F-6 1 e614700_f6-chipmos.htm Unassociated Document
 
As filed with  the Securities and Exchange Commission on February 26, 2016
Registration No. 333  -   


SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.  20549
_________________________________
 
FORM F-6
REGISTRATION STATEMENT
UNDER
THE SECURITIES ACT OF 1933 FOR AMERICAN DEPOSITARY SHARES EVIDENCED BY
AMERICAN DEPOSITARY RECEIPTS
_________
 
ChipMOS TECHNOLOGIES INC.
(Exact name of issuer of deposited securities as specified in its charter)
_________
 
(Translation of issuer’s name into English)
 
Republic of China
(Jurisdiction of incorporation or organization of issuer)
_________________________________
 
CITIBANK, N.A.
(Exact name of depositary as specified in its charter)
_________
 
399 Park Avenue
New York, New York  10043
1 (877) 248-4237
(Address, including zip code, and telephone number, including area code, of depositary’s principal executive offices)
_________
 
National Corporate Research, Ltd.
10 E. 40th Street, 10th floor
New York, New York  10016
1 (800) 221- 0102
(Address, including zip code, and telephone number, including area code, of agent for service)
_________________________________
 
Copies to:
 
James C. Lin, Esq.
Davis Polk & Wardwell LLP
c/o 18th Floor, The Hong Kong Club Building
3A Chater Road
Hong Kong
(852) 2533 3300
 
Herman H. Raspé, Esq.
Patterson Belknap Webb & Tyler LLP
1133 Avenue of the Americas
New York, New York  10036
(212) 336-2000
_________________________________
 
is proposed that this filing become effective under Rule 466:
 
o immediately upon filing.
     
   
o on (Date) at (Time).
 
If a separate registration statement has been filed to register the deposited shares, check the following box :  x
_________________________________
 
CALCULATION OF REGISTRATION FEE
 
Title of Each Class of
Securities to be Registered
Amount to be
Registered
Proposed Maximum
Aggregate Price Per Unit*
Proposed Maximum
Aggregate Offering Price**
Amount of
Registration Fee
American Depositary Shares (ADS(s)), each ADS representing  the right to receive 20 Common Shares of ChipMOS TECHNOLOGIES INC.
150,000,000 ADSs
$5.00
$7,500,000.00
$755.25
*
Each unit represents 100 ADSs.
**
Estimated solely for the purpose of calculating the registration fee.  Pursuant to Rule 457(k), such estimate is computed on the basis of the maximum aggregate fees or charges to be imposed in connection with the issuance of ADSs.
 
The Registrant hereby amends this Registration Statement on such date or dates as may be necessary to delay its effective date until the Registrant shall file a further amendment which specifically states that this Registration Statement shall thereafter become effective in accordance with Section 8(a) of the Securities Act of 1933, or until this Registration Statement shall become effective on such date as the Commission, acting pursuant to said Section 8(a), may determine.
 
 
 

 
 
 
This Registration Statement may be executed in any number of counterparts, each of which shall be deemed an original, and all of such counterparts together shall constitute one and the same instrument.
 
 
 
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PART I
 
INFORMATION REQUIRED IN PROSPECTUS
 
Cross Reference Sheet
 
Item 1.     DESCRIPTION OF SECURITIES TO BE REGISTERED
 
Item Number and Caption  
Location in Form of American
Depositary Receipt (“Receipt”)
Filed Herewith as Prospectus
         
1. Name of Depositary and address of its principal executive office  
Face of Receipt -  Introductory Article.
         
2. Title of Receipts and identity of deposited securities  
Face of Receipt  - Top Center.
         
Terms of Deposit:    
     
  (i) The amount of deposited securities represented by one American Depositary Share ("ADSs")  
Face of Receipt  - Upper right corner.
         
  (ii)
The procedure for voting, if any, the deposited securities
 
Reverse of Receipt  - Paragraphs (17) and (18).
         
  (iii)
The collection and distribution of dividends
 
Reverse of Receipt - Paragraph (15).
         
  (iv)
The transmission of notices, reports and proxy soliciting material
 
Face of Receipt  - Paragraph (14);
Reverse of Receipt - Paragraph (18).
         
  (v)
The sale or exercise of rights
 
Reverse of Receipt – Paragraphs (15) and (17).
         
