6-K 1 a11-4356_16k.htm 6-K

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

FORM 6-K

 

REPORT OF FOREIGN ISSUER
PURSUANT TO RULE 13a-16 OR 15b-16 OF
THE SECURITIES EXCHANGE ACT OF 1934

 

January 2011

Date of Report (Date of Earliest Event Reported)

 

Embotelladora Andina S.A.

(Exact name of registrant as specified in its charter)

 

Andina Bottling Company, Inc.

(Translation of Registrant´s name into English)

 

Avda. El Golf 40, Piso 4

Las Condes

Santiago, Chile

(Address of principal executive office)

 

Indicate by check mark whether the registrant files or will file annual reports under cover Form 20-F or Form 40-F.

Form 20-F x

 

Form 40-F o

 

Indicate by check mark if the Registrant is submitting this Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1):

Yes o

 

No x

 

Indicate by check mark if the Registrant is submitting this Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7):

Yes o

 

No x

 

Indicate by check mark whether the registrant by furnishing the information contained in this Form 6-K is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934

Yes o

 

No x

 

 

 



 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized, in the city of Santiago, Chile.

 

 

EMBOTELLADORA ANDINA S.A.

 

By:

/s/ Jaime Cohen

 

Name:

Jaime Cohen

 

Title:

Chief Legal Officer

 

 

 

Santiago, January 20, 2011

 

 

2



 

Santiago, January 18, 2010

 

Messrs.

Superintendencia de Valores y Seguros

Avda. Libertador Bernardo O’Higgins 1449

 

Securities Registry: 00124

 

Dear Sirs:

 

The attached information is reported by virtue of the dispositions contained in Circular Letter N° 1003 of the Chilean Superintendence of Securities and Insurance regarding the requisite information of Directors and Officers of Embotelladora Andina S.A. and its subsidiaries.

 

 

 

 

(signed) Jaime Cohen A.

 

 

Corporate Legal Officer

 

3



 

CIRCULAR 1003 FORM Nº1 OF THE CHILEAN SUPERINTENDENCE OF SECURITIES AND INSURANCE (SVS)

INFORMATION REGARDING THE COMPANY’S OFFICERS AND DIRECTORS

 

I.

COMPANY INFORMATION

 

EMBOTELLADORA ANDINA S.A.

 

91.144.000-8

 

14/01/2011

 

Open stock

I.1 Company Corporate Name

 

I.2 Chilean Tax ID N°

 

I.3 Date of Report

 

I.4 Type of Corporation.

 

II.

DIRECTORS’ INFORMATION

 

 

 

II.1

 

II.2

 

II.3

 

II.4

 

II.5

 

 

Surname

 

Mother’s Surname

 

Name

 

Tax Id N°

 

Position

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Claro

 

González

 

Juan

 

5.663.828-8

 

Director

Spouse

 

Guzmán

 

Baid

 

Marta Soledad

 

5.115.666-8

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Said

 

Handal

 

Gonzalo

 

6.555.478-K

 

Director

Spouse

 

Laban

 

Manasseh

 

Carolina Ivonne

 

7.011.871-8

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Said

 

Somavía

 

Salvador

 

6.379.626-3

 

Director

Spouse

 

Amunátegui

 

León

 

Patricia

 

8.861.799-1

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Garcés

 

Silva

 

José Antonio

 

8.745.864-4

 

Director

Spouse

 

Gutierrez

 

Mendive

 

María Fernanda

 

9.576.503-3

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Majlis

 

Albala

 

Arturo

 

6.998.727-3

 

Director

Spouse

 

Signorio

 

Larzabal

 

Chantal

 

12.131.950-0

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Smith

 

O’Brien

 

Brian

 

711585336

 

Director

Spouse

 

Román

 

Nuñez

 

María Loreto

 

12.021.613-9

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Urzúa

 

Sánchez

 

Heriberto

 

6.666.825-8

 

Director

Spouse

 

Allard

 

Serrano

 

María Angélica

 

7034608-7

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Hurtado

 

Garretón

 

Jorge

 

5.200.545-0

 

Director

Spouse

 

Ureta

 

Fernández

 

María de la Luz

 

5.662.113-K

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Eluchans

 

Urenda

 

José Domingo

 

6.474.632-4

 

Director

Spouse

 

Barreda

 

Camus

 

María Isabel

 

6.370.895-k.

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Alliende

 

Arriagada

 

Cristián Arturo

 

6.379.873-8

 

Director

Spouse

 

Page

 

Marchant

 

Antonia

 

10.134.745-1

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Parot

 

Palma

 

Gonzalo

 

6.703.799-5

 

Director

Spouse

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Parodi

 

Gil

 

Patricio

 

8.661.203-8

 

Director

Spouse

 

Cruzat

 

Ochogavía

 

María Paz

 

9.907.648-8

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Eyzaguirre

 

Baeza

 

José María

 

7.011.679-0

 

Director

Spouse

 

Fernández

 

Palma

 

María Angélica

 

7.033.021-0

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Bertelsen

 

Repetto

 

Ernesto

 

5.108.564-7

 

Director

Spouse

 

Mayol

 

Ascarrunz

 

Carmen Gloria

 

6.586.967-5

 

 

 

 

(signed) Jaime Cohen A.

