-----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, DjUO/MZvk87e4ZZnvj1WkAh/fyb2oSXJbYFd3KE/5jFe8xHyhEuLWITnJcL0VICv 5aho/wU2UY4BzT/X+ifuKA== 0001181431-03-033054.txt : 20031126 0001181431-03-033054.hdr.sgml : 20031126 20031126105231 ACCESSION NUMBER: 0001181431-03-033054 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031124 FILED AS OF DATE: 20031126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAINES DOUGLAS M JR CENTRAL INDEX KEY: 0001212450 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31173 FILM NUMBER: 031025020 BUSINESS ADDRESS: STREET 1: BAIN CAPITAL PARTNERS LLC STREET 2: 111 HUNTINGTON AVE. 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 4 1 rrd23949.xml DOUGLAS M. HAINES 11/24/03 X0201 42003-11-240 0001093779 CHIPPAC INC CHPC 0001212450 HAINES DOUGLAS M JR C/O BAIN CAPITAL CALIFORNIA, INC. 600 MONTGOMERY STREET SAN FRANCISCO CA 94111 1000Class A Common Stock2003-11-244S0287677.43D64340ISee footnoteClass A Common Stock2003-11-254S081847.50D56156ISee footnoteReflects shares sold by BCIP Trust Associates II-B, in which the Reporting Person has a pecuniary interest. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecunicary interest therein./s/ Marshall Haines2003-11-26 -----END PRIVACY-ENHANCED MESSAGE-----