Exhibit (a)(1)(B)
THIS DOCUMENT IS IMPORTANT AND REQUIRES YOUR IMMEDIATE ATTENTION. If you are in any doubt about what action to take, you should immediately consult your stockbroker, bank manager, lawyer, accountant or other professional or investment advisor.
If you have sold all your shares of common stock in Enel Américas S.A. (“Enel Américas”), please send this Form of Acceptance together with the accompanying documents as soon as possible to the purchaser or to the stockbroker, bank or other agent through whom the sale was effected for transmission to the purchaser.
This document should be read in conjunction with the Offer to Purchase dated March 15, 2021 (the “Offer to Purchase”). The definitions used in the Offer to Purchase apply in this Form of Acceptance (the “Form of Acceptance”). All terms and conditions contained in the Offer to Purchase applicable to the U.S. Offer (as defined in the Offer to Purchase) for Shares are deemed to be incorporated in and form part of this Form of Acceptance.
FORM OF ACCEPTANCE
to Tender Shares of Common Stock
of
ENEL AMÉRICAS S.A.
Pursuant to the Offer to Purchase
dated March 15, 2021
by
ENEL S.p.A.
| | | The U.S. Offer expires at 5:00 P.M., New York City time, on April 13, 2021, unless the U.S. Offer is extended or earlier terminated. | | |
The U.S. Share Tender Agent for the U.S. Offer is:
Computershare Trust Company, N.A.
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By First Class Mail:
Computershare Trust Company, N.A. c/o Voluntary Corporate Actions P.O. Box 43011 Providence, RI 02940-3011 |
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By Registered or Overnight Delivery:
Computershare Trust Company, N.A. c/o Voluntary Corporate Actions 150 Royall Street, Suite V Canton, MA 02021 |
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DELIVERY OF THIS FORM OF ACCEPTANCE TO AN ADDRESS OTHER THAN AS SET FORTH ABOVE WILL NOT CONSTITUTE A VALID DELIVERY. DELIVERY OF THIS FORM OF ACCEPTANCE TO A BOOK-ENTRY TRANSFER FACILITY WILL NOT CONSTITUTE VALID DELIVERY TO THE U.S. SHARE TENDER AGENT.
The instructions accompanying this Form of Acceptance should be read carefully before this Form of Acceptance is completed. Questions and requests for assistance may be directed to the Information Agent, Georgeson LLC, at enelamericas@georgeson.com or +1 (866) 431-2096.
THIS FORM OF ACCEPTANCE IS TO BE USED ONLY FOR TENDERING SHARES (AS DEFINED BELOW). DO NOT USE THIS FORM OF ACCEPTANCE FOR TENDERING ADSs OR FOR ANY OTHER PURPOSE.
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The U.S. Offer
Enel S.p.A. (“Enel”), an Italian società per azioni, is offering to purchase up to a total of 7,608,631,104 of the outstanding shares of common stock, without par value (“Shares”), of Enel Américas S.A. (“Enel Américas”), a sociedad anónima abierta organized under the laws of the Republic of Chile, other than Shares currently owned by Enel, held by all holders of Shares who are U.S. Persons (as defined in the Offer to Purchase) (the “U.S. Holders”), for an amount of Ch$140 in cash, without interest, payable in U.S. dollars, net of applicable withholding taxes and distribution fees for each Share, upon the terms and subject to certain conditions described in the Offer to Purchase, this Form of Acceptance and the ADS Letter of Transmittal (which together, as they may be amended or supplemented from time to time, constitute the “U.S. Offer”). The U.S. dollar amount will be based upon the U.S. dollar observed rate (dólar observado) published by the Chilean Central Bank for the business day prior to the date of settlement of the Offers.
Action to be taken to accept the U.S. Offer
Please read the detailed instructions on how to complete this Form of Acceptance. This Form of Acceptance should only be used to accept the offer by Enel to purchase Shares from all U.S. Holders of Shares, upon the terms and subject to the conditions set forth in the Offer to Purchase, this Form of Acceptance and the Share Subscription Agreement.
