F-6 1 e612758_f6-dbv.htm FORM F-6 Unassociated Document
 
As filed with the Securities and Exchange Commission on October 9, 2014
 
Registration No. 333  -   
 


SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
                                                                                     
 
FORM F-6
REGISTRATION STATEMENT
UNDER
THE SECURITIES ACT OF 1933 FOR AMERICAN DEPOSITARY SHARES EVIDENCED BY
AMERICAN DEPOSITARY RECEIPTS
                          
 
DBV TECHNOLOGIES S.A.
(Exact name of issuer of deposited securities as specified in its charter)
                          
 
N/A
(Translation of issuer’s name into English)
                          
 
Republic of France
(Jurisdiction of incorporation or organization of issuer)
                                                                                     

CITIBANK, N.A.
(Exact name of depositary as specified in its charter)
                          

399 Park Avenue
New York, New York  10043
(877) 248-4237
(Address, including zip code, and telephone number, including area code, of depositary’s principal executive offices)
                          
 
CT Corporation System
111 8th Avenue
New York, New York 10011
(212) 894-8800
 (Address, including zip code, and telephone number, including area code, of agent for service)
                                                                                     
 
Copies to:
 
Mitchell S. Bloom, Esq.
Michael H. Bison, Esq.
Goodwin Procter LLP
Exchange Place
53 State Street
Boston, MA 02109
(617) 570-1000
 
Herman H. Raspé, Esq.
Patterson Belknap Webb & Tyler LLP
1133 Avenue of the Americas
New York, New York  10036
(212) 336-2301
                                                                                     
 
It is proposed that this filing become effective under Rule 466:
 
 o   immediately upon filing.
     
   
 o   on (Date) at (Time).
 
If a separate registration statement has been filed to register the deposited shares, check the following box :  x
 
CALCULATION OF REGISTRATION FEE
Title of Each Class of
Securities to be Registered
Amount to be
Registered
Proposed Maximum
Aggregate Price Per Unit*
Proposed Maximum
Aggregate Offering Price**
Amount of
Registration Fee
American Depositary Shares, each representing one-half (1/2) of an ordinary share, nominal value €0.10 per share, of DBV Technologies S.A.
100,000,000 American
Depositary Shares
$5.00
$5,000,000
$581.00
 
*
Each unit represents 100 American Depositary Shares.
 
**
Estimated solely for the purpose of calculating the registration fee.  Pursuant to Rule 457(k), such estimate is computed on the basis of the maximum aggregate fees or charges to be imposed in connection with the issuance of American Depositary Shares.

The Registrant hereby amends this Registration Statement on such date or dates as may be necessary to delay its effective date until the Registrant shall file a further amendment which specifically states that this Registration Statement shall thereafter become effective in accordance with Section 8(a) of the Securities Act of 1933, or until this Registration Statement shall become effective on such date as the Commission, acting pursuant to said Section 8(a), may determine.
 
 
 

 
 
This Registration Statement may be executed in any number of counterparts, each of which shall be deemed an original, and all of such counterparts together shall constitute one and the same instrument.
 
 
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PART I
 
INFORMATION REQUIRED IN PROSPECTUS
 
Cross Reference Sheet
 
Item 1.  DESCRIPTION OF SECURITIES TO BE REGISTERED
 
Item Number and Caption  
Location in Form of American
Depositary Receipt (“Receipt”)
Filed Herewith as Prospectus
       
1.   
Name of Depositary and address of its principal executive office
 
Face of Receipt -  Introductory Article.
         
2.
Title of Receipts and identity of deposited securities
 
Face of Receipt  - Top Center.
     
Terms of Deposit:
   
         
  (i)      
The amount of deposited securities represented by one American Depositary Share ("ADSs")
 
Face of Receipt  - Upper right corner.
         
  (ii)
The procedure for voting, if any, the deposited securities
 
Reverse of Receipt  - Paragraphs (16)
and (17).
         
