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
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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
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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
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(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
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(City) (State) (Zip) Table 1 -- Non-Derivative Securities Beneficially Owned
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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)
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Common Stock 1,005,000 D
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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)
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FORM 3 (continued) Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls,
warrants, options, convertible securities)
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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
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Date Expira- Amount Direct
Exer- tion or (D) or
cisable Date Title Number Indirect
of (I)
Shares (Instr. 5)
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Warrants for Common Stock 6/18/96 6/18/01 Common Stock 281,862 Fn1 $3.50 D N/A
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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
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**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)
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