Shares beneficially owned or held of record by persons who are not U.S. Holders cannot be tendered pursuant to the U.S. Offer and can only be tendered pursuant to the concurrent Chilean Offer (as defined in the Offer to Purchase). If you are a holder of American Depositary Shares (“ADSs”), you will receive and should complete an ADS Letter of Transmittal, and related documents in accordance with the instructions set out therein. If you wish to accept the U.S. Offer, send this Form of Acceptance completed and signed, together with the documents identified below to Computershare Trust Company, N.A. (the “U.S. Share Tender Agent”), at the address set forth on the front cover as soon as possible and in any event so as to arrive not later than 5:00 p.m., New York City time, on April 13, 2021, unless the U.S. Offer is extended.
If your título(s) de acciones (certificate of title) and other documentation are not readily available or are lost, this Form of Acceptance should nevertheless be completed, signed and returned as stated above so as to arrive not later than 5:00 p.m., New York City time, on April 13, 2021, unless the U.S. Offer is extended. Notwithstanding the above, the título(s) should be forwarded as soon as possible thereafter but in no event the título(s) should be received later than the Expiration Date. If the título(s) are lost or destroyed, the holder of Shares should follow the procedures set forth in Article 13 of the Chilean Corporate Regulations and request the share department of Enel Américas which is administered by DCV Registros S.A. (“DCV Registros”), located at Av. Los Conquistadores 1730, 24th Floor, Providencia, Santiago, Chile, telephone (+562) 2393-9000 to issue substitute título(s). When completed, the new título(s) must be submitted to the U.S. Share Tender Agent, in accordance with the above-described procedure, in support of the Form of Acceptance.
Your acceptance of the U.S. Offer is on the terms and subject to the conditions contained in the Offer to Purchase and in this Form of Acceptance. In the event of an inconsistency between the terms and procedures in this Form of Acceptance and the Offer to Purchase, the terms and procedures in the Offer to Purchase shall govern.
If you have any questions as to how to complete this Form of Acceptance, please contact the Information Agent at enelamericas@georgeson.com or at + 1 866-216-0459. Do not detach any part of this Form of Acceptance.
Instructions for Completion and Submission of this Form of Acceptance
If you wish to accept the U.S. Offer you should:
i.
complete and sign this Form of Acceptance in accordance with the instructions set out below;
ii.
forward this Form of Acceptance, together with the following documents to the U.S. Share Tender Agent at the address set forth on the front cover:
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(a)
original título(s) de acciones (certificates of title) evidencing ownership of Shares, if the títulos of the Shares are held by you, or a certificate from the share department of Enel Américas which is administered by DCV Registros, evidencing that the título(s) are held at the share department of Enel Américas;
(b)
a certificate from the share department of Enel Américas which is administered by DCV Registros, issued no later than 10 days prior to the date of delivery to the U.S. Share Tender Agent evidencing that the share department of Enel Américas is not aware of any encumbrances, prohibitions, liens, litigation, injunctions, conditions precedent or subsequent, preferential rights of third parties, any in rem or personal right in interest of third parties contrary to the Offeror rights and, in general, of any other circumstances which may limit or hinder their free assignment, transfer or domain that affect the Shares (“Encumberance”);
(c)
duly signed traspaso(s) (deed of transfer) indicating the number of Shares to be tendered, with the date of such traspaso(s) in blank;
(d)
in the case the U.S. Holder is an individual, a copy of the U.S. Holder’s passport or other government-issued photo identification card;
(e)
in the case the U.S. Holder is an entity, (1) a secretary’s certificate certifying the name, title and specimen signature of an officer authorized to execute the transfer documents and a copy of the entity’s organizational documents, and (2) a copy of the passport or other government-issued photo identification card of the authorized officer; and
(f)
any other documents requested by the U.S. Share Tender Agent to evidence the authority of the U.S. Holder to tender and sell its Shares; and
iii.
ensure that they are sent so that they arrive or are delivered at the address of the U.S. Share Tender Agent set forth above not later than 5:00 p.m., New York City time, on April 13, 2021, unless the U.S. Offer is extended.
