0000763563-17-000006.txt : 20170106 0000763563-17-000006.hdr.sgml : 20170106 20170106161746 ACCESSION NUMBER: 0000763563-17-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170103 FILED AS OF DATE: 20170106 DATE AS OF CHANGE: 20170106 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 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: 001-35741 FILM NUMBER: 17514496 MAIL ADDRESS: STREET 1: ONE CHEMUNG CANAL PLAZA STREET 2: PO BOX 1522 CITY: ELMIRA STATE: NY ZIP: 14902-1522 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2017-01-03 0000763563 CHEMUNG FINANCIAL CORP CHMG 0001183775 POTTER JOHN F ONE CHEMUNG CANAL PLAZA PO BOX 1522 ELMIRA NY 14902-1522 1 0 0 0 COMMON STOCK 46636.242 D COMMON STOCK 9448.426 I BY SPOUSE PHANTOM STOCK 2017-01-03 2017-01-05 4 A 0 403.35 35.50 A COMMON STOCK 403.35 32490.34 D Security converts to common stock on a one-for-one basis. Phantom Stock Units are to be settled 100% in Issuer's Common Stock in accordance with the term's of the Company's Deferred Directors' Fee Plan and at the director's election. Includes dividends issued periodically under issuer's dividend reinvestment plan. 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. Kathleen S. McKillip, Attorney-in-Fact, pursuant to Power of Attorney dated June 20, 2012. 2017-01-06