SEC Form 4 · accession 0000763563-18-000071
CHEMUNG FINANCIAL CORP · CHMG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John F Potter
Director
Period of report
May 11, 2018
Accepted (ET)
May 11, 2018 · 1:39 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000763563
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF3,F1 | May 11, 2018 | M | 34,188 | — | A | 81,875 | D | |
| Common StockF1,F2 | holding | — | — | — | 9,650 | I | BY SPOUSE |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PHANTOM STOCKF3 | — | May 11, 2018 | M | 34,188 | D | May 11, 2018 | May 11, 2018 | COMMON STOCK | 34,188 | 0 | D |
Explanation of responses
- F1Includes dividends issued periodically under issuer's dividend reinvestment plan.
- F2The 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.
- F3Each 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.