  (vi)
The deposit or sale of securities resulting from dividends, splits or plans of reorganization
 
Face of Receipt - Paragraphs (3) and (6);
Reverse of Receipt - Paragraphs (15) and (17).
         
  (vii)
Amendment, extension or termination of the deposit agreement
 
Reverse of Receipt - Paragraphs (23) and (24) (no provision for extensions).
         
  (viii)
Rights of holders of Receipts to inspect the transfer books of the Depositary and the list of holders of ADSs
 
Face of Receipt - Paragraph (14).
 
 
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Item Number and Caption  
Location in Form of American
Depositary Receipt (“Receipt”)
Filed Herewith as Prospectus
         
  (ix)
Restrictions upon the right to deposit or withdraw the underlying securities
 
Face of Receipt – Paragraphs (2), (3), (4), (6), (7), (9) and (10).
         
  (x)
Limitation upon the liability of the Depositary
 
Face of Receipt - Paragraph (8);
Reverse of Receipt - Paragraphs (20) and (21).
         
3.
Fees and charges which may be imposed directly or indirectly on holders of ADSs
 
Face of Receipt - Paragraph (11).
         
Item 2.
AVAILABLE INFORMATION
 
Face of Receipt - Paragraph (14).
 
The Company is subject to the periodic reporting requirements of the United States Securities Exchange Act of 1934, as amended, and, accordingly, files certain reports with, and submits certain reports to, the United States Securities and Exchange Commission (the “Commission”).  These reports can be retrieved from the Commission’s internet website (www.sec.gov), and can be inspected and copied at the public reference facilities maintained by the Commission at 100 F Street, N.E., Washington D.C. 20549.
 
 
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PROSPECTUS
 
The Prospectus consists of the proposed form of American Depositary Receipt included as Exhibit A to the Form of Deposit Agreement filed as Exhibit (a) to this Registration Statement on Form F-6 and is incorporated herein by reference.
 
 
 
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PART II
 
INFORMATION NOT REQUIRED IN PROSPECTUS
 
Item 3.         EXHIBITS
 
 
(a)
Form of  Deposit Agreement, by and among ChipMOS TECHNOLOGIES INC. (the “Company”), Citibank, N.A., as depositary (the “Depositary”), and all Holders and Beneficial Owners of American Depositary Shares  issued thereunder (“Deposit Agreement”).  ___ Filed herewith as Exhibit (a).
 
 
(b)
Any other agreement to which the Depositary is a party relating to the issuance of the American Depositary Shares registered hereunder or the custody of the deposited securities represented thereby.  ___ None.
 
 
(c)
Every material contract relating to the deposited securities between the Depositary and the issuer of the deposited securities in effect at any time within the last three years.  ___ None.
 
 
(d)
Opinion of counsel for the Depositary as to the legality of the securities to be registered.  ___ Filed herewith as Exhibit (d).
 
 
(e)
Certificate under Rule 466.  ___ None.
 
 
(f)
Powers of Attorney for certain officers and directors and the authorized representative of the Company.  ___ Set forth on the signature pages hereto.
 
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Item 4.          UNDERTAKINGS
 
 
(a)
The Depositary undertakes to make available at the principal office of the Depositary in the United States, for inspection by holders of ADSs, any reports and communications received from the issuer of the deposited securities which are both (1) received by the Depositary as the holder of the deposited securities, and (2) made generally available to the holders of the underlying securities by the issuer.
 
 
(b)
If the amount of fees charged is not disclosed in the prospectus, the Depositary undertakes to prepare a separate document stating the amount of any fee charged and describing the service for which it is charged and to deliver promptly a copy of such fee schedule without charge to anyone upon request.  The Depositary undertakes to notify each registered holder of an ADS thirty (30) days before any change in the fee schedule.
 
 
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SIGNATURES
 
Pursuant to the requirements of the Securities Act of 1933, as amended, Citibank, N.A., acting solely on behalf of the legal entity created by the  Deposit Agreement, by and among ChipMOS TECHNOLOGIES INC., Citibank, N.A., as depositary, and all Holders and Beneficial Owners from time to time of American Depositary Shares  to be issued thereunder, certifies that it has reasonable grounds to believe that all the requirements for filing on Form F-6 are met and has duly caused this Registration Statement on Form F-6 to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of New York, State of New York, on the 26th day of February, 2016.
 
