0001477932-19-001488.txt : 20190405
0001477932-19-001488.hdr.sgml : 20190405
20190405145630
ACCESSION NUMBER: 0001477932-19-001488
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181231
FILED AS OF DATE: 20190405
DATE AS OF CHANGE: 20190405
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BARRETT WILLIAM J
CENTRAL INDEX KEY: 0000923415
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-21609
FILM NUMBER: 19734822
MAIL ADDRESS:
STREET 1: 210 SUNDIAL COURT
CITY: VERO BEACH
STATE: FL
ZIP: 32963
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
5
1
form5.xml
FORM 5
X0306
5
2018-12-31-07:00
false
0
0
0001025771
CHASE PACKAGING CORP
CPKA
0000923415
BARRETT WILLIAM J
210 SUNDIAL COURT
VERO BEACH
FL
32963
true
false
false
false
Common Stock
2018-12-31-07:00
5
M
false
5695295
A
6983855
D
Common Stock
2018-12-31-07:00
5
M
false
1038824
A
1325169
I
By Spouse
Series A Convertible Preferred
0.085
2018-12-31-07:00
5
M
false
4841
0
D
2018-12-31-07:00
2018-12-31-07:00
Common Stock
5695295
0
D
Series A Convertible Preferred
0.085
2018-12-31-07:00
5
M
false
883
0
D
2018-12-31-07:00
2018-12-31-07:00
Common Stock
1038824
0
I
By Spouse
Warrants
0.15
2019-09-07-06:00
Common Stock
78500
78500
D
Warrants
0.15
2019-09-07-06:00
Common Stock
167000
167000
I
By Spouse
Conversion Price: $0.085/share pursuant to a recapitalization.
Reporting Person disclaims beneficial ownership of shares and warrants owned by spouse.
Adjusted to reflect the annual 10% stock dividend paid by the Company to all holders of Series A Convertible Preferred Stock.
Currently exercisable.
/s/ William J. Barrett
2019-04-05-06:00