BTG Pactual Chile S.A. Corredores de Bolsa (the “Chilean Tender Agent”) has established an Account with Depósito Central de Valores S.A. (the “DCV”) under number DCV 12026005 (the “DCV Custodial Account”) on behalf of the U.S. Share Tender Agent with respect to the Shares at DCV, for purposes of the U.S. Offer. Shares held in book-entry form may be tendered by sending them to the U.S. Share Tender Agent at its address set forth on the front cover of this Form of Acceptance, a properly completed and duly executed Form of Acceptance, together with the items (b) through (f) above, as applicable, and effecting the book-entry delivery of the Shares to the DCV Custodial Account.
Effects of the Acceptance
Each holder of Shares by whom or on whose behalf this Form of Acceptance is executed irrevocably undertakes, represents and warrants to, and agrees with, Enel (so as to bind the holder and the holder’s personal representatives, heirs, successors and assigns) to the following effect:
(a)
that the execution of a Form of Acceptance shall constitute:
i.
an acceptance of the U.S. Offer in respect of the number of Shares identified in the Form of Acceptance; and
ii.
an undertaking to execute all further documents and give all further assurances which may be required to enable Enel Américas to obtain the full benefit of the U.S. Offer and/or perfect any of the authorities expressed to be given hereunder, on and subject to the terms set out or referred to in the Offer to Purchase and this Form of Acceptance and that, subject only to the rights set out in “Tender Withdrawal Rights,” each such acceptance shall be irrevocable;
(b)
that the Shares in respect to which the U.S. Offer is accepted or deemed to be accepted are fully paid and non-assessable, sold free from all Encumbrances and together with all rights now or hereafter attaching thereto, including voting rights and the right to all dividends, other distributions and interest payments hereafter declared, made or paid;
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(c)
that the execution of this Form of Acceptance constitutes, subject to the accepting holder not having validly withdrawn his or her acceptance, the irrevocable appointment of the U.S. Share Tender Agent, its directors and agents as such holder’s attorney and/or agent (the “Attorney”) and an irrevocable instruction to the Attorney to complete and execute his or her signed traspaso(s) and all or any form(s) of transfer and/or other document(s) at the discretion of the Attorney in relation to the Shares referred to in paragraph (a) above in respect of which the accepting holder of Shares has not validly withdrawn acceptance in favor of Enel Américas or such other person or persons as Enel Américas may direct and to deliver such form(s) of transfer and/or other document(s) at the discretion of the Attorney together with the título(s) and/or other document(s) of title relating to such Shares and to do all such other acts and things as may in the opinion of the Attorney be necessary or expedient for the purpose of, or in connection with, the acceptance of the U.S. Offer and to vest in Enel Américas or its nominee(s) the Shares as aforesaid; that the holder of Shares will deliver to the U.S. Share Tender Agent at the address set forth on the front cover of this Form of Acceptance such holder’s título(s) de acciones and/or document(s) of title in respect of the Shares referred to in paragraph (a); and
(d)
that the execution of this Form of Acceptance constitutes, subject to the accepting holder of Shares not having validly withdrawn its acceptance, an irrevocable authority and request (1) to Enel Américas, its Gerente General (General Manager) or its agents to procure the registration of the transfer of the Shares pursuant to the U.S. Offer and the delivery of the new título(s) and/or other document(s) of title in respect thereof to Enel or as Enel may direct; and (2) to Enel or its agents to record and act upon any instructions with regard to notices and payments which have been recorded in the records of Enel Américas in respect of such holder’s holding(s) of Shares;
(e)
that the holder of Shares will deliver to the U.S. Share Tender Agent at the address shown on the back page of this Offer to Purchase such holder’s título(s) and/or document(s) of title in respect of the Shares referred to in paragraph (a);
(f)
that this section shall be incorporated in and form part of the Form of Acceptance, which shall be read and construed accordingly; and
(g)
that the holder agrees to ratify each and every act or thing which may be done or effected by Enel or any of its directors or agents or Enel Américas or its agents, as the case may be, in the proper exercise of any of its power and/or authorities thereunder.
