-----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, TcenColSKrl+CPqYEf64eGfIRnmywcvnC1QgHRjdKL53ovLIMtRrUtMESr0Ajglc mzzUZ+7Kcsmxd3+95cDM5w== 0001181431-03-031318.txt : 20031117 0001181431-03-031318.hdr.sgml : 20031117 20031117143436 ACCESSION NUMBER: 0001181431-03-031318 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031113 FILED AS OF DATE: 20031117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BCIP ASSOCIATES II-C CENTRAL INDEX KEY: 0001260904 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31173 FILM NUMBER: 031007683 MAIL ADDRESS: STREET 1: C/O BCIP CAPITAL, LLC STREET 2: 111 HUNTINGTON AVENUE CITY: BOSTON STATE: MA ZIP: 02199 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: 031007682 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 4 1 rrd23006.xml BCIP ASSOCIATES II-C (11/13/03) X0201 42003-11-130 0001093779 CHIPPAC INC CHPC 0001260904 BCIP ASSOCIATES II-C 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 Stock2003-11-134J01597810D407606DClass A Common Stock2003-11-134S049938.01D402613DReflects a pro rata distribution of such shares by the Reporting Person to its partners.BCIP Associates II-C, by Bain Capital Investors, LLC, its Managing General Parnter, by /s/ Michael Goss, a Managing Director2003-11-17Bain Capital Investors, LLC, by /s/ Michael Goss, a Managing Director2003-11-17 -----END PRIVACY-ENHANCED MESSAGE-----