AMBEV S.A. Form 6-K Current Report Filed 2017-06-14
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SECURITIES AND EXCHANGE COMMISSION FORM 6-K Current report of foreign issuer pursuant to Rules 13a-16 and 15d-16 Amendments Filing Date: 2017-06-14 | Period of Report: 2017-06-30 SEC Accession No. 0001292814-17-001570 (HTML Version on secdatabase.com) FILER AMBEV S.A. Mailing Address Business Address RUA DR. RENATO PAES DE RUA DR. RENATO PAES DE CIK:1565025| IRS No.: 000000000 | State of Incorp.:D5 | Fiscal Year End: 1231 BARROS, 1017 BARROS, 1017 Type: 6-K | Act: 34 | File No.: 001-36165 | Film No.: 17909858 3 ANDAR PARTE 3 ANDAR PARTE SIC: 2080 Beverages SAO PAULO D5 04530-000 SAO PAULO D5 04530-000 55(11)2122-1414 Copyright © 2017 www.secdatabase.com. All Rights Reserved. Please Consider the Environment Before Printing This Document SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 6-K Report of Foreign Private Issuer Pursuant to Rule 13a-16 or 15d-16 of the Securities Exchange Act of 1934 For the month of June, 2017 Commission File Number 1565025 AMBEV S.A. (Exact name of registrant as specified in its charter) AMBEV S.A. (Translation of Registrant's name into English) Rua Dr. Renato Paes de Barros, 1017 - 3rd Floor 04530-000 São Paulo, SP Federative Republic of Brazil (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 _______ Indicate by check mark whether the registrant by furnishing the information contained in this Form is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934. Yes _______ No ___X____ Copyright © 2017 www.secdatabase.com. All Rights Reserved. Please Consider the Environment Before Printing This Document Free translation of the original document filed with the Comissão de aloresV Mobiliários – CVM on May 30, 2017 1.1 – Individual declarations and identities of persons responsible Declaration by the Chief Executive Officer Name of the person responsible for the content of the form Bernardo Pinto Paiva Position of the person responsible General Manager The aforementioned executive officer declares that: a. He has reviewed the reference form; b. All information contained in the form complies with the provisions of CVM Instruction 480, especially sections 14 and 19; and c. the combined information contained therein is a true, precise and complete reflection of the economic and financial condition of the issuer and the risks inherent to its business, as well as the securities issued by it. São Paulo, May 30, 2017. /s/ Bernardo Pinto Paiva Name: Bernardo Pinto Paiva Title: General Manager 1 Copyright © 2017 www.secdatabase.com. All Rights Reserved. Please Consider the Environment Before Printing This Document Declaration by the Investor Relations Officer Name of the person responsible for the content of the form Ricardo Rittes de Oliveira Silva Position of the person responsible Chief Financial and Investor Relations Officer The aforementioned executive officer declares that: a. He has reviewed the reference form; b. All information contained in the form complies with the provisions of CVM Instruction 480, especially sections 14 and 19; and c. the combined information contained therein is a true, precise and complete reflection of the economic and financial condition of the issuer and the risks inherent to its business, as well as the securities issued by it. São Paulo, May 30, 2017. /s/ Ricardo Rittes de Oliveira Silva Name: Ricardo Rittes de Oliveira Silva Title: Chief Financial and Investor Relations Officer 2 Copyright © 2017 www.secdatabase.com. All Rights Reserved. Please Consider the Environment Before Printing This Document 2.1/2.2 – Auditors’ Identification and Compensation Does issuer have an auditor? YES CVM Code 287-9 Type of auditor Domestic Name/Business Name: PricewaterhouseCoopers Auditores Independentes Taxpayer ID 61.562.112/0001-20 Period when services were January 1, 2014 to December 31, 2014 rendered Description of the service Audit or accounting review of the Company’s financial statements, tax advisory and advisory in retained order to comply with the rules of the Securities and Exchange Commission - SEC within the scope of the merger of shares described in this reference form. Total compensation of the The total compensation of PricewaterhouseCoopers Auditores Independentes for services independent auditors, rendered to Ambev S.A. during the year 2014 was R$6,597,337.00, of which R$3,041,388.00 segregated by type of service refer to audit services for reviewing the 2014 financial statements, including the quarterly reviews, R$2,910,720,00 referring to the audit of the subsidiaries and R$645,229.00 referring to other services. Justification for the Not applicable, since there was no replacement. replacement