  (iii)
The collection and distribution of dividends
 
Reverse of Receipt - Paragraph (14).
         
  (iv)
The transmission of notices, reports and proxy soliciting material
 
Face of Receipt  - Paragraph (13);
Reverse of Receipt - Paragraph (16).
         
  (v)
The sale or exercise of rights
 
Reverse of Receipt – Paragraphs (14)
and (16).
         
  (vi)
The deposit or sale of securities resulting from dividends, splits or plans of reorganization
 
Face of Receipt - Paragraphs (3) and (6);
Reverse of Receipt - Paragraphs (14) and (18).
         
  (vii)
Amendment, extension or termination of the deposit agreement
 
Reverse of Receipt - Paragraphs (22) and (23) (no provision for extensions).
         
  (viii)
Rights of holders of Receipts to inspect the transfer books of the Depositary and the list of holders of ADSs
 
Face of Receipt - Paragraph (13).
 
 
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Item Number and Caption  
Location in Form of American
Depositary Receipt (“Receipt”)
Filed Herewith as Prospectus
         
  (ix)  
Restrictions upon the right to deposit or withdraw the underlying securities
 
Face of Receipt – Paragraphs (2), (3), (4), (6), (7), (9) and (10).
         
  (x)
Limitation upon the liability of the Depositary
 
Face of Receipt - Paragraph (7);
Reverse of Receipt - Paragraphs (19) and (20).
         
3.
Fees and charges which may be imposed directly or indirectly on holders of ADSs
 
Face of Receipt - Paragraph (10).
       
Item 2. AVAILABLE INFORMATION
 
Face of Receipt - Paragraph (13).
 
The Company is subject to the periodic reporting requirements of the United States Securities Exchange Act of 1934, as amended, and, accordingly, files certain reports with, and submits certain reports to, the United States Securities and Exchange Commission (the “Commission”).  These reports can be retrieved from the Commission’s internet website (www.sec.gov), and can be inspected and copied at the public reference facilities maintained by the Commission at 100 F Street, N.E., Washington D.C. 20549.
 
 
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PROSPECTUS
 
The Prospectus consists of the proposed form of American Depositary Receipt included as Exhibit A to the Form of Deposit Agreement filed as Exhibit (a) to this Registration Statement on Form F-6 and is incorporated herein by reference.
 
 
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PART II
 
INFORMATION NOT REQUIRED IN PROSPECTUS
 
Item 3.
EXHIBITS
 
 
(a)
Deposit Agreement, by and among DBV Technologies S.A. (the “Company”), Citibank, N.A., as depositary (the “Depositary”), and all Holders and Beneficial Owners of American Depositary Shares issued thereunder (“Deposit Agreement”).   Filed herewith as Exhibit (a).
 
 
(b)
Any other agreement to which the Depositary is a party relating to the issuance of the American Depositary Shares registered hereunder or the custody of the deposited securities represented thereby.   None.
 
 
(c)
Every material contract relating to the deposited securities between the Depositary and the issuer of the deposited securities in effect at any time within the last three years.   None.
 
 
(d)
Opinion of counsel for the Depositary as to the legality of the securities to be registered.  ___ Filed herewith as Exhibit (d).
 
 
(e)
Certificate under Rule 466.   None.
 
 
(f)
Powers of Attorney for certain officers and directors and the authorized representative of the Company.   Set forth on the signature pages hereto.
 
 
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Item 4. UNDERTAKINGS
 
 
(a)
The Depositary undertakes to make available at the principal office of the Depositary in the United States, for inspection by holders of ADSs, any reports and communications received from the issuer of the deposited securities which are both (1) received by the Depositary as the holder of the deposited securities, and (2) made generally available to the holders of the underlying securities by the issuer.
 
 
(b)
If the amount of fees charged is not disclosed in the prospectus, the Depositary undertakes to prepare a separate document stating the amount of any fee charged and describing the service for which it is charged and to deliver promptly a copy of such fee schedule without charge to anyone upon request.  The Depositary undertakes to notify each registered holder of an ADS thirty (30) days before any change in the fee schedule.
 
