pnAN s6N vA
cONG TY
cgnc ndl xA no. r cHU NcHi{vry"r NAM
co PrIAN
He4gr4l llqlgil rAv NaM eo
.h
/4
OOc
tip - fF
do
- H?nh p
/TB -TNB
56:
Tp. CdnTho, ngdy 17 thdng 3 ndm 2014
THONGBAO
Vd viQc: Dii cir, ting
gti:
Kinh
C[n
cr?
crfr
tI6 b6u b6 sung vho HQi tl6ng
nhiQm k] 20rr - 2015
quin tri C6ng fy
; ."
Qriy c6 d6ng COng ty CP Phan b6n vd H6a ch6t Ddu khi Tdy Nam B0
Luat doanh nghiQp 2005, Th6ng tu s6 12112012/TT-BTC ngity 26/712012
E, HQi ddng quAn tri c6ng ty trdn trong th6ng
ung cri, dd cri nhdn sg d6 biu vdo HQi d6ng qudn tri tai
cria BQ tdi chinh vd EiAu lQ cria cdng
brio d€n Qriy cd ddng vA viQc
phiOn hgp thudng ni6n nFlrr 2014 tluo. c
i
,
tri chric ngiry 03/4/2014, Dai hQi ddng
c6
ri
ddng Cdng ty c6 phan PhAn b6n vd H6a ch6t Ddu khi TAy Nam BQ s€ ti6n hdnh bdu
cu b6 sung thdnh vi6n HQi d6ng quan tri nhu sau:
,
1.
.^ -i
^;,
So Iuqng thd,nh vidn dd
cri, ung cri: MQt (01) thnnh vi6n HQi cl6ng
quin tri khdng
di6u hirnh.
,.^ d€
,: cu," img
, cri, thanh vi€n HQi ddng quan tri
^.: kien
^ Di6u
2.
@DQT).
2.lNgudi
t.u
img cri hodc duoc
ki€n thdnh vi€n HDQT
-
C6
dt
ndng luc hdnh
theo quy dinh cria
i
rll
vi
vi
dC
cri d6 bAu vdo HDQT phAi d6p ring tiOu chuAn, djdu
cric di6u kiQn ung cri/dd cr? sau:
ddn su. kh6ng thu6c d6i tuqng bi c6m qu6n
lli doanh nghiQp
Lu{t doanh nghiQp: Ld cd d6ng cd nhdn so htu it nhilt 5% t6ng so
,^
r
,;.
c0 phan phd th6ng hodc nguoi khdc cluoc de cu phdi duoc c6 d6ng/nhom c6 rlong
n8m gif,
it
nhfu 5% t6ng s6 c6 phAn cria c6ng ty li6n rpc trong thoi gian
. . .:
it nh6t 6
thdng tinh d6n ngriy ch6t danh s6ch cd d6ng c6 quy6n dg ho.p DHDCD thuong ni€n
ndm2014 (ngdy 12/3/2014). Ngudi duqc
dO
cri, ring cri c6 trinh d6 hoc v6n, c6 ndng
. : ..
luc kinh doanh vd td chric qu6n tri doanh nghiQp, hi€u bi€t ph6p Lu{t, c6 nhi6u kinh
nghiQm, d5c biQt trong linh
'^ trung
', tot,
dac
4tc kinh doanh cria c6ng ry, c6 sric kh6e, ph6m ch6t dao
thuc, li€m khiot. Thdnh vi6n HDQT kh6ng duoc ld ngudi li6n quan cria
ngudi quan ly, ngudi c6 thAm quydn b6 nhiQm ngudi quan ly c6 d6ng chi ptrOi - fOng
Cdng ty Phan bon vd H6a chdt DAu khi. Thrlnh vi6n HQi d6ng quAn tri khong didu
{
Kr)
>{Ptti
,*\
c
v,
hanh ph6i d6p ung c6c di6u kiQn theo quy dinh tpi Thdng
ngity 2617 /2013 cria BQ tdi chinh vC viQc quan
-
Ngudi ring cri ld c6 d6ng c6 nhdn
t.u
fi
s6 121/2012/TT-BTC
tri 6p dpng d6i vdi c6ng ty dai chring.
img cri ho4c nguoi khiic tluoc dd cri phai duqc
riy quydn cria c6 ddng/nh6m cd d6ng n6m
git it
bi6u quytlt cta c6ng ty li€n Qc trong thdi gian
nhfu 5% tdng s6 c6 phAn c6 quy6n
itnhit 6 thring tinh diln ngdy
ch6t danh
s6ch c6 d6ng c6 quyAn du h-op DHCD thudng ni6n ndm 2014 (ngny 12,Bl20I4)'
-
Ngudi tg r?ng cri vd dugc dd cri (sau dAy ggi chung
ring cri hqp
lQ
1d
ring cri viOn) ph6i grii ho so
vd dring han theo quy dinh.
