-----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, TefoVPgvq8GODrz/nAe+dwp+3T/5SsuoF83zkL1gz74IPxWUFXlWI1F3xjagcvs5 Rew0pc/kZqSpORhXn9eOGQ== 0001181431-03-029329.txt : 20031105 0001181431-03-029329.hdr.sgml : 20031105 20031105181007 ACCESSION NUMBER: 0001181431-03-029329 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031103 FILED AS OF DATE: 20031105 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: 03980547 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 VI LP CENTRAL INDEX KEY: 0001260860 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31173 FILM NUMBER: 03980548 BUSINESS ADDRESS: STREET 1: C/O BAIN CAPITAL LLC STREET 2: 111 HUNINGTON AVENUE CITY: BOSTON STATE: MA ZIP: 02199 BUSINESS PHONE: 617 516 2000 MAIL ADDRESS: STREET 1: C/O BAIN CAPITAL LLC STREET 2: 111 HUNINGTON AVENUE CITY: BOSTON STATE: MA ZIP: MA 4 1 rrd21902.xml BAIN CAPITAL PARTNERS VI, L.P.(11/05/03) X0201 42003-11-030 0001093779 CHIPPAC INC CHPC 0001260860 BAIN CAPITAL PARTNERS VI LP c/o Bain Capital, LLC111 Huntington AvenueBostonMA021990010 0001040508 BAIN CAPITAL INVESTORS LLC C/O BAIN CAPITAL, LLC 111 HUNTINGTON AVENUE BOSTON MA 02199 0010Class A Common Stock2003-11-034J07121230A0Dsee footnoteClass A Common Stock2003-11-034J01260560A0Dsee footnoteClass A Common Stock2003-11-034J08381790D0Dsee footnoteClass A Common Stock10921466Isee footnoteClass A Common Stock1461389Isee footnoteReflects the 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 such shares by the Reporting Person to its partners.Reflects shares held by Fund VI, in which the Reporting Person has a pecuniary interest. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.Reflects shares held by BCIP Associates II-C, in which the Reporting Person has a pecuniary interest. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.Bain Capital Partners VI, L.P., by Bain Capital Investors, LLC, its general partner, by /s/ Michael Goss, a Managing Director2003-11-04Bain Capital Investors, LLC, by /s/ Michael Goss, A Managing Director2003-11-04 -----END PRIVACY-ENHANCED MESSAGE-----