-----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, WV7/CmvTq77lm45d4JPi2PLNBGWpuydEqMoDbkkavu1lPdw3AAdS7XYscN6L3BlU Wiw2Ss1Ur3C6hJ+6aQnOkw== 0001181431-03-032614.txt : 20031124 0001181431-03-032614.hdr.sgml : 20031124 20031124151746 ACCESSION NUMBER: 0001181431-03-032614 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031121 FILED AS OF DATE: 20031124 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: 031020557 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: 031020556 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 rrd23731.xml BCIP ASSOCIATES II-C (11/21/03) X0201 42003-11-211 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 Stock2003-11-214J01597810D242832DReflects 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 Director2003-11-24Bain Capital Investors, LLC, by /s/ Michael Goss, a Managing Director2003-11-24 -----END PRIVACY-ENHANCED MESSAGE-----