2.2 56 lugng img cu vi6n HDQT
C6c c6 d6ng/nh6m cO d6ng ung cri/dA cri theo quy dfnh c6ng ty tai mpc 2 Ei€,u 24
thdnh phdn vd nhiQm hj,cria thdnh vi6n HQi ddng quan
3.
tri cria Di6u
lQ cOng
ty.
H6 so ring cri, ttd crl:
@
Don ring cri tham gia HDQT, c6 ndi dung cam k6t cta img cu viOn thuc hien nli€m
vu thdnh vi6n HDQT m6t crich trung thuc n6u tlusc bAu vdo HDQT (theo rna"
Oi"ftit'|!i{
rl BON VA
kdm).
-
,JAT DAU
ciAy xdc nhdn s6 c6 phan md c6 ddng (ntiu
(n6u dA cri) so
htu li€n
t.u
une cri) ho4c c6 d6ng, nh6m c6
aoni{il4!
(tinh tl6n ngny D/3/201$
hoacs-
1uc trong 6 thturg gAn nhdt
t
giAy td tuong tluong;
-
Bi6n ban hqp nh6m (danh srich nh6m c6 ddng md ung vi€n duoc nh6m cd ddng
dA
cu);
-
B6n sao c6 c6ng chring ho{c chring thuc: chimg minh nhdn dAn4tIQ chiilu, hQ khAu
thudng tru, ciic bdng cdp trinh d6 chuy€n mdn.
4. Noi nhdn h6 scr:
-
Hd so de cuiung cir duoc nQp tryc ti6p ho4c gr?i qua thu bAo clAm vd tru so chinh cua
c6ng ty, il6 trong phong bi drin kin vd bdn ngodi bi thu ghi rO la H6 so ung cu/tl6 cri
.^
,-^.
,i
. I
thani vien Hoi
dong qudn tri. Dia chi nh{n h6 so: Ban t6
chr?c
Dai hQi c6 dong
thuong ni€n n6m 2014 Cdngty c6 phin Phdn bon vd H6a chAt DAu khi Tdy Nam BQ.
56: 151/18 TrAn Hoang Na, P. Hrmg Loi, Q.Ninh Ki6u, Tp. CAn Tho.
EiQn thoqi 07103.765.079; Fax: 07103. 765.078.
Trudng hqp Qty c6 d6ng can
UCn
lac vdi Ban t6 chr?c d6 trao d6i, ldm 16 nhilng
th6ng tin li6n quan, xin vui ldng li6n h€ v6i Ong phirng Hiilu Nghia - Thu ky c6ng ty,
sti Oign thoai 0710.3 765.079 (mey l€ 159); Di d6ng: 0918.933.852, hoic mail:
phn
i
vn.
{7
Ei',
.o (
Thcri h4n nh$n hd scr tI6 cr?/fmg cft HEQT
Thdi hqn cfrOt
trO so:
Dii thdng b6o th6ng tin rlng ct vi€n d6n cdc c6 ddng theo quy
dinh, ddng thdi d6 girip cho cdng ty kip thdi ldp danh srich img cu vi€n, tri6n khai
c6ng t6c chuan bi bAu
17 gid
C6ng ty tle nghi Qriy c6 ddng gui hd so d0 cu/rmg cri trudc
ngiy 2613/2014.
6. LQp danh s6ch bdu
H6t
oi.
ftdi
cu
dQ
trinh DHDCD:
han nh{n hd so, n6u c6 d6ng khdng d6 cri, ring crl dri s6 lugng ho4c
fng cri
vi6n kh6ng tt6m b6o ti6u chudn vd didu kiQn theo quy dinh, HDQT duong nhi-6m
dA cr? th6m
img crt vi6n theo thim quydn quy dinh tai DiAu
lQ
s€
c6ng ty.
