Form SC 13G - Statement of Beneficial Ownership by Certain Investors
2024年11月15日 - 4:22AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
__________
SCHEDULE 13G
Under the Securities Exchange Act of 1934
Auna S.A.
(Name of Issuer)
Class A Ordinary Shares, nominal value US$0.01
per share
(Title of Class of Securities)
L0415A103
(CUSIP Number)
September 30, 2024
(Date of Event which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this
Schedule is filed:
☐ Rule
13d-1(b)
☐ Rule
13d-1(c)
☒ Rule
13d-1(d)
* The remainder of this cover page shall be filled out for a reporting
person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing
information which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall
not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise
subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
1 |
NAMES OF REPORTING PERSONS |
Juan Rafael Servan Rocha |
2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) |
(a) ☐ |
(b) ☐ |
3 |
SEC USE ONLY |
|
4 |
CITIZENSHIP OR PLACE OF ORGANIZATION |
Republic of Peru |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 |
SOLE VOTING POWER |
2,671,878(1) |
6 |
SHARED VOTING POWER |
0 |
7 |
SOLE DISPOSITIVE POWER |
2,671,878(1) |
8 |
SHARED DISPOSITIVE POWER |
0 |
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
2,671,878(1) |
10 |
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) |
☐ |
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) |
8.2%(2)(3) |
12 |
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) |
IN |
| (1) | Consists of 2,671,878 class B ordinary shares
held of record by Juan Rafael Servan Rocha (the “Reporting Person”). Each
class B ordinary share is convertible into one class A ordinary share (i) automatically upon
any transfer that is not a permitted transfer in accordance with the Issuer’s articles
of association or (ii) at any time at the option of the holder of such class B ordinary share. |
| (2) | Represents the quotient obtained by dividing
(a) the number of class B ordinary shares beneficially owned by the Reporting Person as set
forth in Row 9 by (b) the sum of (i) 30,000,000 class A ordinary shares outstanding as of
September 30, 2024, as reported by the Issuer to the Reporting Person, and (ii) the aggregate
number of class B ordinary shares beneficially owned by the Reporting Person. The aggregate
number of class B ordinary shares beneficially owned by the Reporting Person as set forth
in clauses “(a)” and “(b)” of this footnote are treated as converted
into class A ordinary shares only for the purpose of computing the percentage ownership of
the Reporting Person. |
| (3) | Each class A ordinary share is entitled
to one vote and each class B ordinary share is entitled to 10 votes. The percentage reported
does not reflect the 10 for one voting power of the class B ordinary shares because the class
B ordinary shares are treated as converted into class A ordinary shares for the purpose of
this report. |
Item 1(a). Name of Issuer:
Auna S.A. (the “Issuer”)
Item 1(b). Address of Issuer’s Principal Executive Offices:
6,
rue Jean Monnet, L-2180 Luxembourg, Grand Duchy of Luxembourg
Item 2(a). Name of Person Filing
This Schedule 13G is being filed by Juan Rafael Servan Rocha (the “Reporting
Person”).
Item 2(b). Address of Principal Business Office or, if None, Residence:
The address of the principal business office of the Reporting Person
is 6, rue Jean Monnet, L-2180 Luxembourg, Grand Duchy of Luxembourg.
Item 2(c). Citizenship:
The Reporting Person is a citizen of the Republic of Peru.
Item 2(d). Title of Class of Securities:
Class A ordinary shares, nominal value US$0.01 per share (the “class
A shares”)
Item 2(e). CUSIP Number:
L0415A103
Item 3. If This Statement is Filed Pursuant to §§240.13d-1(b)
or 240.13d-2(b) or (c), Check Whether the Person Filing is a:
Not applicable.
(a) |
☐ |
Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o); |
(b) |
☐ |
Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c); |
(c) |
☐ |
Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C.78c); |
(d) |
☐ |
Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8). |
(e) |
☐ |
An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E). |
(f) |
☐ |
An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F). |
(g) |
☐ |
A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G). |
(h) |
☐ |
A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813). |
(i) |
☐ |
A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3). |
(j) |
☐ |
A non-U.S. institution in accordance with §240.13d-1(b)(1)(ii)(J); |
(k) |
☐ |
Group, in accordance with §240.13d-1(b)(1)(ii)(J). |
If filing as a non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J),
please specify the type of
institution:
Item 4. Ownership.
Provide the following information regarding the aggregate number and
percentage of the class of securities of the issuer identified in Item 1.
(a) Amount Beneficially Owned:
See response to Item 9 on the cover page for the Reporting Person.
(b) Percent of Class:
See response to Item 11 on the cover page for the Reporting Person.
(c) Number of Shares as to Which Such Person Has:
(i) Sole Power to Vote or to Direct the Vote:
See response to Item 5 on the cover page for the
Reporting Person.
(ii) Shared Power to Vote or to Direct the Vote:
See response to Item 6 on the cover page for the
Reporting Person.
(iii) Sole Power to Dispose or to Direct the Disposition
of:
See response to Item 7 on the cover page for the
Reporting Person.
(iv) Shared Power to Dispose or to Direct the
Disposition of:
See response to Item 8 on the cover page for the
Reporting Person.
Item 5. Ownership of Five Percent or Less of a Class.
As of the date hereof, the Reporting Person has ceased to be the beneficial
owner of more than 5 percent of the class of securities: ☐.
Item 6. Ownership of More than Five Percent on Behalf of Another
Person.
Not applicable.
Item 7. Identification and Classification of the Subsidiary Which
Acquired the Security Being Reported on By the Parent Holding Company or Control Person.
Not applicable.
| Item 8. | Identification and Classification of Members of the Group. |
Not applicable.
| Item 9. | Notice of Dissolution of Group. |
Not applicable.
Not applicable.
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief,
I certify that the information set forth in this statement is true, complete and correct.
November 14, 2024
|
Juan Rafael Servan Rocha |
|
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|
|
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By: |
/s/ Juan Rafael Servan Rocha |
|
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Name: |
Juan Rafael Servan Rocha |
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