-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, P2a9cmbYcf8jakAtHmXt2lltIBEiDvvGyGsPD7ouvWWd4mnGa05uAQhPt3lv3gSY UbBJykMqCzqosQmOnyUzhQ== 0001144204-07-048768.txt : 20070910 0001144204-07-048768.hdr.sgml : 20070910 20070910194753 ACCESSION NUMBER: 0001144204-07-048768 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070907 FILED AS OF DATE: 20070910 DATE AS OF CHANGE: 20070910 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BARRETT WILLIAM J CENTRAL INDEX KEY: 0000923415 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21609 FILM NUMBER: 071109851 BUSINESS ADDRESS: BUSINESS PHONE: 2125100688 MAIL ADDRESS: STREET 1: P O BOX 6199 CITY: FAIR HAVEN STATE: NJ ZIP: 07704 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHASE PACKAGING CORP CENTRAL INDEX KEY: 0001025771 STANDARD INDUSTRIAL CLASSIFICATION: AGRICULTURE SERVICES [0700] IRS NUMBER: 931216127 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: POB 6199 STREET 2: 636 RIVER ROAD CITY: FAIRHAVEN STATE: NJ ZIP: 07704 BUSINESS PHONE: 732-741-1925 MAIL ADDRESS: STREET 1: POB 6199 STREET 2: 636 RIVER ROAD CITY: FAIRHAVEN STATE: NJ ZIP: 07704 4 1 v087401_ex.xml X0202 4 2007-09-07 0 0001025771 CHASE PACKAGING CORP CPKA 0000923415 BARRETT WILLIAM J 636 RIVER ROAD FAIR HAVEN NJ 07704 1 1 1 0 Secretary Common Stock 2007-09-07 4 P 0 833500 A 1868560 D Common Stock 2007-09-07 4 P 0 167000 A 286345 I By Spouse Series A 10% Convertible Preferred Stock 0.10 2007-09-07 4 P 0 1667 A Common 1667000 1667000 D Series A 10% Convertible Preferred Stock 0.10 2007-09-07 4 P 0 334 A Common 334000 334000 I By Spouse Warrants 0.15 2007-09-07 4 P 0 833500 A 2012-09-07 Common 833500 833500 D Warrants 0.15 2007-09-07 4 P 0 167000 A 2012-09-07 Common 167000 167000 I By Spouse Reporting Person purchased a total of 1,667 investment units in Company's private placement transaction at a per unit purchase price of $150. Each investment unit consists of one share of Series A 10% Convertible Preferred Stock, par value $1.00 per share, stated value $100 per share convertible into common at $0.10 per share; 500 shares of the Company's $0.10 par value Common Stock; and 500 Warrants. Reporting Person's spouse purchased a total of 334 investment units in Company's private placement transaction at a per unit purchase price of $150. Each investment unit consists of one share of Series A 10% Convertible Preferred Stock, par value $1.00 per share, stated value $100 per share convertible into common at $0.10 per share; 500 shares of the Company's $0.10 par value Common Stock; and 500 Warrants. Reporting person disclaims beneficial ownership of shares and warrants owned by spouse. Currently exercisable. Not applicable. /s/ William J. Barrett 2007-09-10 -----END PRIVACY-ENHANCED MESSAGE-----