10-12B 1 c84951_10-12b.htm 3B2 EDGAR HTML -- c84951_preflight.htm

As filed with the Securities and Exchange Commission on May 12, 2016

File No.  

 

 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

Form 10

 

GENERAL FORM FOR REGISTRATION OF SECURITIES
PURSUANT TO SECTION 12(b) OR 12(g)
OF THE SECURITIES EXCHANGE ACT OF 1934

 

AdvanSix Inc.
(Exact name of registrant as specified in its charter)

 

 

 

 

Delaware
(State or Other Jurisdiction of
Incorporation or Organization)

 

81-2525089
(I.R.S. Employer
Identification Number)

     

 

 

115 Tabor Road
Morris Plains, NJ

(Address of Principal Executive Offices)

 

07950
(Zip Code)

Registrant’s telephone number, including area code:
(973) 455-2000

 

Securities to be registered pursuant to Section 12(b) of the Act:

 

 

 

Title of Each Class to be so Registered

 

Name of Each Exchange on
Which Each Class is to be Registered

Common Stock, par value $1.00

 

 

Securities to be registered pursuant to Section 12(g) of the Act:
None.

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer,
a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,”
“accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Securities Exchange Act of 1934.

 

 

 

 

 

 

 

Large accelerated filer

 

o

 

Accelerated filer

 

o

Non-accelerated filer

 

x (Do not check if a smaller reporting company)

 

Smaller reporting company

 

o

 

 


 

AdvanSix Inc.
Information Required in Registration Statement
Cross-Reference Sheet Between the Information Statement and Items of Form 10

This Registration Statement on Form 10 incorporates by reference information contained in our Information Statement filed as Exhibit 99.1 to this Form 10.

 

 

 

 

 

Item
No.

 

Caption

 

Location in Information Statement

1.

 

Business

 

See “Summary,” “Risk Factors,” “Cautionary Statement Concerning Forward-Looking Statements,” “The Spin-Off,” “Capitalization,” “Business,” “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and “Where You Can Find More Information”

1A.

 

Risk Factors

 

See “Risk Factors” and “Cautionary Statement Concerning Forward-Looking Statements”

2.

 

Financial Information

 

See “Risk Factors,” “Capitalization,” “Selected Historical Combined Financial Data” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations”

3.

 

Properties

 

See “Business—Properties”

4.

 

Security Ownership of Certain Beneficial Owners and Management

 

See “Security Ownership of Certain Beneficial Owners and Management”

5.

 

Directors and Executive Officers

 

See “Management”

6.

 

Executive Compensation

 

See “Management” and “Compensation Discussion and Analysis”

7.

 

Certain Relationships and Related Transactions, and Director Independence

 

See “Risk Factors,” “Management” and “Certain Relationships and Related Party Transactions”

8.

 

Legal Proceedings

 

See “Business—Legal and Regulatory Proceedings”

9.

 

Market Price of and Dividends on the Registrant’s Common Equity and Related Shareholder Matters

 

See “The Spin-Off,” “Dividend Policy,” “Security Ownership of Certain Beneficial Owners and Management” and “Description of Our Capital Stock”

10.

 

Recent Sales of Unregistered Securities

 

See “Description of Our Capital Stock”

11.

 

Description of Registrant’s Securities to be Registered

 

See “Description of Our Capital Stock”

12.

 

Indemnification of Directors and Officers

 

See “Description of Our Capital Stock” and “Certain Relationships and Related Party Transactions—Agreements with Honeywell—Separation and Distribution Agreement”

13.

 

Financial Statements and Supplementary Data

 

See “Selected Historical Combined Financial Data” and “Index to Combined Financial Statements” and the financial statements referenced therein

 

 

 

 

2


 

 

 

 

 

 

Item
No.

 

Caption

 

Location in Information Statement

14.

 

Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

 

None

15.

 

Financial Statements and Exhibits

 

(a) Combined Financial Statements

 

 

 

 

See “Index to Combined Financial Statements” and the financial statements referenced therein

 

 

 

 

(b) Exhibits

 

 

 

 

See the Exhibit Index of this Registration Statement on Form 10

3


 

SIGNATURE

Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the registrant has duly caused this Registration Statement on Form 10 to be signed on its behalf by the undersigned, thereunto duly authorized.

 

 

 

 

 

 

 

 

 

AdvanSix Inc.

     

 

 

 

 

 

 

 

 

By:

 

/s/ Erin N. Kane

 

 

 

 

 

 

 

Name:

 

Erin N. Kane

 

 

 

 

Title:

 

Chief Executive Officer

Dated: May 12, 2016

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EXHIBIT INDEX

 

 

 

Exhibit
Number

 

Exhibit Description

 2.1

 

Form of Separation and Distribution Agreement between Honeywell International Inc. and AdvanSix Inc.*

 3.1

 

Form of Amended and Restated Certificate of Incorporation of AdvanSix Inc.*

 3.2

 

Form of Amended and Restated By-laws of AdvanSix Inc.*

10.1

 

Form of Transition Services Agreement between Honeywell International Inc. and AdvanSix Inc.*

10.2

 

Form of Tax Matters Agreement between Honeywell International Inc. and AdvanSix Inc.*

10.3

 

Form of Employee Matters Agreement between Honeywell International Inc. and AdvanSix Inc.*

21.1

 

List of subsidiaries of AdvanSix Inc.*

99.1

 

Preliminary Information Statement of AdvanSix Inc., subject to completion, dated May 12, 2016.

99.2

 

Pertinent pages from Honeywell International Inc.’s Proxy Statement, dated March 10, 2016, filed pursuant to Rule 14a-6 of the Securities Exchange Act of 1934.

99.3

 

Pertinent pages from the Annual Report of Honeywell International Inc. on Form 10-K for the fiscal year ended December 31, 2015, filed pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934.

 

 

*

  To be filed by amendment.

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