NUMBER: 0000763563-05-000058 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050420 FILED AS OF DATE: 20050421 DATE AS OF CHANGE: 20050421 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dalrymple Elizabeth T CENTRAL INDEX KEY: 0001299392 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13888 FILM NUMBER: 05763774 BUSINESS ADDRESS: BUSINESS PHONE: 607-737-3788 MAIL ADDRESS: STREET 1: ONE CHEMUNG CANAL PLAZA STREET 2: P.O. 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 2005-04-20 0000763563 CHEMUNG FINANCIAL CORP CHMG 0001299392 Dalrymple Elizabeth T ONE CHEMUNG CANAL PLAZA P.O. BOX 1522 ELMIRA NY 14902-1522 0 1 0 0 Senior Vice President Common Stock 2005-04-20 5 G 0 150 0 D 2840 D Common Stock 2598.9623 I By Qualified Plan Common Stock 64690 I By Spouse Common Stock 9450 I Dalrymple Trust Common Stock 448510 I Dalrymple Family Limited Partnership Common Stock 59416 I Dalrymple Holding Corporation Common Stock 30230 I Susquehanna Supply Includes shares allocated to the reporting person's account periodically under the terms of the Chemung Canal Trust Company Savings and Investement Plan. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is beneficial owner of such securities for the purpose of Section 16 or for any other purpose. Jane H. Adamy, Attorney-in-Fact, pursuant to Power of Attorney dated August 2, 2004. 2005-04-21 -----END PRIVACY-ENHANCED MESSAGE-----