0001179110-21-002421.txt : 20210301 0001179110-21-002421.hdr.sgml : 20210301 20210301153221 ACCESSION NUMBER: 0001179110-21-002421 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210204 FILED AS OF DATE: 20210301 DATE AS OF CHANGE: 20210301 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: 21697358 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 2021-02-04 0 0000830524 CHASE CORP CCF 0001254837 CHASE PETER R 295 UNIVERSITY AVE. WESTWOOD MA 02090 1 1 0 0 Executive Chairman Chase Corporation Common Stock 113231 D Chase Corporation Common Stock 288913 I Peter R. Chase Insurance Trust Chase Corporation Common Stock 96840 I Peter R. Chase 2019 Qualified Annuity Trust #2 Chase Corporation Common Stock 85000 I Peter R. Chase 2020 Qualified Annuity Trust #2 Chase Corporation Common Stock 30052 I Peter R. Chase Trust Chase Corporation Common Stock 1470 I Chase 2015 Irrevocable Trust Chase Corporation Stock 59680 I Peter R. Chase 2021 Qualified Annuity Trust #1 Chase Corporation Common Stock 165583 I Peter R. Chase 2020 Qualified Annuity Trust #1 Represents shares held by the Peter R. Chase Insurance Trust. Reflects shares held by the Peter R. Chase 2021 Qualified Annuity Trust #1, subsequent to exempt transfer from Mr. Chase. Reflects shares held by the Peter R. Chase 2019 Qualified Annuity Trust #2. Represents shares held by the Peter R. Chase Trust. Represents shares held by the Chase 2015 Irrevocable Trust. Reflects shares held by the Peter R. Chase 2020 Qualified Annuity Trust #1. Reflects shares held by the Peter R. Chase 2020 Qualified Annuity Trust #2. Represents exempt transfers (i) to Peter R. Chase from the Peter R. Chase 2019 Qualified Annuity Trust #1, and (ii) from Peter R. Chase to the Peter R. Chase 2021 Qualified Annuity Trust #1, and (iii) to Peter R. Chase from the Peter R. Chase 2020 Qualified Annuity Trust #1. Marlene Torio by power of attorney 2021-03-01