0001179110-15-002669.txt : 20150218 0001179110-15-002669.hdr.sgml : 20150216 20150217185824 ACCESSION NUMBER: 0001179110-15-002669 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141231 FILED AS OF DATE: 20150217 DATE AS OF CHANGE: 20150217 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: NJ FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 636 RIVER ROAD CITY: FAIRHAVEN STATE: NJ ZIP: 07704 BUSINESS PHONE: 732-741-1500 MAIL ADDRESS: STREET 1: POB 6199 STREET 2: 636 RIVER ROAD CITY: FAIRHAVEN STATE: NJ ZIP: 07704 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MCINNES ALLEN T CENTRAL INDEX KEY: 0001182279 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21609 FILM NUMBER: 15625107 MAIL ADDRESS: STREET 1: 4532 7TH STREET CITY: LUBBOCK STATE: TX ZIP: 79416 5 1 edgar.xml FORM 5 - X0306 5 2014-12-31 0 0 0 0001025771 CHASE PACKAGING CORP CPKA 0001182279 MCINNES ALLEN T 4532 7TH STREET LUBBOCK TX 79416 1 1 1 0 COB, President and Treasurer Common Stock 2085454 D Series A 10% Convertible Preferred Stock 0.10 Common Stock 3055000 3055000 D Warrants 0.15 2015-09-07 Common Stock 766500 766500 D Incentive Stock Option 0.03 2018-06-24 Common Stock 50000 50000 D Currently exercisable. Not applicable. Adjusted to reflect the annual 10% stock dividends paid by the Company to all holders of Series A 10% Convertible Preferred Stock on December 1, 2012, December 1, 2013 and December 1, 2014. Julia A. Gardner, Attorney-in-Fact for Allen T. McInnes 2015-02-17