 
Legal entity created by the  Deposit Agreement under which the American Depositary Shares registered hereunder are to be issued, each American Depositary Share representing the right to receive 20 Common Shares of ChipMOS TECHNOLOGIES INC.
 
       
 
CITIBANK, N.A., solely in its capacity as Depositary
 
       
 
By:
/s/ Keith Galfo  
   
Name:  Keith Galfo
 
   
Title:    Vice President
 
       
 
 
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SIGNATURES
 
Pursuant to the requirements of the Securities Act of 1933, as amended, ChipMOS TECHNOLOGIES INC. certifies that it has reasonable grounds to believe that all the requirements for filing on Form F-6 are met and has duly caused this Registration Statement on Form F-6 to be signed on its behalf by the undersigned thereunto duly authorized, in the city of Hsinchu, Taiwan, on February 26, 2016.
 
 
CHIPMOS TECHNOLOGIES INC.
 
       
 
By:
/s/ Shih-Jye Cheng  
   
Name:  Shih-Jye Cheng
 
   
Title:    Chairman and President
 
       
 
 
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POWERS OF ATTORNEY
 
KNOW ALL PERSONS BY THESE PRESENTS, that each person whose signature appears below constitutes and appoints Shih-Jye Cheng to act as his/her true and lawful attorney-in-fact and agent, with full power of substitution, for him/her and in his/her name, place and stead, in any and all such capacities, to sign any and all amendments, including post-effective amendments, and supplements to this Registration Statement, and to file the same, with all exhibits thereto and other documents in connection therewith, with the United States Securities and Exchange Commission, granting unto said attorney-in-fact and agent full power and authority to do and perform each and every act and thing requisite and necessary to be done in and about the premises, as fully to all intents and purposes as s/he might or could do in person, hereby ratifying and confirming all that said attorney-in-fact and agent, or his/her substitute or substitutes, may lawfully do or cause to be done by virtue hereof.
 
Pursuant to the requirements of the Securities Act of 1933, as amended, this Registration Statement on Form F-6 has been signed by the following persons in the following capacities on February 26, 2016.
 
Signature
 
Title
     
/s/ Shih-Jye Cheng
 
Director, Chairman of the Board of Directors and President
Shih-Jye Cheng
 
(principal executive officer)
     
/s/ Shou-Kang Chen
 
Vice President of the Finance and Accounting Management Center
Shou-Kang Chen
 
(principal financial officer and principal accounting officer)
     
/s/ Yu-Hu Liu
 
Director
Yu-Hu Liu
   
     
/s/ Jing-Shan Aur
 
Director
Jing-Shan Aur
   
     
/s/ Yung-Wen Li
 
Director
Yung-Wen Li
   
 
 
II-5

 
 
     
/s/ Kuo-Liang Huang
 
Director
Kuo-Liang Huang
   
     
/s/ Li-Chun Li
 
Director
Li-Chun Li
   
     
/s/ Chin-Shyh Ou
 
Independent Director
Chin-Shyh Ou
   
     
/s/ Tai-Haur Kuo
 
Independent Director
Tai-Haur Kuo
   
     
/s/ Yuh-Fong Tang
 
Independent Director
Yuh-Fong Tang
   
     
/s/ Kuei-Ann Wen
 
Independent Director
Kuei-Ann Wen
   
     
/s/ Cho-Lien Chang
 
Independent Director
Cho-Lien Chang
   
 
 
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SIGNATURE OF AUTHORIZED REPRESENTATIVE OF THE REGISTRANT
 
Pursuant to the Securities Act of 1933, as amended, the undersigned, the duly authorized representative of ChipMOS TECHNOLOGIES INC. in the United States of  America has signed this Registration Statement and any amendment thereto in the City of New York, New York, On February 26, 2016.
 
 
National Corporate Research, Ltd.
 
 
By:
/s/ Colleen A. De Vries
   
Name:  
Colleen A. De Vries
   
Title:
Senior Vice President
 
 
II-7

 
 
Index to Exhibits
 
Exhibit
Document
Sequentially
Numbered Page
     
(a)
Form of Deposit Agreement
 
     
(d)
Opinion of counsel to the Depositary