0000763563-12-000107.txt : 20120607 0000763563-12-000107.hdr.sgml : 20120607 20120607154258 ACCESSION NUMBER: 0000763563-12-000107 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120606 FILED AS OF DATE: 20120607 DATE AS OF CHANGE: 20120607 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DALRYMPLE ROBERT H CENTRAL INDEX KEY: 0001183768 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13888 FILM NUMBER: 12894828 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 X0305 4 2012-06-06 0000763563 CHEMUNG FINANCIAL CORP CHMG 0001183768 DALRYMPLE ROBERT H 88 QUAIL RUN ELMIRA NY 14903 1 0 1 0 Common Stock 243867 D Common Stock 7054 I Dalrymple Trust Common Stock 9888 I By Spouse Common Stock 2012-06-06 4 S 0 18358 25.25 D 41058 I Dalrymple Holding Corporation Common Stock 30230 I Susquehanna Supply The reporting person disclaims beneficial ownership of these securities, and the 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. Ronald M. Bentley, Attorney-in-Fact, pursuant to Power of Attorney dated June 17, 2009 2012-06-07