-----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, GYQOlBLzcOMbyhSJyuSMdaJpIRf+8CqF8y+DlktXl/CIyUY1LyZ1ApRN3dGir6pw ZdNDKFdSywm9O/Lv1qVxVA== 0001181431-04-039332.txt : 20040809 0001181431-04-039332.hdr.sgml : 20040809 20040809062427 ACCESSION NUMBER: 0001181431-04-039332 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040804 FILED AS OF DATE: 20040809 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: 04959401 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 rrd50061.xml FORM 4 X0202 4 2004-08-04 1 0001093779 CHIPPAC INC CHPC 0001212450 HAINES DOUGLAS M JR C/O BAIN CAPITAL CALIFORNIA, INC. 600 MONTGOMERY STREET SAN FRANCISCO CA 94111 0 0 0 1 Former Director Class A Common Stock, $0.01 par value 2004-08-04 4 D 0 56156 D 0 I Refer footnote Class A Common Stock, $0.01 par value 2004-08-04 4 D 0 217144 D 0 I Refer footnote Disposed of pursuant to a merger agreement between ChipPAC, Inc. and ST Assembly Test Services, Ltd, a Singapore public company limited by shares ("STATS"), in exchange for 48,856 ADRs of STATS having a market value of $6.36 per ADR as of August 5, 2004. These shares were disposed of by BCIP Trust Associates II-B, in which the reporting person has a pecuniary interest. Disposed of pursuant to a merger agreement between ChipPAC, Inc. and STATS in exchange for 188,915 ADRs of STATS having a market value of $6.36 per ADR as of August 5, 2004 These shares were disposed of by BCIP Trust Associates II, in which the reporting person has a pecuniary interest. /s/ Eva H. Davis, under power of attorney filed previously 2004-08-06 -----END PRIVACY-ENHANCED MESSAGE-----