0001179110-11-014978.txt : 20111109 0001179110-11-014978.hdr.sgml : 20111109 20111109124742 ACCESSION NUMBER: 0001179110-11-014978 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110901 FILED AS OF DATE: 20111109 DATE AS OF CHANGE: 20111109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHASE PETER R CENTRAL INDEX KEY: 0001254837 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09852 FILM NUMBER: 111190587 MAIL ADDRESS: STREET 1: 305 GRANGE PARK CITY: BRIDGEWATER STATE: MA ZIP: 02324 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHASE CORP CENTRAL INDEX KEY: 0000830524 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRIC LIGHTING & WIRING EQUIPMENT [3640] IRS NUMBER: 111797126 STATE OF INCORPORATION: MA FISCAL YEAR END: 0831 BUSINESS ADDRESS: STREET 1: 26 SUMMER STREET CITY: BRIDGEWATER STATE: MA ZIP: 02324 BUSINESS PHONE: 5082791789 MAIL ADDRESS: STREET 1: 26 SUMMER ST CITY: BRIDGEWATER STATE: MA ZIP: 02324 4 1 edgar.xml FORM 4 - X0304 4 2011-09-01 0 0000830524 CHASE CORP CCF 0001254837 CHASE PETER R 26 SUMMER STREET BRIDGEWATER MA 02324 1 1 1 0 Chairman and CEO Chase Corporation Common Stock 2011-09-01 4 A 0 41242 0 A 787688 D Chase Corporation Common Stock 2011-09-01 4 A 0 10613 0 A 798301 D Chase Corporation Common Stock 2011-09-01 4 J 0 0 0 A 204251 I Peter R. Chase 2010 Annuity Trust Chase Corporation Common Stock 2011-09-01 4 J 0 0 0 A 250000 I Peter R. Chase 2011 Annuity Trust Options (Right to buy) 12.77 2011-09-01 4 A 0 33430 0 A 2021-08-31 Common Stock 33430 33430 D Represents shares held by the Peter R. Chase 2010 qualified Annuity Trust, a grantor retained annuity trust. Represents shares held by the Peter R. Chase 2011 qualified Annuity Trust, a grantor retained annuity trust. Represents restricted stock vesting on August 31, 2013. Represents restricted stock vesting on August 31, 2014. The option vests in three equal annual installments beginning on August 31, 2012. Paula Myers by power of attorney 2011-11-09