SEC Form 4 · accession 0001179110-16-024826
CHASE CORP · CCF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Peter R Chase
Officer — Executive Chairman · Director · 10% Owner
Period of report
May 13, 2016
Accepted (ET)
May 17, 2016 · 3:14 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000830524
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Chase Corporation Common Stock | May 13, 2016 | M | 39,204 | $12.70 | A | 740,608 | D | |
| Chase Corporation Common Stock | May 13, 2016 | F | 8,740 | $56.97 | D | 731,868 | D | |
| Chase Corporation Common Stock | May 13, 2016 | F | 14,334 | $56.97 | D | 717,534 | D | |
| Chase Corporation Common StockF2 | holding | — | — | — | 169,578 | I | Peter R. Chase 2014 Annuity Trust | |
| Chase Corporation Common StockF1 | holding | — | — | — | 177,011 | I | Peter R. Chase Insurance Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options (Right to Buy) | $12.70 | May 13, 2016 | M | 39,204 | A | Aug 31, 2011 | Aug 31, 2020 | Common Stock | 39,204 | 0 | D |
Explanation of responses
- F1Represents shares held by the Peter R. Chase Insurance Trust.
- F2Reflects shares held by the Peter R. Chase 2014 qualified Annuity Trust, a grantor retained annuity trust.