 

CORPORATE LEGAL OFFICER

 

4



 

CIRCULAR 1003 FORM Nº1 OF THE CHILEAN SUPERINTENDENCE OF SECURITIES AND INSURANCE (SVS)

INFORMATION REGARDING THE COMPANY’S OFFICERS AND DIRECTORS

 

I.

COMPANY INFORMATION

 

EMBOTELLADORA ANDINA S.A.

 

91.144.000-8

 

January 14, 2011

 

2

I.1 Company Corporate Name

 

I.2 Tax ID N°

 

I.3 Date of Report

 

I.4 Type of Corporation

 

II.

OFFICERS’ INFORMATION

 

 

 

II.1

 

II.2

 

II.3

 

II.4

 

II.5

 

 

Surname

 

Mother’s Surname

 

Name

 

Tax Id N°

 

Position

 

 

 

 

 

 

 

 

 

 

 

Officer

 

García

 

Rioseco

 

Jaime

 

5.894.661-3

 

Officer

Spouse

 

Vial

 

Infante

 

María Mercedes

 

6.558.991-5

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Cooper

 

Allan

 

Michael

 

5.392.867-6

 

Officer

Spouse

 

Ureta

 

Larraín

 

María de la Luz

 

5.548.654-9

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Bouchon

 

Silva

 

Abel

 

9004895-3

 

Officer

Spouse

 

Montero

 

Schepeler

 

Marcela

 

10.931.166-9

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Garay

 

Arriola

 

Osvaldo

 

5.368.375-4

 

Officer

Spouse

 

Walls

 

Llach

 

Winifred

 

6.783.831-9

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Cohen

 

Arancibia

 

Jaime

 

10.550.141-2

 

Officer

Spouse

 

Gazitúa

 

Ortúzar

 

María Teresa

 

8.869.520-8

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Court

 

García

 

Pablo Cristián

 

7.062.927-5

 

Officer

Spouse

 

Royo

 

Castera

 

María de los Angeles

 

4.5228.74-6

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Garib

 

Nazal

 

Germán

 

7.366.921-9

 

Officer

Spouse

 

Andrighetti

 

Cifuentes

 

Paula

 

8.821.857-4

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Wainer

 

Pollack

 

Andrés

 

10.031.788-5

 

Officer

Spouse

 

Aedo

 

Valencia

 

Alicia

 

10.971.386-4

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Jabat

 

Karmelic

 

Pablo Javier

 

9.725.475-3

 

Officer

Spouse

 

Croquevielle

 

Vivanco

 

Chantal Marie

 

13.441.933-4

 

 

 

 

(signed) Jaime Cohen A.

 

CORPORATE LEGAL OFFICER

 

5



 

CIRCULAR 1003 FORM Nº1 OF THE CHILEAN SUPERINTENDENCE OF SECURITIES AND INSURANCE (SVS)

INFORMATION REGARDING THE COMPANY’S OFFICERS AND DIRECTORS

 

I.

SUBSIDIARY INFORMATION

 

EMBOTELLADORA DEL ATLANTICO S.A.

30-52913594-3

 

January 14, 2011

 

11

I.1 Company Corporate Name

 

I.2 Tax ID N°

 

I.3 Date of Report

 

I.4 Type of Corporation

 

II.

OFFICERS’ INFORMATION

 

 

 

II.1

 

II.2

 

II.3

 

II.4

 

II.5

 

 

Surname

 

Mother’s Surname

 

Name

 

Tax Id N°

 

Position

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Solorzano

 

Hurtado

 

José Luis

 

10.023.094-1

 

Officer

Spouse

 

Silva

 

Brieva

 

María Dolores

 

8.547.990-3

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Ramos

 

Meneghetti

 

Fernando

 

22.560.828

 

Officer

Spouse

 

Nazar

 

Debandi

 

Maria Constanza

 

24.172.857

 

 

 

 

(signed) Jaime Cohen A.

 

CORPORATE LEGAL OFFICER

 

6



 

CIRCULAR 1003 FORM Nº1 OF THE CHILEAN SUPERINTENDENCE OF SECURITIES AND INSURANCE (SVS)

INFORMATION REGARDING THE COMPANY’S OFFICERS AND DIRECTORS

 

I.

SUBSIDIARY INFORMATION

 

Rio de Janeiro Refresco Ltda

 

00.074.569/0001-00

 

January 14, 2011

 

11

I.1 Company Corporate Name

 

I.2 Tax ID N°

 

I.3 Date of Report

 

I.4 Type of Corporation

 

II.

OFFICERS’ INFORMATION

 

 

 

II.1

 

II.2

 

II.3

 

II.4

 

II.5

 

 

Surname

 

Mother’s Surname

 

Name

 

Tax Id N°

 

Position

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Feuereisen

 

Azócar

 

Alejandro de Lourdes

 

6.060.032-5

 

Officer

Spouse

 

Besa

 

Prieto

 

María Fernanda

 

8.192.450-3

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer

 

Chatkin

 

 

 

Adriane Nudilemon

 

1003801501

 

Officer

Spouse

 

 

 

 

 

 

 

 

 

 

 

 

(signed) Jaime Cohen A.

 

CORPORATE LEGAL OFFICER

 

7