INNER
Santiago, May 3, 2022
Mrs.
Solange Berstein Jáuregui
Financial Market Commission
Present
Ref. Informs Agreement on profit sharing NIBSA S.A., registered Securities Registry with
N* 625.
From our consideration:
By means of the present, and as provided in Circular N* 660 of the
Commission for the Financial Market, and in relation to the Essential Fact of this company
entered into that Commission with this date, I come to modify only Form N * 1 of the
said Circular N* 660 on distribution of dividends, which was accompanied.
In its replacement, attached hereto you will find Form N* 1
issued in two different issues, one reflecting the distribution of the minimum dividend
mandatory and the other the distribution of the additional dividend.
Without further ado, we greet you sincerely,
ANDREA Digitally signed by
ANDREA ULLOA
ULLOA HERNANDEZ
Date: 2022.05.03
HERNANDEZ 2023:08-0400′
ANDREA ULLOA HERNANDEZ
GENERAL MANAGER
0.01
Internal use: Of. of Parts S.V.S.
FORM*1
DISTRIBUTION OF DIVIDENDS
Original information: Yes (yes/no) 0.02 Submitted date: 03/05/2022 (DD MM AA)
Identification of the company and the movement
1.01 R.U.T.:83.017.600-4 1.02 Ship Shipped
form. ORIGINAL: 03-05-2022 (DD MM AA)
1.03 Company name: NIBSA S.A.
1.04 N* Reg. of Values: 625 1.05 Series affects: Single
1.06 Stock exchange code: NIBSA 1.07 Indiv. mov.: 18
Agreement and amount of dividend
2.01 Date of agreement: 29/04/2022 (DD MM AA)
2.02 Agreement taken: 1 (1: General Board of acc.; 2: Extraordinary meeting of
Acc.; 3: Directory session).
2.03 Dividend amount: $68,794,157 2.04 Currency type: $
Shares and shareholders with rights
3.01 Number of shares:930,000 3.02 Deadline: 13/05/2022 (DD MM AA)
Nature of the dividend
4.01 Dividend rate: 2 (1: Provisional; 2: Minimum mandatory def.; 3: Final
additional or eventual).
4.02 Year-end: 31/12/2021 (DD MM AA)
4.03 Method of payment: 1 (1: In money; 2: Optional in money or shares of
the broadcast itself; 3: Optional in money or
shares of another company; 4: Another modality.
INNER
5. Payment of the dividend in cash (either in cash or optionally in cash or shares).
5.01 Payment in cash: 73.97 /acc. 5.02 Type of currency: $
5.03 Payment date : 19/05/2022 (DD MM AA)
6. Distribution of the optional dividend in shares
6.01 Option start date: (DD MM YYYYY)
6.02 Option expiration date: (DD MM YYYYY)
6.03 Title delivery date: (DD MM YYYYY)
6.04 Series to choose: (only if the option is on shares of one’s own
broadcast)
6.05 Accs. post-mov.: (only if the option is on shares of one’s own
broadcast)
6.06 R.U.T. soc.issuer: (only if the option is on shares of which the
company is the owner)
6.07 Stock Exchange Code:
6.08 Shares factor: shares to be received for a share w/right
6.09 Share price: lacc.
6.10 Currency Type : $
Remarks
The minimum mandatory dividend will be charged to the profits of the year 2021.
The notice in the press will be published in the newspaper La Nación, of Santiago, on May 10,
2022.
Statement: “The information contained in this form is the faithful expression of truth,
so I assume the corresponding legal responsibility.”
Digitally signed
ANDREA by ANDREA ULLOA
ULLOA HERNANDEZ
Date: 2022.05.03
HERNANDEZ – 2025.23 -o4’00*
Andrea Ulloa Hernandez
General Manager
0.01
10.
11.
Internal use: Of. of Parts S.V.S.
FORM*1
DISTRIBUTION OF DIVIDENDS
Original information: Yes (yes/no) 0.02 Submitted date: 03/05/2022 (DD MM AA)
Identification of the company and the movement
1.01 R.U.T.:83.017.600-4 1.05 Ship Shipped
form. ORIGINAL: 03-05-2022 (DD MM AA)
1.06 Company name: NIBSA S.A.
1.07 N* Reg. of Values: 625 1.05 Series affects: Single
1.06 Stock exchange code: NIBSA 1.07 Indiv. mov.: 19
Agreement and amount of dividend
9.01 Date of agreement: 29/04/2022 (DD MM AA)
9.02 Decision taken: 1 (1: General Board of acc.; 2: Extraordinary meeting of
Acc.; 3: Directory session).
9.03 Dividend amount: $76,285,843 2.04 Currency type: $
Shares and shareholders with rights
10.01 Number of shares:930,000 3.02 Deadline: 22/06/2022 (DD MM AA)
Nature of the dividend
11.01 Dividend rate: 3 (1: Provisional; 2: Minimum mandatory def.; 3: Final
additional or eventual).
11.02 Year-end: 31/12/2021 (DD MM AA)
11.03 Method of payment: 1 (1: In money; 2: Optional in money or shares of
the broadcast itself; 3: Optional in money or
shares of another company; 4: Another modality.
INNER
12.
13.
Payment of the dividend in money (either in cash or optional in money or shares)
12.01 Payment in cash: 82.03 /acc. 5.02 Type of currency: $
5.03 Payment date : 28/06/2022 (DD MM AA)
Distribution of the optional dividend in shares
13.01 Option start date: (DD MM YYY)
13.02 Option End Date: (DD MM YYY)
13.03 Title delivery date: (DD MM AA)
13.04 Series to choose: (only if the option is on shares of one’s own
broadcast)
13.05 Accs. post-mov.: (only if the option is on shares of one’s own
broadcast)
13.06 R.U.T. soc.issuer: (only if the option is on shares of which the
company is the owner)
14.
13.07 Stock Exchange Code:
13.08 Shares factor: shares to be received for one share w/right
13.09 Share price: acc.
6.10 Currency Type : $
Remarks
The additional dividend will be charged to the profits of the year 2021.
The notice in the press will be published in the newspaper La Nación, of Santiago, on June 19, 2022.
Statement: “The information contained in this form is the faithful expression of truth,
so I assume the corresponding legal responsibility.”
ANDREA Digitally Signed
by ANDREA ULLOA
ULLOA HERNANDEZ
Date: 2022.05.03
HERNANDEZ 20:27:09 -o4:00
Andrea Ulloa Hernandez
General Manager
Link to file in CMFChile: https://www.cmfchile.cl/sitio/aplic/serdoc/ver_sgd.php?s567=1a9ec4f571ca08703c0a140e89c85b78VFdwQmVVMXFRVEZOUkVVelRYcEpOVTEzUFQwPQ==&secuencia=-1&t=1682376108
