10-12B 1 d208500d1012b.htm 10-12B 10-12B

As filed with the Securities and Exchange Commission on June 30, 2016

File No.             

 

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

Form 10

 

 

GENERAL FORM FOR REGISTRATION OF SECURITIES

PURSUANT TO SECTION 12(b) OR 12(g)

OF THE SECURITIES EXCHANGE ACT OF 1934

 

 

Conduent Incorporated

(Exact name of registrant as specified in its charter)

 

 

 

New York   81-2983623

(State or Other Jurisdiction of

Incorporation or Organization)

 

(I.R.S. Employer

Identification Number)

P.O. Box 4505, 45 Glover Avenue

Norwalk, Connecticut

  06856
(Address of Principal Executive Offices)   (Zip Code)

Registrant’s telephone number, including area code:

(203) 968-3000

 

 

Securities to be registered pursuant to Section 12(b) of the Act:

 

Title of Each Class to be so Registered

 

Name of Each Exchange on

Which Each Class is to be Registered

Common Stock, par value $1.00  

Securities to be registered pursuant to Section 12(g) of the Act:

None.

 

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer,

a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,”

“accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Securities Exchange Act of 1934.

 

Large accelerated filer   ¨    Accelerated filer   ¨
Non-accelerated filer   x  (Do not check if a smaller reporting company)    Smaller reporting company   ¨

 

 

 


Conduent Incorporated

Information Required in Registration Statement

Cross-Reference Sheet Between the Information Statement and Items of Form 10

This Registration Statement on Form 10 incorporates by reference information contained in our Information Statement filed as Exhibit 99.1 to this Form 10. For your convenience, we have provided below a cross-reference sheet identifying where the items required by Form 10 can be found in the Information Statement.

 

Item

No.

   Caption    Location in Information Statement
1.    Business    See “Summary,” “Risk Factors,” “Cautionary Statement Concerning Forward-Looking Statements,” “The Spin-Off,” “Capitalization,” “Business,” “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and “Where You Can Find More Information”
1A.    Risk Factors    See “Risk Factors” and “Cautionary Statement Concerning Forward-Looking Statements”
2.    Financial Information    See “Summary,” “Risk Factors,” “Capitalization,” “Selected Historical Financial Data,” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations”
3.    Properties    See “Business—Facilities”
4.    Security Ownership of Certain Beneficial Owners and Management    See “Security Ownership of Certain Beneficial Owners and Management”
5.    Directors and Executive Officers    See “Management”
6.    Executive Compensation    See “Management” and “Compensation Discussion and Analysis”
7.    Certain Relationships and Related Transactions, and Director Independence    See “Risk Factors,” “Management” and “Certain Relationships and Related Party Transactions”
8.    Legal Proceedings    See “Business—Legal Proceedings”
9.    Market Price of and Dividends on the Registrant’s Common Equity and Related Stockholder Matters    See “The Spin-Off,” “Dividend Policy,” “Security Ownership of Certain Beneficial Owners and Management” and “Description of Our Capital Stock”
10.    Recent Sales of Unregistered Securities    See “Description of Our Capital Stock”
11.    Description of Registrant’s Securities to be Registered    See “Description of Our Capital Stock”
12.    Indemnification of Directors and Officers    See “Description of Our Capital Stock” and “Certain Relationships and Related Party Transactions—Agreements with Xerox—Separation and Distribution Agreement”
13.    Financial Statements and Supplementary Data    See “Summary,” “Selected Historical Financial Data,” and “Index to Financial Statements” and the financial statements referenced therein


Item

No.

   Caption    Location in Information Statement
14.    Changes in and Disagreements with Accountants on Accounting and Financial Disclosure    None
15.    Financial Statements and Exhibits   

(a) Financial Statements

 

See “Index to Financial Statements” and the financial statements referenced therein

 

(b) Exhibits

 

See below

 

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The following documents are filed as exhibits hereto:

 

Exhibit

Number

  

Exhibit Description

  2.1    Form of Separation and Distribution Agreement between Xerox Corporation and Conduent Incorporated*
  3.1    Form of Restated Certificate of Incorporation of Conduent Incorporated*
  3.2    Form of Amended and Restated By-Laws of Conduent Incorporated*
10.1    Form of Transition Services Agreement between Xerox Corporation and Conduent Incorporated*
10.2    Form of Tax Matters Agreement between Xerox Corporation and Conduent Incorporated*
10.3    Form of Employee Matters Agreement between Xerox Corporation and Conduent Incorporated*
21.1    List of subsidiaries of Conduent Incorporated*
99.1    Preliminary Information Statement of Conduent Incorporated, subject to completion, dated June 30, 2016.

 

* To be filed by amendment.

 

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SIGNATURE

Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the registrant has duly caused this Registration Statement on Form 10 to be signed on its behalf by the undersigned, thereunto duly authorized.

 

Conduent Incorporated
By:  

/s/ Leslie F. Varon

  Name:     Leslie F. Varon
  Title:     President

Dated: June 30, 2016

 

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EXHIBIT INDEX

 

Exhibit

Number

  

Exhibit Description

  2.1    Form of Separation and Distribution Agreement between Xerox Corporation and Conduent Incorporated*
  3.1    Form of Restated Certificate of Incorporation of Conduent Incorporated*
  3.2    Form of Amended and Restated By-Laws of Conduent Incorporated*
10.1    Form of Transition Services Agreement between Xerox Corporation and Conduent Incorporated*
10.2    Form of Tax Matters Agreement between Xerox Corporation and Conduent Incorporated*
10.3    Form of Employee Matters Agreement between Xerox Corporation and Conduent Incorporated*
21.1    List of subsidiaries of Conduent Incorporated*
99.1    Preliminary Information Statement of Conduent Incorporated, subject to completion, dated June 30, 2016.

 

* To be filed by amendment.

 

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