0001179110-17-015008.txt : 20171206 0001179110-17-015008.hdr.sgml : 20171206 20171206161741 ACCESSION NUMBER: 0001179110-17-015008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171206 FILED AS OF DATE: 20171206 DATE AS OF CHANGE: 20171206 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: 171242442 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: 295 UNIVERSITY AVE CITY: WESTWOOD STATE: MA ZIP: 02090 BUSINESS PHONE: 7813320700 MAIL ADDRESS: STREET 1: 295 UNIVERSITY AVE CITY: WESTWOOD STATE: MA ZIP: 02090 4 1 edgar.xml FORM 4 - X0306 4 2017-12-06 0 0000830524 CHASE CORP CCF 0001254837 CHASE PETER R 295 UNIVERSITY AVE. WESTWOOD MA 02090 1 1 1 0 Executive Chairman Chase Corporation Common Stock 2017-12-06 4 G 0 100 0 D 496705 D Chase Corporation Common Stock 258451 I Peter R. Chase 2016 Qualified Annuity Trust #2 Chase Corporation Common Stock 235560 I Peter R. Chase Insurance Trust Represents shares held by the Peter R. Chase Insurance Trust. Reflects shares held by the Peter R. Chase 2016 Qualified Annuity Trust #2 Paula Myers by power of attorney 2017-12-06