Chi nhirng h6 so dA crilring cu d6p rmg dn di6u kiQn tl€ cti, img cri vd nhtng img cri
vi€n
s6ch img
wrg tfii diAu kiQn tuong img cria thdnh vi6n HEQT moi dugc dua vdo danh
ct vi6n c6ng b6 t4i phi6n
ho.p
DHDCE.
C6ng ty c6 phen PhAn b6n vd H6a ch6t DAu khi Tdy Nam B0 xin chdn thanh
ca\m
.o
sg hgp t6c, ring hQ cria Qriy vi c6 tl6ng.
.
\'h\
i04
- Nhu
tr€n/
- HDQT, GE, BKS;
- Luu: VT, HDQT, PHN.
lt
il
'i l*ll
,(V
Trdn tr-ong,
Noi nhdn:
..,/
\\
Y
IEONG QUANTRI
ffiir$
cdpHitt
cONG HoA
xAngI cntNcnil vlpr
DQc l$p
'
1-,J
c9J
c0
cdpnAH
-
NAM
Hgnh phric
DONUNG CT'THANH VIEN HEQT
CONG TY CP PHAN N6N VA U6A CHAT DAU KHi TAY NAM BQ
NHIE-MKY2011-2015
-A00
7
-
Tg do
\
'Hffi#'
iNB
HAI
riY
BAN T6 CHIJC DHCD THUONG NIEN NAM 2014
TY CP PHAN B6N VA TT6I CHAT DAU KHi TAY
N.ANT
S8
KtE
Nsdv
sinh:
..
Noi sinh:
Eia chi thudng tni:
...,......
TrinhdQhgcvAn:
Tai:...............
Ngdy cAp
56 CMND,tIO chi€u:
Chuy6nnganh:..........
L).
,A.
, ,r.
^:.
56 c6 phdn sd hiiu li€n tuc it nhat sriuthring cho ddn thdi didm hiQn t4i:
phdn, tuong img
vdi:
...............
co
% v6n rli6u lQ cta Cdng ty.
Cdn cri quy dinh cria Luflt Doanh nghiQp vd Di6u l€ C6ng ty, t6i xin t.u img cri vdo
thdnh vi6n HDQT Cdng ty c6 fhan phdn bon vd H6a ch6t DAu
k}i
Tdy Nam BQ.
Tdi cam k6t chlu tr6ch nhi6m vd tinh chinh xdc trung thgc cria nQi dung vdn
.,
,i.
-;
kdm theo, ddng
thcri cam k€t tuAn
thi
vi tri
bd,n
vd hd so
day dri theo quy dlnh cria Di6u lQ C6ng fy vd Quy chO
bdu b6 sung thdnh viOn HDQT tai Dai hQi ddng c6 il6ng thuong ni6n ndm2014 cta C6ng ty
c6 phdn Phan b6n vd H6a ch6t OAu khi Tdv Nam 86.
Tran tgng,
u ng cu vlen
..; so Kem Iheo;
no
;^
,( '*.
l. So yeu
ly lich do img vi€n t.u khai.
2. H0 khAu thuong tru/ Gi6y dAng ki t?m tru hoitc gi6y rd tuong ituong.
3. Bdn sao hqp lQ Chung minh thu
hgc vdn cria img vi6n.
i
r
r :
fian
.-
:
+. .Fro so xac man so co philn nam
glii.
danl hQ chiiiu vd c6c bdng cAp chimg nhan trinh
dO
cONG HoA xA ngI cn0 ncnia vrpr
DQc hp - TF do - H4nh Phric
t-%".R) coNc rv
crat
Nalr
ooN os ctt THANH vI6N HEQT
pHAN
e6N vA s6a cnAr nAu xni
cp
NHI9M rY zot t-zots
rAv Nnu ng
oAu xlti
rd cHUc DHCD rnuoNc NIEN NAtvt zot+
\k*}*-;rZ boNc rv cp psAN s6N vA n6.q cHAr nAu xni rAv N,q.Nr sQ
P,\Tffiiffiils$/.t saN
T6i/Chring t6i ld nh6m
Nam BQ g6m:
cO d6ng C6ng
ty c6 phan Phdn b6n vd H6a ch6t DAu khi Tdy
S6
Ho vd t€n CD
STT
Cdn crl quy dinh cria
M6 sd CD
CMTND,
ngay cap,
nol cap
56 c6
pnan s0
hilu
s6 cP sd htu
trong thdi han
6 th6ng li6n
Chir ky
tuc
Lu{t Doanh nghiQp vd DiAu lQ Cdng ty. chring t6i trdn trong dd cri:
Dia chl thudne tru: ............................