Power of Attorney
By signing this Form of Acceptance, you hereby grant an irrevocable authority and request (i) to Enel Américas, its Gerente General (Chief Executive Officer) or its agents to procure the registration of the transfer of the Shares pursuant to the U.S. Offer and the delivery of the new título(s) de acciones and/or other document(s) of title in respect thereof to Enel or as Enel may direct; and (ii) to Enel or its agents to record and act upon any instructions with regard to notices and payments which have been recorded in the records of Enel Américas in respect of such your Shares.
By signing this Form of Acceptance, you hereby grant this irrevocable commercial power of attorney in the understanding that it is being granted in the interest of both the principal and the attorney-in-fact and that the attorney-in-fact shall not be liable for rendering of accounts or any other obligations to you as principal. This commercial power of attorney will be irrevocable unless this Form of Acceptance is revoked. If this Form of Acceptance is revoked, this power of attorney shall be understood as immediately revoked. This power of attorney revokes any and all sell orders of the Shares and powers of attorney granted in connection thereto given previously to this date.
Negative Covenant
By signing this Form of Acceptance, you agree that, until the Expiration Date or until your Shares are withdrawn from the U.S. Offer, you will not sell, transfer, assign, pledge or in any other way dispose of or encumber the Shares tendered hereby.
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Representation
By signing this Form of Acceptance, you declare that your Shares tendered are fully paid and free from all Encumbrances and that you have the full power and authority to tender and assign your Shares pursuant to the U.S. Offer.
How to complete this Form of Acceptance
(Please complete in BLOCK CAPITALS)
1.
The U.S. Offer
To accept the U.S. Offer, write in Box 1 the total number of Shares for which you wish to accept the U.S. Offer. If no number, or a number greater than your entire holding of Shares, is written in Box 1 and you have signed Box 2, you will be deemed to have written the number of Shares comprised in, and to have accepted the U.S. Offer in respect of all Shares tendered. To accept the U.S. Offer, complete Boxes 1 and 3 and, if applicable, Box 4, and sign Box 2 below.
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BOX 1
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Number of Shares to be Tendered
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2.
Signatures
You must execute Box 2 in order to tender your Shares and accept the U.S. Offer. If any of the Shares tendered hereby are owned of record by two or more joint owners, all such owners must sign this Form of Acceptance. If any of the tendered Shares are registered in different name on several Share certificates, it will be necessary to complete, sign and submit as many separate Forms as there are different registrations of the Share certificates.
If you sign in a capacity other than that of a registered holder (e.g., under a Power of Attorney), please state the capacity in which you sign and send together with this Form of Acceptance either (i) proper evidence satisfactory to Enel of your authority to act in such capacity, or (ii) in the case of a Power of Attorney, an authorized copy of the Power of Attorney duly granted before a Notary Public in Chile or before the competent Chilean General Consul outside Chile.
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Sign here to accept the U.S. Offer
BOX 2 |
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Execution by individuals
Signed and delivered as a deed by
(Name of record holder)
(Signature of record holder)
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Execution by a company
Executed and delivered as a deed by
(Name of Company)
Signature:
(Signature)
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(The space above should be used to notarize as appropriate)
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3.
Name(s) and address
Complete Box 3 with the full name and address of the sole or first named registered holder together with the names of all other joint holders (if any) in BLOCK CAPITALS.
Full name(s) and address
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Box 3
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1. First registered holder.
First name(s) (Mr. Mrs. Miss Title) Last name
Address
Zip code
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2. Joint registered holder(s).
