-----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, FACiOZ+5Y06nAlXZQeWvAbVYxifD4L9XfOugtSrMFFovKzLb+vXI6l7zjTHnvlaa koGDiGeGSAdCmh9oWWCoOg== 0001181431-03-032732.txt : 20031124 0001181431-03-032732.hdr.sgml : 20031124 20031124190657 ACCESSION NUMBER: 0001181431-03-032732 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031121 FILED AS OF DATE: 20031124 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 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: 031021635 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 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: 031021634 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 rrd23766.xml BAIN CAPITAL PARTNERS VI, L.P.(11/21/03) X0201 42003-11-211 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 Stock2003-11-214J06932250A693225DSee footnoteClass A Common Stock2003-11-214J0318030A725803DSee footnoteClass A Common Stock2003-11-214J07250280D0DSee footnoteClass A Common Stock4674172ISee footnoteClass A Common Stock242832ISee 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 Director2003-11-24Bain Capital Investors, LLC, by /s/ Michael Goss, A Managing Director2003-11-24 -----END PRIVACY-ENHANCED MESSAGE-----