-----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, J+SDL98+Smc4HJKSfGGtV+jCEgtdUh6HT900VS06GaA5g0VYF+9ccI07IEpHhUYv dv44YLX6e+Wny+JJFZHoYw== 0001181431-04-039337.txt : 20040809 0001181431-04-039337.hdr.sgml : 20040809 20040809062705 ACCESSION NUMBER: 0001181431-04-039337 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: POTTER MICHAEL CENTRAL INDEX KEY: 0001226323 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31173 FILM NUMBER: 04959407 BUSINESS ADDRESS: STREET 1: 47400 KATO ROAD CITY: FREMONT STATE: CA ZIP: 94538 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 rrd50056.xml FORM 4 X0202 4 2004-08-04 1 0001093779 CHIPPAC INC CHPC 0001226323 POTTER MICHAEL C/O CHIPPAC, INC. 47400 KATO ROAD FREMONT CA 94538 0 1 0 0 Chief Financial Officer Class A Common Stock, $0.01 par value 2004-08-04 4 D 0 3100 D 0 D Employee Stock Option 2.55 2004-08-04 4 D 0 30000 D Class A Common Stock 30000 0 D Employee Stock Option 7.91 2004-08-04 4 D 0 50000 D 2014-03-31 Class A Common Stock 50000 0 D Employee Stock Option 7.88 2004-08-04 4 D 0 20000 D 2010-10-19 Class A Common Stock 20000 0 D Employee Stock Option 3.85 2004-08-04 4 D 0 30000 D 2011-03-21 Class A Common Stock 30000 0 D Employee Stock Option 1.88 2004-08-04 4 D 0 30000 D 2011-09-26 Class A Common Stock 30000 0 D Employee Stock Option 5.98 2004-08-04 4 D 0 10000 D 2012-07-15 Class A Common Stock 10000 0 D Employee Stock Option 6.90 2004-08-04 4 D 0 30000 D 2014-02-04 Class A Common Stock 30000 0 D Disposed of pursuant to merger agreement between ChipPAC, Inc. and ST Assembly Test Services Ltd, a Singapore public company limited by shares ("STATS"), in exchange for 2,697 ADRs of STATS having a market value of $6.36 per ADR as of August 5, 2004. This option vests over four years beginning March 17, 2004 and was assumed by STATS in the merger and replaced with an option to purchase 26,100 ADRs of STATS for $2.93 per ADR. Any portion of the option which has not been exercised prior to the termination of the reporting person's service as a director of STATS or any of its subsidiaries will expire on the earlier of: (i) six months after such termination date if such termination is due to the director's death or disability, (ii) 30 days after such termination date if the termination is for any reason other than the director's death or disability and (iii) March 17, 2013. This option vests over four years beginning April 1, 2004 and was assumed by STATS in the merger and replaced with an option to purchase 43,500 ADRs of STATS for $9.09 per ADR. This option vests over four years beginning October 20, 2001 and was assumed by STATS in the merger and replaced with an option to purchase 17,400 ADRs of STATS for $9.06 per ADR. This option vests over four years beginning March 22, 2002 and was assumed by STATS in the merger and replaced with an option to purchase 26,100 ADRs of STATS for $4.42 per ADR. Any portion of the option which has not been exercised prior to the termination of the reporting person's service as a director of STATS or any of its subsidiaries will expire on the earlier of: (i) six months after such termination date if such termination is due to the director's death or disability, (ii) 90 days after such termination date if the termination is for any reason other than the director's death or disability and (iii) September 26, 2011. This option vests over four years beginning July 16, 2003 and was assumed by STATS in the merger and replaced with an option to purchase 8,700 ADRs of STATS for $6.87 per ADR This option vests over four years beginning February 5, 2005 and was assumed by STATS in the merger and replaced with an option to purchase 26,100 ADRs of STATS for $7.93 per ADR /s/ Eva H. Davis, under power of attorney filed previously 2004-08-06 -----END PRIVACY-ENHANCED MESSAGE-----