 
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SIGNATURES
 
Pursuant to the requirements of the Securities Act of 1933, as amended, Citibank, N.A., acting solely on behalf of the legal entity to be created by the Deposit Agreement, by and among DBV Technologies S.A., Citibank, N.A., as depositary, and all Holders and Beneficial Owners of American Depositary Shares to be issued thereunder, certifies that it has reasonable grounds to believe that all the requirements for filing on Form F-6 are met and has duly caused this Registration Statement on Form F-6 to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of New York, State of New York, on the 9th day of October, 2014.
 
 
Legal entity to be created by the Deposit Agreement under which the American Depositary Shares registered hereunder are to be issued, each American Depositary Share representing one-half (1/2) of an ordinary share, nominal value €0.10 per share, of DBV Technologies S.A.
 
CITIBANK, N.A., solely in its capacity as Depositary
 
       
 
By:
/s/ Keith Galfo  
   
Name: Keith Galfo
 
   
Title:   Vice President
 
       
 
 
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SIGNATURES
 
Pursuant to the requirements of the Securities Act of 1933, as amended, DBV Technologies S.A. certifies that it has reasonable grounds to believe that all the requirements for filing on Form F-6 are met and has duly caused this Registration Statement on Form F-6 to be signed on its behalf by the undersigned thereunto duly authorized, in Bagneux, France, on October 9, 2014.
 
 
DBV TECHNOLOGIES S.A.
 
 
       
 
By:
/s/ Dr. Pierre-Henri Benhamou  
    Name: Dr. Pierre-Henri Benhamou  
   
Title:   Chief Executive Officer
 
       
 
 
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POWERS OF ATTORNEY
 
KNOW ALL PERSONS BY THESE PRESENTS, that each person whose signature appears below constitutes and appoints Dr. Pierre-Henri Benhamou and David Schilansky, each of them, his or her true and lawful attorney-in-fact and agents, each with full power of substitution, for him and in his name, place and stead, in any and all such capacities, to sign any and all amendments (including post-effective amendments) to this Registration Statement and any and all related registration statements pursuant to Rule 462(b) of the Securities Act of 1933, as amended, and to file the same, with all exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, hereby ratifying and confirming all that said attorney-in-fact and agents, or any of them, or their substitute or substitutes, may lawfully do or cause to be done by virtue hereof.
 
Pursuant to the requirements of the Securities Act of 1933, as amended, this Registration Statement on Form F-6 has been signed by the following persons in the following capacities on October 9, 2014.
 
Signature
 
Title
     
/s/ Dr. Pierre-Henri Benhamou
 
Chief Executive Officer, Chairman and Co-Founder
Dr. Pierre-Henri Benhamou
 
(Principal Executive Officer)
     
     
/s/ David Schilansky
 
Chief Financial Officer
David Schilansky
 
(Principal Financial and Accounting Officer)
     
     
/s/ Torbjörn Bjerke
 
Director
Dr. Torbjörn Bjerke
   
     
     
/s/ Dr. Didier Hoch
 
Director
Dr. Didier Hoch
   
     
     
/s/ George Horner III
 
Director
George Horner III
   
     
     
 
 
Director
Peter Barton Hutt
   
 
 
II-5

 
 
/s/ Chahra Louafi
 
Director
Chahra Louafi
   
     
     
/s/ Dr. Rafaèle Tordjman
 
Director
Dr. Rafaèle Tordjman
   
     
     
Authorized Representative in the U.S.
   
     
/s/ Donald J. Puglisi    
Donald J. Puglisi    
Managing Director    
Puglisi & Associates    
 
 
II-6

 
 
Index to Exhibits

Exhibit
Document
Sequentially
Numbered Page
     
(a)
Form of Deposit Agreement
 
     
(d)
Opinion of counsel to the Depositary