-----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, UaGKHvzNMW6ABCyHSz8t/65zsVkwvCncJGN/Zji41F/JQwSN9ybAa8mj4xif0b5W 2jCm8KWRWu5jV/q4Bc0TIA== 0001181431-03-033832.txt : 20031203 0001181431-03-033832.hdr.sgml : 20031203 20031203104826 ACCESSION NUMBER: 0001181431-03-033832 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031201 FILED AS OF DATE: 20031203 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: 031034254 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: 031034252 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: 031034251 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: 031034250 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: 031034253 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 rrd24367.xml CHIPPAC 12.01.03 X0201 42003-12-010 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 value2003-12-014S08007007.80D10875245IBy Subsi diary8% Convertible Subordinated Notes Due 20019.962011-06-15Class A Common Stock, $0.01 par value502008150000000IBy SubsidiaryRepresents (i) 10,875,245 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 Secretary2003-12-01< signatureName>Citicorp, By: Serena D. Moe, Assistant Secretary2003-12-01Citibank, N.A., By: Serena D. Moe, Assistant Secretary2003-12-01Citigroup Holdings Company, By: Serena D. Moe, Assistant Secretary2003-12-01Citicorp Venture Capital Ltd., By: Anthony P. Mirra, Vice President2003-12-01 -----END PRIVACY-ENHANCED MESSAGE-----