0001179110-12-016288.txt : 20121120 0001179110-12-016288.hdr.sgml : 20121120 20121120140514 ACCESSION NUMBER: 0001179110-12-016288 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121108 FILED AS OF DATE: 20121120 DATE AS OF CHANGE: 20121120 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: 121217480 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: 26 SUMMER STREET CITY: BRIDGEWATER STATE: MA ZIP: 02324 BUSINESS PHONE: 5082791789 MAIL ADDRESS: STREET 1: 26 SUMMER ST CITY: BRIDGEWATER STATE: MA ZIP: 02324 4 1 edgar.xml FORM 4 - X0306 4 2012-11-08 0 0000830524 CHASE CORP CCF 0001254837 CHASE PETER R 26 SUMMER STREET BRIDGEWATER MA 02324 1 1 1 0 Chairman and CEO Chase Corporation Common Stock 2012-11-08 4 A 0 42452 0 D 733608 D Chase Corporation Common Stock 2012-11-08 4 J 0 0 0 A 204251 I Peter R. Chase 2010 Annuity Trust Chase Corporation Common Stock 2012-11-08 4 J 0 0 0 A 250000 I Peter R. Chase 2011 Annuity Trust Chase Corporation Common Stock 2012-11-08 4 J 0 0 0 A 71176 I Peter R. Chase Insurance Trust Represents restricted stock vesting on August 31, 2014. Represents shares held by the Peter R. Chase 2010 qualified Annuity Trust, a grantor retained annuity trust. Represents shares held by the Peter R. Chase 2011 qualified Annuity Trust, a grantor retained annuity trust. Represents shares held by the Peter R. Chase Insurance Trust. Paula Myers by power of attorney 2012-11-20