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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option | $ 35.36 | 03/18/2015 | A | 1,969 | 03/18/2015 | 03/18/2025 | Common Stock | 1,969 | $ 0 | 1,969 | D | ||||
Phantom Stock (Deferred Stock Units) | (4) | 03/18/2015 | A | 425 | (4) | (4) | Common Stock | 425 | $ 0 | 425 | D | ||||
Phantom Stock (Deferred Compensation) | (5) | 03/19/2015 | A | 436.6197 | (5) | (5) | Common Stock | 436.6197 | $ 35.5 | 4,158.6217 (6) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Bolus Mark J. R.R. #1, BOX 412A DALTON, PA 18414 |
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/s/ Danielle M. Cima, pursuant to a Confirming Statement executed by Mark J. Bolus | 03/20/2015 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Includes 497.121 shares acquired on January 9, 2015 pursuant to the Community Bank System, Inc. Dividend Reinvestment Plan. |
(2) | Includes 47.94 shares acquired on January 9, 2015 pursuant to the Community Bank System, Inc. Dividend Reinvestment Plan. |
(3) | Includes 1.488 shares acquired on January 9, 2015 pursuant to the Community Bank System, Inc. Dividend Reinvestment Plan. |
(4) | The reporting person has received deferred stock units under the Community Bank System, Inc. 2014 Long-Term Incentive Plan. Each phantom stock unit which represents a deferred stock unit is the economic equivalent of one share of Community Bank System, Inc. common stock and will be settled in common stock at a predetermined date. |
(5) | Each unit of phantom stock is the economic equivalent of one share of Community Bank System, Inc. common stock. The units of phantom stock relating to the Deferred Compensation Plan will be settled in Community Bank System, Inc. common stock at future dates selected by the reporting person. |
(6) | Includes 28.5001 units acquired on January 9, 2015 pursuant to the Deferred Compensation Plan's dividend reinvestment feature. |