-----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, AAkxC6KwWXaQ52S1V3jUbJD66CELxVkHglRCUlEk+foe/QxhzjT0FK7Byg/L5RyG wEfLLXHiobcnZuvof5Tz8A== 0001181431-03-031321.txt : 20031117 0001181431-03-031321.hdr.sgml : 20031117 20031117143532 ACCESSION NUMBER: 0001181431-03-031321 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: CONARD EDWARD CENTRAL INDEX KEY: 0001184452 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31173 FILM NUMBER: 031007687 BUSINESS ADDRESS: STREET 1: 34 MAPLE ST CITY: MILFORD STATE: MA ZIP: 01757 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 4 1 rrd23010.xml CONARD 11/13/03 X0201 42003-11-130 0001093779 CHIPPAC INC CHPC 0001184452 CONARD EDWARD C/O BAIN CAPITAL NY, LLC 745 5TH AVENUE NEW YORK NY 10151 1000Class A Common Stock2003-11-134J030755910D7845875ISee Foo tnoteClass A Common Stock2003-11-134J04115420D1049847ISee FootnoteClass A Common Stock2003-11-134J07311010D0ISee FootnoteClass A Common Stock2003-11-134J0355930A35593DSee FootnoteClass A Common Stock2003-11-134J0487100A84249DSee FootnoteClass A Common Stock2003-11-144S0842497.58D0DClass A Common Stock2003-11-134S0961128.01D7749763ISee FootnoteClass A Common Stock2003-11-134S0128618.01D1036986ISee FootnoteReflects pro rata distribution by Bain Capital Fund VI, L.P. to its partners.Reflects shares held by Bain Capital Fund VI, L.P., 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 pro rata distribution by BCIP Associates II to its partners.Reflects shares held by BCIP Associates II, in which the Reporting Person has a pecuniary interest. The Reporting Person disclaims benefic ial ownership of such shares except to the extent of his pecuniary interest therein.Reflects pro rata distribution by Bain Capital Partners VI, L.P. to its partners. Such shares were acquired by Bain Capital Partners VI, L.P. from the distributions reported herein by Bain Capital Fund VI, L.P. and BCIP Associates II-C.Reflects shares held by Bain Capital Partners VI, L.P., 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 distributed to the Reporting Person by BCIP Associates II.Reflects shares distributed to the Reporting Person by Bain Capital Partners VI, L.P./s/ Edward Conrad2003-11-17 -----END PRIVACY-ENHANCED MESSAGE-----