-----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, RiUvcXNtUBokaywcxDgrxeo4ArH7ZXLHAUIGm6lKZuGLunc4igbj8tGikr/IJn1l 3PFJDhRkhNzpu5zN265GqQ== 0001181431-03-033557.txt : 20031202 0001181431-03-033557.hdr.sgml : 20031202 20031202104636 ACCESSION NUMBER: 0001181431-03-033557 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031128 FILED AS OF DATE: 20031202 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: CITIGROUP INC CENTRAL INDEX KEY: 0000831001 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31173 FILM NUMBER: 031031487 BUSINESS ADDRESS: STREET 1: 399 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10043 BUSINESS PHONE: 2125591000 MAIL ADDRESS: STREET 1: 399 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10043 FORMER NAME: FORMER CONFORMED NAME: TRAVELERS GROUP INC DATE OF NAME CHANGE: 19950519 FORMER NAME: FORMER CONFORMED NAME: TRAVELERS INC DATE OF NAME CHANGE: 19940103 FORMER NAME: FORMER CONFORMED NAME: PRIMERICA CORP /NEW/ DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CITICORP CENTRAL INDEX KEY: 0000020405 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31173 FILM NUMBER: 031031485 BUSINESS ADDRESS: STREET 1: 399 PARK AVE CITY: NEW YORK STATE: NY ZIP: 10043 BUSINESS PHONE: 2125591000 MAIL ADDRESS: STREET 1: 425 PARK AVE- 2ND F STREET 2: ATTN: LEGAL AFFAIRS OFFICE CITY: NEW YORK STATE: NY ZIP: 10043 FORMER NAME: FORMER CONFORMED NAME: FIRST NATIONAL CITY CORP DATE OF NAME CHANGE: 19740414 FORMER NAME: FORMER CONFORMED NAME: CITY BANK OF NEW YORK NATIONAL ASSOCIATI DATE OF NAME CHANGE: 19680903 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CITIBANK NA CENTRAL INDEX KEY: 0000036684 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31173 FILM NUMBER: 031031484 BUSINESS ADDRESS: STREET 1: 399 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10043 BUSINESS PHONE: 2125591000 MAIL ADDRESS: STREET 1: C/O LEGAL AFFAIRS OFFICE STREET 2: 425 PARK AVENUE 2ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10043 FORMER NAME: FORMER CONFORMED NAME: FIRST NATIONAL CITY BANK OF NEW YORK DATE OF NAME CHANGE: 19820322 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CITICORP VENTURE CAPITAL LTD CENTRAL INDEX KEY: 0000356516 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31173 FILM NUMBER: 031031488 BUSINESS ADDRESS: STREET 1: 399 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10043 BUSINESS PHONE: 2125591132 MAIL ADDRESS: STREET 1: 399 PARK AVE CITY: NEW YORK STATE: NY ZIP: 10043 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CITIGROUP HOLDINGS CO CENTRAL INDEX KEY: 0001105742 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31173 FILM NUMBER: 031031486 BUSINESS ADDRESS: STREET 1: ONE RODENY SQUARE CITY: WILMINGTON STATE: DE ZIP: 19899 BUSINESS PHONE: 2125595103 MAIL ADDRESS: STREET 1: 336 THE STRAND CITY: LONDON ENGLAND 4 1 rrd24292.xml CHIPPAC 11.28.03 X0201 42003-11-280 0001093779 CHIPPAC INC CHPC 0000831001 CITIGROUP INC 399 Park AvenueNew YorkNY100430010 0001105742 CITIGROUP HOLDINGS CO One Rodney SquareWilmingtonDE198990010 0000020405 CITICORP 399 Park AvenueNew YorkNY100430010 0000036684 CITIBANK NA 399 Park AvenueNew YorkNY100430010 0000356516 CITICORP VENTURE CAPITAL LTD 399 PARK AVENUE NEW YORK NY 10043 0010Class A Common Stock, $0.01 par value2003-11-284S0280507.75D11675945IBy Subsid iary8% Convertible Subordinated Notes Due 20019.962011-06-15Class A Common Stock, $0.01 par value502008150000000IBy SubsidiaryRepresents (i) 11,675,945 shares of the Issuer's Class A Common Stock, par value $0.01 directly beneficially owned by Citicorp Venture Capital Ltd. ("CVC") and (ii) $50,000,000 8% Convertible Subordinated Notes directly beneficially owned by Citicorp Mezzanine III, L.P. ("CMIII"). Two employees of CVC serve on the Issuer's Board of Directors. CVC is a wholly owned subsidiary of Citibank, N.A., which is a wholly owned subsidiary of Citicorp, which is a wholly owned subsidiary of Citigroup Holdings Company, which is a wholly owned subsidiary of Citigroup Inc. Each of Citigroup Inc., Citigroup Holdings Company, Citicorp and Citibank, N.A. disclaims beneficial ownership of the securities reported herein except to the extent of their pecuniary interests therein.Immed.Citigroup Inc., By: Serena D. Moe, Assistant Secretary2003-11-28Citicorp, By: Serena D. Moe, Assistant Secretary2003-11-28Citibank, N.A., By: Serena D. Moe, Assistant Secretary2003-11-28Citigroup Holdings Company, By: Serena D. Moe, Assistant Secretary2003-11-28Citicorp Venture Capital Ltd., By: Anthony P. Mirra, Vice President2003-11-28 -----END PRIVACY-ENHANCED MESSAGE-----