First name(s) (Mr. Mrs. Miss Title) Last name
Address
Zip code
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3. Corporation(s).
Name of Corporation
Address
Zip code
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Please provide your daytime telephone number in the event that there are any questions regarding the above.
Daytime Telephone No.
4.
Alternative address
Insert in Box 4 the name and address of the person or agent (for example, your bank) to whom you wish the consideration or returned documents to be sent if not the same as in Box 3. Complete this box if you wish the consideration and/or other documents to be sent to someone other than the first-named registered holder at the address set out in Box 3.
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BOX 4
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Name
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Address
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Daytime telephone number
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Additional notes regarding the completion and submission of this Form of Acceptance
In order to be effective, this Form of Acceptance must, except as mentioned below, be executed personally by the registered holder or, in the case of a joint holding, by a representative duly appointed by ALL the joint holders as provided for in Article 23 of Law No. 18,046 of the Chilean Corporations Law. A corporation must execute this Form of Acceptance by means of an authorized officer.
1.
If your título(s) is/are held by your stockbroker, bank or some other agent
You should either obtain from your stockbroker, bank or other agent the título(s) in your name and submit it to the U.S. Share Tender Agent together with the traspaso(s) with the date in blank and this Form of Acceptance duly signed with all the documents indicated above or, alternatively, you should instruct your stockbroker, bank or other agent to tender your Shares in the manner specified above.
2.
If you have lost any of your share certificates
The completed Form of Acceptance, together with any título(s) which you have available, should be sent to or delivered by hand to the U.S. Share Tender Agent at the address set forth on the front cover accompanied by a letter stating that you have lost or destroyed one or more of your título(s). You should then follow the procedures provided for in Article 13 of the Chilean Corporate Regulation and thereupon request the shareholders’ registry of the Company to issue substitute título(s).
3.
If a holder is away from home (e.g., abroad or on holiday) or if this Form of Acceptance is being signed under a Power of Attorney
Send this Form of Acceptance by the quickest means (e.g., air mail) to the holder for execution or, if the holder has executed a Power of Attorney, have this Form of Acceptance signed by the Attorney. The completed Form of Acceptance together with the required documents should be deposited with the U.S. Share Tender Agent at the address set forth on the front cover accompanied by the Power of Attorney (or a duly certified copy thereof, provided the signature is original). Any Power of Attorney must have been granted before a Notary Public in Chile or before a competent Chilean General Consul. The Power of Attorney (or a duly certified copy thereof) will be submitted for registration by the U.S. Share Tender Agent and returned as directed. No other signatures are acceptable.
4.
If you have sold off all your holdings
You should send this Form of Acceptance at once to the stockbroker, bank or other agent through whom the sale was effected for transmission to the purchaser.
5.
If you have any questions
You should immediately contact your stockbroker, bank or other agent or Georgeson LLC at enelamericas@georgeson.com or at +1 (866) 431-2096.
The consideration due to you under the U.S. Offer cannot be sent to you until all relevant documents have been properly completed and sent to or deposited with the U.S. Share Tender Agent. Notwithstanding
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that no título(s) and/or other document(s) of title is/are delivered with it, this Form of Acceptance, if otherwise valid, accompanied by the appropriate endorsement or certificate signed on behalf of the transfer agent of the Company will be treated as a valid acceptance of the U.S. Offer.
6.
If your tendered Shares are accepted for payment, you may be subject to U.S. income tax backup withholding
Under U.S. federal income tax law, the amount of any payments made by the U.S. Share Tender Agent to holders of Shares (other than corporate and certain other exempt holders) pursuant to the U.S. Offer may be subject to backup withholding tax currently at a rate of 24%. To avoid such backup withholding tax with respect to payments pursuant to the U.S. Offer, a non-exempt, tendering “U.S. holder” (as defined in “The U.S. Offer — Section 6 — Tax Consequences”) must provide the U.S. Share Tender Agent with such holder’s correct taxpayer identification number (“TIN”) and certify under penalty of perjury that (1) the TIN provided is correct (or that such holder is awaiting a TIN) and (2) such holder is not subject to backup withholding tax by completing the Substitute Form W-9 included as part of this Form of Acceptance. If backup withholding applies with respect to a holder of Shares or if a holder of Shares fails to deliver a completed
Substitute Form W-9 to the U.S. Share Tender Agent or otherwise establish an exemption, the U.S. Share Tender Agent is required to withhold 24% of any payments made to such holder. See “Material United States Tax Consequences — U.S. Backup Withholding Tax and Information Reporting Requirements”.
