UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form CB
Amendment No. 4
TENDER OFFER/RIGHTS OFFERING NOTIFICATION FORM
Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to file this Form:
| Securities Act Rule 801 (Rights Offering) |
¨ | ||
| Securities Act Rule 802 (Exchange Offer) |
¨ | ||
| Exchange Act Rule 13e-4(h)(8) (Issuer Tender Offer) |
¨ | ||
| Exchange Act Rule 14d-1(c) (Third Party Tender Offer) |
x | ||
| Exchange Act Rule 14e-2(d) (Subject Company Response) |
¨ |
| Filed or submitted in paper if permitted by Regulation S-T Rule 101(b)(8) |
¨ |
Distribución y Servicio D&S S.A.
(Name of Subject Company)
Not Applicable
(Translation of Subject Company’s Name into English (if applicable))
Republic of Chile
(Jurisdiction of Subject Company’s Incorporation or Organization)
Inversiones Australes Tres Limitada
Wal-Mart Stores, Inc.
(Name of Person(s) Furnishing Form)
American Depositary Shares
(Title of Class of Subject Securities)
254753106
(CUSIP Number of Class of Securities)
Shares of Common Stock
(Title of Class of Subject Securities)
Not Applicable
(CUSIP Number of Class of Securities)
Not Applicable
(Name, Address (including zip code) and Telephone Number (including area code) of
Person(s) Authorized to Receive Notices and Communications on Behalf of Subject Company)
December 23, 2008
(Date Tender Offer/Rights Offering Commenced)
PART I - INFORMATION SENT TO SECURITY HOLDERS
Item 1. Home Jurisdiction Documents
The following documents are attached as exhibits to this Form:
| Exhibit |
Description | |
| 1.* | English translation of Chilean Prospectus dated December 23, 2008. | |
| 2.* | English translation of Chilean Notice of Commencement. | |
| * | Previously furnished as Exhibits 2 and 3 to Form CB filed with the Securities and Exchange Commission on December 23, 2008. |
Item 2. Informational Legends
Not applicable.
PART II - INFORMATION NOT REQUIRED TO BE SENT TO SECURITY HOLDERS
| Exhibit |
Description | |
| 3.** | Notice to U.S. Stockholders of Distribución y Servicio D&S S.A. (the “U.S. Supplement”). | |
| 4.** | ADS Letter of Transmittal. | |
| 5.** | Form of Acceptance. | |
| 6.** | Summary newspaper advertisement published in The Wall Street Journal on December 23, 2008. | |
| 7.** | Form of Letter to brokers, dealers, commercial banks, trust companies and other nominees. | |
| 8.*** | English translation of response, dated January 2, 2009, by Mr. Felipe Ibáñez Scott, to a letter from the Superintendency of Securities and Insurance (the “SVS”), dated December 24, 2008. | |
| 9.*** | English translation of newspaper advertisement published in El Mercurio, a Chilean newspaper, on January 5, 2009. | |
| 10.**** | English translation of interview with representatives of IM Trust Corredores de Bolsa S.A. published by El Mercurio, a Chilean newspaper, on January 12, 2009. | |
| 11.***** | Agreement to Tender, dated as of December 19, 2008, by and among Inversiones Australes Tres Limitada and the parties listed on the signature pages thereto under the titles Stockholder Group I, Stockholder Group II, Stockholder Group III, Principal Stockholders and Guarantor, as published by the SVS on its website on January 16, 2009 (“Agreement to Tender”). | |
| 12.***** | Stockholders’ Agreement, dated as of December 19, 2008, by and among Inversiones Australes Tres Limitada and the parties listed on the signature pages thereto under the titles Stockholder Group I, Stockholder Group II and Principal Minority Stakeholders, as published by the SVS on its website on January 16, 2009 (“Stockholders’ Agreement”). | |
| 13.***** | Form of Offering Rights Agreement, to be entered into by Inversiones Australes Tres Limitada, Distribución y Servicio D&S S.A. and the parties listed on the signature pages thereto under the title Holders, as published by the SVS on its website on January 16, 2009 (“Form of Offering Rights Agreement”). | |
| 14.***** | Form of Put Option Agreement, to be entered into by Inversiones Australes Tres Limitada, Distribución y Servicio D&S S.A. and the parties listed on the signature pages thereto under the titles Optionor, Stockholder Group I, Stockholder Group II and Guarantor, as published by the SVS on its website on January 16, 2009 (“Form of Put Option Agreement”). | |
| 15.***** | Summary of Agreement to Tender, Stockholders’ Agreement, Form of Offering Rights Agreement and Form of Put Option Agreement. | |
| 16.****** | Certain exhibits to the Stockholders’ Agreement, as published by the SVS on its website on January 21, 2009. | |
| ** | Previously furnished as Exhibits 1, 4, 5, 6 and 7, respectively, to Form CB filed with the Securities and Exchange Commission on December 23, 2008. |
| *** | Previously furnished as Exhibits 8 and 9 to Form CB Amendment No. 1 filed with the Securities and Exchange Commission on January 5, 2009. |
| **** | Previously furnished as Exhibit 10 to Form CB Amendment No. 2 filed with the Securities and Exchange Commission on January 13, 2009. |
| ***** | Previously furnished as Exhibits 11 through 15 to Form CB Amendment No. 3 filed with the Securities and Exchange Commission on January 16, 2009. |
| ****** | Furnished herewith. |
PART III - CONSENT TO SERVICE OF PROCESS
On December 23, 2008, Inversiones Australes Tres Limitada filed with the Securities and Exchange Commission a written irrevocable consent and power of attorney on Form F-X.
2
PART VI - SIGNATURES
After due inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Inversiones Australes Tres Limitada
| /s/ Mitchell W. Slape | ||
| Name: | Mitchell W. Slape | |
| Title: | Attorney-in-Fact | |
| January 21, 2009 | ||
Wal-Mart Stores, Inc.
| /s/ Gordon Y. Allison | ||
| Name: | Gordon Y. Allison | |
| Title: | Vice President and General Counsel - Corporate Division, and Assistant Secretary | |
| January 21, 2009 | ||
3