-----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, AZnr+mBrDXhlhcw8tA4aZ2gW+GHdM+cpGuTDx495d32eUu7XIsAzIjqsbUVns4e+ rCCnVgjMpF7hAtDjZ+aefQ== 0001010521-99-000273.txt : 19990720 0001010521-99-000273.hdr.sgml : 19990720 ACCESSION NUMBER: 0001010521-99-000273 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990707 FILED AS OF DATE: 19990719 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CHAI NA TA CORP CENTRAL INDEX KEY: 0000889329 STANDARD INDUSTRIAL CLASSIFICATION: AGRICULTURE PRODUCTION - CROPS [0100] IRS NUMBER: 000000000 FISCAL YEAR END: 0531 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-20386 FILM NUMBER: 99666780 BUSINESS ADDRESS: STREET 1: 5965 205A ST CITY: LANGLEY BC CANADA V3 STATE: A1 COMPANY DATA: COMPANY CONFORMED NAME: HANCOCK JOHN MUTUAL LIFE INSURANCE CO / MA CENTRAL INDEX KEY: 0000917406 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] OWNER IRS NUMBER: 041414660 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: CORPORATE LAW DIVISION T-55 STREET 2: P O BOX 111 CITY: BOSTON STATE: MA ZIP: 02117 BUSINESS PHONE: 6175726000 MAIL ADDRESS: STREET 1: CORPORATE LAW DIVISION T-55 STREET 2: P O BOX 111 CITY: BOSTON STATE: MA ZIP: 02117 3 1 CHAI-NA-TA CORP. U. S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Form 3 ------------------------------ OMB Number 3235-0104 Expires: April 30, 1999 Estimated average burden hours per response . . . . 0.5 ------------------------------ Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
- ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person 2. Date of Event Re- 4. Issuer Name and Ticker or Trading Symbol quiring Statement John Hancock Mutual Life Insurance Company (Month/Day/Year) Chai-Na-Ta Corporation ("CCCFF") July 7, 1999 - ------------------------------------------------------------------------------------------------------------------------------------ (Last) (First) (Middle) 3. IRS or Social Se- 5. Relationship of Reporting Person to Issuer 6. If Amendment, curity Number of (Check all applicable) Date of P.O. Box 111 Reporting Person _____ Director __X__ 10% Owner Original (Month/Day/Year) _________________________________________ (Voluntary) _____ Officer (give _____ Other (specify (Street) title below) below) N/A 04-1414660 _______________________ Boston, MA 02117 - ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) Table 1 -- Non-Derivative Securities Beneficially Owned - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect (Instr. 4) Beneficially Owned Form: Direct Beneficial Ownership (Instr. 4) (D) or Indirect (Instr. 5) (I) (Instr.5) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 1,005,000 D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly (Over) (Print or Type Responses) SEC 1473 (8/92) FORM 3 (continued) Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ------------------------------------------------------------------------------------------------------------------------------------ 1.Title of Derivative Security 2. Date Exer- 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature of Indirect (Instr. 4) cisable and Securities Underlying sion or ship Beneficial Ownership Expiration Derivative Security Exercise Form of (Instr. 5) Date (Instr. 4) Price of Deri- (Month/Day/ Deri- vative Year) vative Security Security ----------------------------------------------- Date Expira- Amount Direct Exer- tion or (D) or cisable Date Title Number Indirect of (I) Shares (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ Warrants for Common Stock 6/18/96 6/18/01 Common Stock 281,862 Fn1 $3.50 D N/A - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: 1 The number and price of the securities issuable upon exercise shall be adjusted pursuant to certain anti-dilution provisions. John Hancock Mutual Life Insurance **Intentional misstatements or omissions of facts constitute Federal Criminal Violations Company See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). By: 7/19/99 ----------------- -------- **Roger G. Nastou Date Vice President Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, See Instruction 6 for procedure. Page 2 SEC 1473 (8/92)
-----END PRIVACY-ENHANCED MESSAGE-----