The box in Part 3 of Substitute Form W-9 may be checked if the holder of Shares is required to submit a Substitute Form W-9 and has not been issued a TIN and has applied for a TIN or intends to apply for a TIN in the near future. If the box in Part 3 is so checked and the U.S. Share Tender Agent is not provided with a TIN by the time of payment, the U.S. Share Tender Agent will withhold 24% on all such payments until a TIN is provided to the U.S. Share Tender Agent.
Backup withholding is not an additional tax. Rather, the tax liability of persons subject to backup withholding will be reduced by the amount of tax withheld. If withholding results in an overpayment of taxes, a refund may be obtained by filing a tax return with the Internal Revenue Service. The U.S. Share Tender Agent cannot refund amounts withheld by reason of backup withholding.
For U.S. federal income tax purposes, a U.S. holder of Shares that tenders in the U.S. Offer would be considered to have done so in exchange for cash and that receipt of cash pursuant to the U.S. Offer by a holder of Shares will be a taxable transaction for U.S. federal income tax purposes to U.S. holders. See “Material United States Tax Consequences” in the Offer to Purchase for a more complete discussion of certain U.S. federal income tax consequences of the U.S. Offer. Each holder of Enel Américas Shares is urged to consult his or her independent professional advisor regarding the tax consequences of acceptance of the U.S. Offer.
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If I want to make a partial tender
If fewer than all of the Shares delivered to the U.S. Share Tender Agent are to be tendered, fill in the number of Shares which are to be tendered in Box 1. In such case, a new título for the remainder of the Shares represented by the old título will be sent to the person(s) signing this Form of Acceptance, unless otherwise provided in Box 4, as promptly as practicable following the date the tendered Shares are accepted for payment. All Shares delivered to the U.S. Share Tender Agent will be deemed to have been tendered unless otherwise indicated in Box 1.
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TRASPASO DE ACCIONES
EXHIBIT 1
Señor Gerente de:Enel Américas S.A. (la “Sociedad”)
Sírvase Ud. anotar en el registro de accionistas correspondiente, el traspaso de [número de acciones] acciones de la Sociedad, de mi propiedad, según consta del título N°[número del título], las cuales han sido vendidas a Enel S.p.A. al precio de CLP140 (140 pesos chilenos) por cada acción.
| | | | | TESTIGOS VENDEDOR | | | VENDEDOR | | | | |
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Nombre Testigo N°1:
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N° y documento de
identificación: |
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FIRMA VENDEDOR O REPRESENTANTE
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Firma Testigo N°1:
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N° y documento de identificación:
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Nombre Testigo N°2:
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N° y documento de
identificación: |
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| | | | | | | | Nacionalidad: | | | E. Civil: | |
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Firma Testigo N°2:
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[Ciudad], [día] de [mes] de [año].
Por el presente acto, el comprador acepta el traspaso precedente y asimismo los estatutos de la Sociedad y los acuerdos adoptados en sus respectivas juntas de accionistas.
| | | | | TESTIGOS COMPRADOR | | | COMPRADOR | | | | |
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Nombre Testigo N°1:
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N° y documento de
identificación: |
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FIRMA COMPRADO OR REPRESENTANTE
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Firma Testigo N°1:
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N° de documento de identificación:
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Nombre Testigo N°2:
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N° y documento de
identificación: |
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Firma Testigo N°2:
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[Ciudad], [día] de [mes] de [año].
