0000763563-18-000071.txt : 20180511 0000763563-18-000071.hdr.sgml : 20180511 20180511133909 ACCESSION NUMBER: 0000763563-18-000071 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180511 FILED AS OF DATE: 20180511 DATE AS OF CHANGE: 20180511 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: 18826183 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 X0306 4 2018-05-11 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 2018-05-11 4 M 0 34188 A 81875.242 D Common Stock 9650.226 I BY SPOUSE PHANTOM STOCK 2018-05-11 4 M 0 34188 D 2018-05-11 2018-05-11 COMMON STOCK 34188 0 D 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. Each share of phantom stock was the economic equivalent of one share of Chemung Financial Corporation stock. The reporting person settled all shares of phantom stock for Chemung Financial Corporation common stock. Kathleen S. McKillip, Attorney-in-Fact, pursuant to Power of Attorney dated June 20, 2012. 2018-05-11