SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
FREEMAN RICHARD

(Last) (First) (Middle)
47400 KATO ROAD

(Street)
FREMONT CA 94538

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CHIPPAC INC [ CHPC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Operating Officer
3. Date of Earliest Transaction (Month/Day/Year)
11/03/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 11/03/2003 M 152,600 A $2.88 160,164 D
Class A Common Stock 11/03/2003 M 24,000 A $3.75 184,164 D
Class A Common Stock 11/03/2003 S 61,501 D $8.5 122,663 D
Class A Common Stock 11/03/2003 S 31,600 D $8.501 91,063 D
Class A Common Stock 11/03/2003 S 71,499 D $8.578 19,564 D
Class A Common Stock 11/03/2003 S 5,500 D $8.658 14,064 D
Class A Common Stock 11/03/2003 S 6,500 D $8.68 7,564 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (right to buy) $2.88 11/03/2003 M 152,600 (1) (2) Class A Common Stock 152,600 $2.88 247,400 D
Employee Stock Option (right to buy) $3.75 11/03/2003 M 24,000 (3) (4) Class A Common Stock 24,000 $3.75 36,000 D
Explanation of Responses:
1. The option vests over four years beginning December 20, 2001. 20% of the total vests in each of the first two years and 30% of the total vests in each of the last two years.
2. Any portion of the option which has not been exercised prior to the termination of the reporting person's employment with ChipPAC, Inc. 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 employee's death or disability, (ii) 30 days after such termination date if the termination is for any other reason than the employee's death or disability and (iii) December 20, 2010.
3. The option vests over four years beginning March 22, 2002. 20% of the total vests in each of the first two years and 30% of the total vests in each of the last two years.
4. Any portion of the option which has not been exercised prior to the termination of the reporting person's employment with ChipPAC, Inc. 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 employee's death or disability, (ii) 30 days after such termination date if the termination is for any other reason than the employee's death or disability and (iii) March 22, 2011.
Remarks:
Richard Freeman 11/03/2003
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.