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ADQUIRENTE O COMPRADOR SOLICITA
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1. Que la sociedad tenga a su disposición el titulo correspondiente a las acciones
adquiridas o compradas, dentro del plazo de 6 días hábiles contados desde la fecha de recepción del traspaso. |
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| | | 2. Que la sociedad no emita el título. | | | | | | | | | |
El hecho de que el solicitante opte por no requerir la emisión del título, no libera a la sociedad emisora de la obligación de cursar la inscripción correspondiente en el plazo y en la forma que establece el Reglamento de Sociedades Anónimas, ni impedirá al adquirente solicitar posteriormente la emisión y entrega de los títulos respectivos. En tal caso, efectuada tal solicitud, éstos deberán estar a su disposición dentro del plazo de 6 días hábiles, contado a partir de la fecha en que la sociedad hubiere recibido dicha solicitud.
La nota precedente se transcribe en virtud de lo establecido en la Circular N°1.816 de la Comisión para el Mercado Financiero de fecha 26 de Octubre de 2006. Se deja constancia que esta transferencia tiene por objeto el cumplimiento de un mandato.
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PARA USO INTERNO DE LA SOCIEDAD
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SE CANCELO — SE SALDO
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| | | Titulo N | | | | por | | | | | | | | acciones | | | | Titulo N | | | | por | | | | | | | | acciones | | | ||||||
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TRANSFER OF SHARES
To the Manager of: Enel Américas S.A. (the “Company”)
Please register in the corresponding Shareholders Registry, the transfer of [number of shares] shares of the Company, that I own, as evidenced by título (share certificate) No. [number of certificate], which have been sold to Enel S.p.A. at the price of CLP140 (140 Chilean pesos) per share.
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WITNESSES OF SELLER
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SELLER
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Name of Witness No. 1:
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ID document and No.:
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SIGNATURE OF SELLER OR REPRESENTATIVE
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Signature of Witness No. 1:
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Identification document and No.:
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Name of Witness No. 2:
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ID document and No.:
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| | Address: | | | | | | Mailbox: | | | Phone Number: | |
| | | | | | | | Nationality: | | | Marital Status: | |
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Signature of Witness
No. 2: |
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[City], [month and day] of [year].
The buyer hereby accepts the preceding transfer of shares and also the by-laws of the Company and the resolutions adopted in its respective shareholders’ meetings.
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WITNESSES OF BUYER
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BUYER
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Name of Witness No. 1:
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ID document and No.:
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SIGNATURE OF BUYER OR REPRESENTATIVE
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Signature of Witness No. 1:
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Identification document and No.:
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Name of Witness No. 2:
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ID document and No.:
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| | Address: | | | | | | Mailbox: | | | Phone Number: | |
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| | Signature of Witness No. 2: | | | | | | | | | | |
[City], [month and day] of [year].
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THE TRANSFEREE/BUYER REQUESTS:
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1. That the Company makes available the corresponding título (share certificate) for shares acquired or purchased, within 6 business days from the date of receipt of the transfer of shares.
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2. That the Company does not issue the título (share certificate).
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The fact that the transferee/buyer chooses not to request the issuance of the título (share certificate) will not relieve the Company of the obligation to record the transfer within the term and in the manner established by the Chilean Corporate Regulation, and will not prevent the transferee/buyer from subsequently requesting the issuance and delivery of such título (share certificate). In that case, once the request is made, the título (share certificate) shall be made available within 6 business days from the date the Company has received such request.
The preceding note is transcribed in compliance with the provisions of Circular No. 1,816 of the Chilean Financial Market Commission dated October 26, 2006. This transfer is intended to fulfill a mandate.
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FOR INTERNAL USE OF THE COMPANY
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| | | CANCELLED — PAID | | | | ISSUED | | | |
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Título (shares certificate) No.
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for
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shares
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Título (share certificate) No.
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for
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shares
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18
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