x |
immediately upon filing
|
o
|
on (Date) at (Time)
|
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 evidenced by American Depositary Receipts, each American Depositary Share representing One Ordinary Share of Portugal Telecom, SGPS, S.A.
|
100,000,000
|
$0.05
|
$5,000,000
|
$581
|
*
|
Each unit represents one American Depositary Share.
|
**
|
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 receipts evidencing American Depositary Shares.
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Item 1.
|
DESCRIPTION OF SECURITIES TO BE REGISTERED
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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 and bottom center
|
||
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
|
Face of Receipt, Upper right corner
|
||
(ii) |
The procedure for voting, if any, the deposited securities
|
Articles number 15, 16 and 18
|
||
(iii) |
The collection and distribution of dividends
|
Articles number 4, 12, 13, 15 and 18
|
||
(iv) |
The transmission of notices, reports and proxy soliciting material
|
Articles number 11, 15, 16, and 18
|
||
(v) |
The sale or exercise of rights
|
Articles number 13, 14, 15, and 18
|
||
(vi) |
The deposit or sale of securities resulting from dividends, splits or plans of reorganization
|
Articles number 12, 13, 15, 17 and 18
|
||
(vii) |
Amendment, extension or termination of the deposit arrangements
|
Articles number 20 and 21
|
||
(viii) |
Rights of holders of Receipts to inspect the transfer books of the depositary and the list of holders of Receipts
|
Article number 11
|
||
(ix) |
Restrictions upon the right to deposit or withdraw the underlying securities
|
Articles number 2, 3, 4, 5, 6, 8 and 22
|
(x) | Limitation upon the liability of the depositary |
Articles number 4, 9, 14, 18, 19, 21 and 23
|
||
3. |
Fees and charges which may be imposed directly or indirectly against holders of Receipts
|
Articles number 4, 7, 8 and 12
|
||
Item 2. AVAILABLE INFORMATION
|
Article number 11
|
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Item 3.
|
EXHIBITS
|
(a)(1)
|
Form of Fourth Amended and Restated Deposit Agreement, dated as of , 2013, by and among Portugal Telecom, SGPS, S.A., Deutsche Bank Trust Company Americas, as depositary (the “Depositary”), and all Owners and holders from time to time of American Depositary Shares evidenced by American Depositary Receipts issued thereunder. – Previously filed as Exhibit (a) to Registration Statement No. 333-186095 and incorporated herein by reference.
|
(a)(2)
|
Form of Amendment to Fourth Amended and Restated Deposit Agreement, including the form of American Depositary Receipt. Filed herewith as Exhibit (a)(2).
|
(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. – Not Applicable.
|
(c)
|
Every material contract relating to the deposited securities between the Depositary and the Company in effect at any time within the last three years. – Not Applicable.
|
(d)
|
Opinion of counsel to the Depositary as to the legality of the securities being registered. – Filed herewith as Exhibit (d).
|
(e)
|
Certification under Rule 466. – Filed herewith as Exhibit (e).
|
(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 hereby undertakes to make available at the principal office of the Depositary in the United States, for inspection by holders of the American Depositary Receipts, 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 amounts of fees charged are 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 American Depositary Receipt 30 days before any change in the fee schedule.
|
Legal entity created by the Deposit Agreement for the issuance of American Depositary Receipts evidencing American Depositary Shares, each representing One Ordinary Share of Portugal Telecom, SGPS, S.A.
Deutsche Bank Trust Company Americas, solely in its capacity as Depositary
|
|||
|
By:
|
/s/ James Kelly | |
Name: James Kelly
Title: Vice President
|
|||
By:
|
/s/ Christopher Konopelko | ||
Name: Christopher Konopelko
Title: Director
|
Portugal Telecom, SGPS, S.A.
|
|||
By:
|
/s/ João Manuel de Mello Franco
|
||
Name:
Title:
|
João Manuel de Mello Franco
Principal Executive Officer, Principal Financial Officer and
Principal Accounting Officer
|
Signature
|
Title
|
|
/s/ João Manuel de Mello Franco
|
Chairman of the Board of Directors
|
|
João Manuel de Mello Franco
|
(principal executive officer, principal financial officer and
principal accounting officer)
|
|
/s/ Alfredo Baptista
|
Member of the Board of Directors
|
|
Alfredo Baptista
|
||
|
Member of the Board of Directors
|
|
Eurico de Jesus Teles Neto
|
||
/s/ Francisco Ravara Cary
|
Member of the Board of Directors
|
|
Francisco Ravara Cary
|
||
|
Member of the Board of Directors
|
|
Gerald Stephen McGowan
|
||
/s/ Jorge Telmo Maria Freire Cardoso
|
Member of the Board of Directors
|
|
Jorge Telmo Maria Freire Cardoso
|
||
|
Member of the Board of Directors
|
|
José Guilherme Xavier de Basto
|
||
|
Member of the Board of Directors
|
|
João Manuel Pisco de Castro
|
||
/s/ Marco Norci Schroeder
|
Member of the Board of Directors
|
|
Marco Norci Schroeder
|
||
/s/ Maria Helena Nazaré
|
Member of the Board of Directors
|
|
Maria Helena Nazaré
|
/s/ Mário João de Matos Gomes
|
Member of the Board of Directors
|
|
Mário João de Matos Gomes
|
||
|
Member of the Board of Directors
|
|
Milton Almicar Silva Vargas
|
||
|
Member of the Board of Directors
|
|
Nuno Rocha dos Santos de Almeida e Vasconcellos
|
||
/s/ Rafael Luís Mora Funes
|
||
Rafael Luís Mora Funes
|
Member of the Board of Directors
|
|
/s/ Rolando António Durão Ferreira de Oliveira
|
||
Rolando António Durão Ferreira de Oliveira
|
Member of the Board of Directors
|
|
/s/ Shakhaf Wine
|
Member of the Board of Directors
|
|
Shakhaf Wine
|
||
/s/ George Boychuk
|
Authorized U.S. Representative
|
|
George Boychuk
Managing Director, Depositary Management Corporation
|
Exhibit Number
|
|
(a)(2) Form of Amendment to Deposit Agreement
(d) Opinion of counsel to the Depositary
(e) Rule 466 Certification
|