Reason submitted by the Not applicable, since there was no replacement. auditor in the event of disagreement with issuer’s justification Name of the Technical Person Period when services were Taxpayer ID Address Responsible rendered (CPF) Av. Francisco Matarazzo - Torino Tower, 1400, Água Branca January 1, 2014 to São Paulo - SP, Brazil, Postal Code 05001-903 Eduardo Rogatto Luque 142.773.658-84 December 31, 2014 Telephone: (11) 36743816 Fax: (11) 36742035 Email: [email protected] 3 Copyright © 2017 www.secdatabase.com. All Rights Reserved. Please Consider the Environment Before Printing This Document Does issuer have an auditor? YES CVM Code 385-9 Type of auditor Domestic Name/Business Name: Deloitte Touche Tohmatsu Auditores Independentes Taxpayer ID 49.928.567/0001.11 Period when services were January 1, 2015 to December 31, 2015 rendered Description of the service Audit or accounting review of the Company’s financial statements and tax advisory. retained Total compensation of the The total compensation of Deloitte Touche Tohmatsu Auditores Independentes for services independent auditors, rendered to Ambev S.A. during the year 2015 was R$7,998,191.03, of which R$4,877,704.45 segregated by type of service refer to audit services for reviewing the 2015 financial statements, including the quarterly reviews, R$2,438,352.12 referring to the audit of the subsidiaries and R$682,134.46 referring to other services. Justification for the The replacement served to comply with the mandatory rotation of the independent auditors replacement pursuant to section 31 of CVM Instruction 308/99. Reason submitted by the Not applicable. auditor in the event of disagreement with issuer’s justification Name of the Technical Person Period when services were Taxpayer ID Address Responsible rendered (CPF) Rua Henri Dunant, 1383 – 9th floor São Paulo - SP, Brazil, Postal Code 04709-111 January 1, 2015 to Vagner Ricardo Alves 084.811.888-08 Telephone: (11) 5186-1185 December 31, 2015 Fax: (11) 5186-1333 Email: [email protected] 4 Copyright © 2017 www.secdatabase.com. All Rights Reserved. Please Consider the Environment Before Printing This Document Does issuer have an auditor? YES CVM Code 385-9 Type of auditor Domestic Name/Business Name: Deloitte Touche Tohmatsu Auditores Independentes Taxpayer ID 49.928.567/0001.11 Period when services were January 1, 2016 to December 31, 2016 rendered Description of the service Audit or accounting review of the Company’s financial statements and tax advisory. retained Total compensation of the The total compensation of Deloitte Touche Tohmatsu Auditores Independentes for services independent auditors, rendered to Ambev S.A. during the year 2016 was R$9,167,000.00, of which R$4,532,000.00 segregated by type of service refer to audit services for reviewing the 2016 financial statements, including the quarterly reviews, R$3,512,000.00 referring to the audit of the subsidiaries and R$1,123,000 referring to other services. Justification for the Not applicable, since there was no replacement. replacement Reason submitted by the Not applicable. auditor in the event of disagreement with issuer’s justification Name of the Technical Person Period when services were Taxpayer ID Address Responsible rendered (CPF) Av Dr. Chucri Zaidan, 1.240, Condomínio Morumbi Corporate – Golden Tower – 4th to 12th January 1, 2016 to floors, Alexandre Cassini Decourt 257.953.648-51 December 31, 2016 São Paulo – SP, Brasil, Postal Code 04711-130 Telephone (11) 5186-1183 Email: [email protected] 5 Copyright © 2017 www.secdatabase.com. All Rights Reserved. Please Consider the Environment Before Printing This Document Does issuer have an auditor? YES CVM Code 385-9 Type of auditor Domestic Name/Business Name: Deloitte Touche Tohmatsu Auditores Independentes Taxpayer ID 49.928.567/0001.11 Period when services were January 1, 2017 (current year) rendered Description of the service Audit or accounting review of the Company’s financial statements and tax advisory. retained Total compensation of the Not applicable. independent auditors, segregated by type of service Justification for the Not applicable, since there was no replacement. replacement Reason submitted by the Not applicable. auditor in the event of disagreement with issuer’s justification Name of the Technical Person Period when services were Taxpayer ID Address Responsible rendered (CPF) Av Dr. Chucri Zaidan, 1.240, Condomínio Morumbi Corporate – Golden Tower – 4th to 12th floors, Alexandre Cassini Decourt 257.953.648-51 January 1, 2017 São Paulo – SP, Brasil, Postal Code 04711-130 Telephone (11) 5186-1183 Email: [email protected] 6 Copyright © 2017 www.secdatabase.com. 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