-----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, KLbBJHE/qV94DNyzQERXZ6wIbPq52Ldp+hx9lQjIlt/XInQJrpXbEiBHbz6MrX2C GbWEIM1XdbsACJ2pSZfQ2w== 0001181431-04-039341.txt : 20040809 0001181431-04-039341.hdr.sgml : 20040809 20040809062843 ACCESSION NUMBER: 0001181431-04-039341 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040804 FILED AS OF DATE: 20040809 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 FUND VI LP CENTRAL INDEX KEY: 0001065042 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31173 FILM NUMBER: 04959414 BUSINESS ADDRESS: STREET 1: TWO COPLEY PLACE STREET 2: 7TH FL CITY: BOSTON STATE: MA ZIP: 02116 BUSINESS PHONE: 6175723000 MAIL ADDRESS: STREET 1: TWO COPLEY PL STREET 2: 7TH FL CITY: BOSTON STATE: MA ZIP: 02116 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: 04959413 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 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: 04959412 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 4 1 rrd50050.xml FORM 4 X0202 4 2004-08-04 1 0001093779 CHIPPAC INC CHPC 0001065042 BAIN CAPITAL FUND VI LP C/O BAIN CAPITAL, LLC 111 HUNTINGTON AVENUE BOSTON MA 02199 0 0 1 0 0001040508 BAIN CAPITAL INVESTORS LLC C/O BAIN CAPITAL, LLC 111 HUNTINGTON AVENUE BOSTON MA 02199 0 0 1 0 0001260860 BAIN CAPITAL PARTNERS VI LP C/O BAIN CAPITAL, LLC 111 HUNTINGTON AVENUE BOSTON MA 02199 0 0 1 0 Class A Common Stock, par value $0.01 2004-08-04 4 D 0 4674173 D 0 D Disposed of pursuant to a merger agreement between issuer and ST Assembly Test Services, Ltd, a Singapore public company limited by shares ("STATS"), in exchange for 4,066,530 ADRs of STATS having a market value of $6.36 per ADR as of August 5, 2004. /s/ Eva H. Davis as Attorney-in Fact, Bain Capital Fund VI, L.P. by Bain Capital Partners VI, L.P., its general partner, by Bain Capital Investors, LLC, its general partner 2004-08-06 /s/ Eva H. Davis as Attorney-in Fact, Bain Capital Partners VI, L.P., by Bain Capital Investors, LLC 2004-08-06 /s/ Eva H. Davis as Attorney-in Fact, Bain Capital Investors, LLC 2004-08-06 -----END PRIVACY-ENHANCED MESSAGE-----