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 |
|
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 |
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 |
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|
Officer |
| Claro |
| González |
| Juan |
| 5.663.828-8 |
| Director |
Spouse |
| Guzmán |
| Baid |
| Marta Soledad |
| 5.115.666-8 |
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|
Officer |
| Said |
| Handal |
| Gonzalo |
| 6.555.478-K |
| Director |
Spouse |
| Laban |
| Manasseh |
| Carolina Ivonne |
| 7.011.871-8 |
|
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Officer |
| Said |
| Somavía |
| Salvador |
| 6.379.626-3 |
| Director |
Spouse |
| Amunátegui |
| León |
| Patricia |
| 8.861.799-1 |
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Officer |
| Garcés |
| Silva |
| José Antonio |
| 8.745.864-4 |
| Director |
Spouse |
| Gutierrez |
| Mendive |
| María Fernanda |
| 9.576.503-3 |
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Officer |
| Majlis |
| Albala |
| Arturo |
| 6.998.727-3 |
| Director |
Spouse |
| Signorio |
| Larzabal |
| Chantal |
| 12.131.950-0 |
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Officer |
| Smith |
| O’Brien |
| Brian |
| 711585336 |
| Director |
Spouse |
| Román |
| Nuñez |
| María Loreto |
| 12.021.613-9 |
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|
Officer |
| Urzúa |
| Sánchez |
| Heriberto |
| 6.666.825-8 |
| Director |
Spouse |
| Allard |
| Serrano |
| María Angélica |
| 7034608-7 |
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Officer |
| Hurtado |
| Garretón |
| Jorge |
| 5.200.545-0 |
| Director |
Spouse |
| Ureta |
| Fernández |
| María de la Luz |
| 5.662.113-K |
|
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Officer |
| Eluchans |
| Urenda |
| José Domingo |
| 6.474.632-4 |
| Director |
Spouse |
| Barreda |
| Camus |
| María Isabel |
| 6.370.895-k. |
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Officer |
| Alliende |
| Arriagada |
| Cristián Arturo |
| 6.379.873-8 |
| Director |
Spouse |
| Page |
| Marchant |
| Antonia |
| 10.134.745-1 |
|
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Officer |
| Parot |
| Palma |
| Gonzalo |
| 6.703.799-5 |
| Director |
Spouse |
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Officer |
| Parodi |
| Gil |
| Patricio |
| 8.661.203-8 |
| Director |
Spouse |
| Cruzat |
| Ochogavía |
| María Paz |
| 9.907.648-8 |
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Officer |
| Eyzaguirre |
| Baeza |
| José María |
| 7.011.679-0 |
| Director |
Spouse |
| Fernández |
| Palma |
| María Angélica |
| 7.033.021-0 |
|
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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 |
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 |
|
|
|
|
|
|
|
|
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|
|
Officer |
| García |
| Rioseco |
| Jaime |
| 5.894.661-3 |
| Officer |
Spouse |
| Vial |
| Infante |
| María Mercedes |
| 6.558.991-5 |
|
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Officer |
| Cooper |
| Allan |
| Michael |
| 5.392.867-6 |
| Officer |
Spouse |
| Ureta |
| Larraín |
| María de la Luz |
| 5.548.654-9 |
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Officer |
| Bouchon |
| Silva |
| Abel |
| 9004895-3 |
| Officer |
Spouse |
| Montero |
| Schepeler |
| Marcela |
| 10.931.166-9 |
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Officer |
| Garay |
| Arriola |
| Osvaldo |
| 5.368.375-4 |
| Officer |
Spouse |
| Walls |
| Llach |
| Winifred |
| 6.783.831-9 |
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Officer |
| Cohen |
| Arancibia |
| Jaime |
| 10.550.141-2 |
| Officer |
Spouse |
| Gazitúa |
| Ortúzar |
| María Teresa |
| 8.869.520-8 |
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Officer |
| Court |
| García |
| Pablo Cristián |
| 7.062.927-5 |
| Officer |
Spouse |
| Royo |
| Castera |
| María de los Angeles |
| 4.5228.74-6 |
|
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Officer |
| Garib |
| Nazal |
| Germán |
| 7.366.921-9 |
| Officer |
Spouse |
| Andrighetti |
| Cifuentes |
| Paula |
| 8.821.857-4 |
|
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Officer |
| Wainer |
| Pollack |
| Andrés |
| 10.031.788-5 |
| Officer |
Spouse |
| Aedo |
| Valencia |
| Alicia |
| 10.971.386-4 |
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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 |
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 |
|
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|
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|
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Officer |
| Ramos |
| Meneghetti |
| Fernando |
| 22.560.828 |
| Officer |
Spouse |
| Nazar |
| Debandi |
| Maria Constanza |
| 24.172.857 |
|
|
| (signed) Jaime Cohen A. |
| CORPORATE LEGAL OFFICER |
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 |
|
|
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|
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|
|
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|
Officer |
| Chatkin |
|
|
| Adriane Nudilemon |
| 1003801501 |
| Officer |
Spouse |
|
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|
|
|
|
|
|
|
|
| (signed) Jaime Cohen A. |
| CORPORATE LEGAL OFFICER |