0001179110-21-005256.txt : 20210513 0001179110-21-005256.hdr.sgml : 20210513 20210513085703 ACCESSION NUMBER: 0001179110-21-005256 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210311 FILED AS OF DATE: 20210513 DATE AS OF CHANGE: 20210513 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: 21917472 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 2021-03-11 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 288913 I Peter R. Chase Insurance Trust Chase Corporation Common Stock 58354 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 162628 I Peter R. Chase 2020 Qualified Annuity Trust #1 Chase Corporation Common Stock 126835 I Peter R. Chase 2021 Qualified Annuity Trust #3 Chase Corporation Common Stock 111837 I Peter R Chase 2021 Qualified Annuity Trust #2 Represents shares held by the Peter R. Chase Insurance Trust. Reflects shares held by the Peter R. Chase 2021 Qualified Annuity Trust #1. Represents exempt transfers to the Peter R. Chase 2021 Qualified Annuity Trust #3 from the Peter R. Chase individual account. 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. Represents shares held by the Peter R. Chase 2020 Qualified Annuity Trust #2. Represents exempt transfer to Peter R. Chase 2021 Qualified Annuity Trust #2 from the Peter R. Chase individual account. Marlene Torio by power of attorney 2021-05-13