-----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, B0+ucstdsa08+CTkUV4rRyp0nDgiiscyPa3mBekQtmpTID4ULs+PA/+z5y2scrZd DBhPWsvx/3SWO0OQez7YLA== 0001181431-03-019894.txt : 20030821 0001181431-03-019894.hdr.sgml : 20030821 20030821175119 ACCESSION NUMBER: 0001181431-03-019894 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030818 FILED AS OF DATE: 20030821 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHIPPAC INC CENTRAL INDEX KEY: 0001093779 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 770463048 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 47400 KATO ROAD CITY: FREMONT STATE: CA ZIP: 94538 BUSINESS PHONE: 5109798000 MAIL ADDRESS: STREET 1: 47400 KATO ROAD CITY: FREMONT STATE: CA ZIP: 94538 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAIN CAPITAL INVESTORS LLC CENTRAL INDEX KEY: 0001040508 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31173 FILM NUMBER: 03860984 BUSINESS ADDRESS: STREET 1: C/O BAIN CAPITAL LLC STREET 2: 111 HUNINGTON AVE CITY: BOSTON STATE: MA ZIP: 02199 BUSINESS PHONE: 6175162000 MAIL ADDRESS: STREET 1: C/O BAIN CAPITAL LLC STREET 2: 111 HUNINGTON AVE CITY: BOSTON STATE: MA ZIP: 02199 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAIN CAPITAL PARTNERS IV LP CENTRAL INDEX KEY: 0001253166 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31173 FILM NUMBER: 03860985 BUSINESS ADDRESS: STREET 1: C/O BAIN CAPITAL LLC STREET 2: 111 HUNINGTON AVENUE CITY: BOSTON STATE: MA ZIP: 02199 BUSINESS PHONE: 6175162000 MAIL ADDRESS: STREET 1: C/O BAIN CAPITAL LLC STREET 2: 111 HUNINGTON AVENUE CITY: BOSTON STATE: MA ZIP: 02199 4 1 rrd16503.xml FORM 4 - BAIN CAPITAL PARTNERS VI 8-18-03 X0201 42003-08-180 0001093779 CHIPPAC INC CHPC 0001253166 BAIN CAPITAL PARTNERS IV LP 111 Huntington AvenueBostonMA021990010 0001040508 BAIN CAPITAL INVESTORS LLC 111 HUNTINGTON AVENUE BOSTOM MA 02199 0010Class A Common Stock2003-08-184J02413900A0DSee FootnoteClass A Common Stock2003-08-184J0469070A0DSee FootnoteClass A Common Stock2003-08-184J02882970D0DSee FootnoteClass A Common Stock1988-08-184J000A15150403ISee FootnoteClass A Common Stock1988-08-184J000A787086ISee FootnoteReflects shares distributed to the Reporting Person by Bain Capital Fund VI, L.P. ("Fund VI").Reflects shares distributed to the Reporting Person by BCIP Associates II-C.Reflects pro rata distribution of shares held by the Reporting Person to its partners.Reflects shares held by Fund VI, in which the Reporting Person has a pecuniary interest therein. The Reporting Person disclaims beneficial ownership of such shares except to the the extent of its pecuniary interest.Reflects shares held by BCIP Associates II-C, in which the Reporting Person has a pecuniary interest therein. The Reporting Person disclaims beneficial ownership of such shares except to the the extent of its pecuniary interest.Bain Capital Investors, LLC, Its General Partner2003-08-20/s/ Michael Goss, A Managing Director2003-08-20 -----END PRIVACY-ENHANCED MESSAGE-----