0001179110-15-002674.txt : 20150218 0001179110-15-002674.hdr.sgml : 20150216 20150217191543 ACCESSION NUMBER: 0001179110-15-002674 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: FLYNN EDWARD L CENTRAL INDEX KEY: 0001031599 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21609 FILM NUMBER: 15625196 MAIL ADDRESS: STREET 1: 211 SOMERVILLE ROAD RTE 202N CITY: BEDMINISTER STATE: NJ ZIP: 07921 5 1 edgar.xml FORM 5 - X0306 5 2014-12-31 0 0 0 0001025771 CHASE PACKAGING CORP CPKA 0001031599 FLYNN EDWARD L 7511 MYRTLE AVENUE GLENDALE NY 11385 1 0 0 0 Common Stock 233359 D Common Stock 167000 I By spouse Series A 10% Convertible Preferred Stock 0.10 Common Stock 663000 663000 D Series A 10% Convertible Preferred Stock 0.10 Common Stock 663000 663000 I By spouse Warrants 0.15 2015-09-07 Common Stock 167000 167000 D Warrants 0.15 2015-09-07 Common Stock 167000 167000 I By spouse Nonqualified Stock Option 0.03 2018-06-24 Common Stock 50000 50000 D Reporting person disclaims beneficial ownership of shares and warrants owned by spouse. Currently exercisable. Not applicable. Adjusted to reflect the annual 10% stock dividends paid by the Company to all holders of Series A Convertible Preferred Stock on December 1, 2012, December 1, 2013, and December 1, 2014. Julia A. Gardner, Attorney-in-Fact for Edward L. Flynn 2015-02-17