..... c6 dri di€u kiQn dO ring cri vdo v! tri
Tdi/Chfng tdi cam doan Ong/bd
thdnh vi6n HDQT theo quy dinh cia Didu lQ C6ng ty vd Quy cht) bAu bd sung thdnh vi0n
HDQT t4i Eai hQi d6ng c6 d6ng thucrng ni6n ndm 2014 cua C6ng ty c6 phAn PhAn b6n vd
H6a chdt Ddu khf Tdy Nam BQ.
. : ..
-.
Tdi/chring tdi cam k€t chlu tr6ch nhiQm vC tinh chinh x6c trung thgc cria nQi dung vdn bin
vd hd so kdm theo, d6ng thdi cam ktit tudn thri dAy drl theo quy dinh cia Di6u lQ Cdng ty vd
Quy chti bAu bd sung thdnh vi6n HDQT tai Dai hQi ddng c6 d6ng thuong ni€n nf,m 2014 cin
Cdng ty c6 phdn Phdn b6n vd H6a ch6t Ddu khi Tdy Nam BQ.
Trdn trgng,
Ngudi dd cri
rf)
t10 s0 Kem Ineo:
'1. So yOu
lf
lich do ngudi duoc dd cu tg khai.
2. HQ khAu thudn g ttu/ GiSy ddng kj tam tru hodc gi6y td tucrng duong.
3. Gi6y u! quydn hqplQ @6u c6 dAng uj, quyin cho ngudi khdc di ch).
4. H6 so xric nh|n s6 c6 phan nim git nh6m c6 d6ng.
5. Bin sao hqp lQ Chtmg minh thu nhAn dAn/ hQ chitiu vd c6c bdng cAp chung nh{n trinh d6 hoc vdn
cta ims vi0n.
/
CONG HOA XA HOI CHT NGHIA VIFT NAM
DQc lip - Tq do - H4nh phric
ffi'
W
t?/
>f
c0
SO YEU
(N,
Lf
LICH
\i-.'
,j,
rriAr^oc
PHAN
BON VA HOA
lt
l't
J
Anh
3x4cm
- 56 CMND:
,-^ ,, :. .,
- HO KnaU tnu0ns rru:
Thdi gian
Trulng,A{oi
Bdng cdp
eldo t4o
3. Qu6trinhcdngt6c
Thdi gian
Chric
lu
T€n t6 chfc
T6i xin cam doan nhtng ldi khai tr6n ld hoan toan dring
Tp.Cdn Tho,
sU
th{t.
ngdy thdng
ndm 2014
Ngrdi khai
(Kj, vd ghi rd hg tdn)
(
CO. NG
HOA XA HOI CHU NGHIA VIET NAM
DQc l{p - TU do - Hpnh phric
thdng .... ndm 2014
ZcQ;untt\
#ffi.K"\
CO PHA
*
\
pHAn aoN
vi
+iAt oAu
cHAi
oil
GIAY UY QIIYEN
N
Hde
rHi i *
rsi
\rl{i{Iils&i
CMND/HO ctri6UCi6y DKKD s6: ....................cAp ngdy: ...................tai: ........................
Dia chi
:
Ei0n thoAi:
A ,;
^t
JO CO pnan s0",-mru: ..........
2. Ngudi clugc
iy
quy6n:
. nnauto
, ^ ,.). , ,
cnuc:
I en ca
............-.
CMND/HO chit5u/Gi6y DKKD sii: ....................c6p ngdy: ...................tai: ........................
Dia chi
:
Ei6n tho4i:
"i quyen:
J. ]\Ql oung uy
,
;
i
.,..1
i..,^
" quyen
ben nn?n uy
ouoc oar oren cno Den uy quyen du nop va bleu quyet thong qua cac nQl
dung trong chuong trinh cuQc h-op Dai h6i d6ng c6 d6ng thudng ni6n ndm20I4 cria C6ng ty
CO phen Phdn b6n vd
H6a ch6t DAu khi Tdy Nam BQ t6 chric ngity 0310412014.
T6i hoan toan chiu tr6ch nhiQm vd viQc riy quy6n ndy vd cam k6t tudn thri nghi0m chinh c6c
quy dinh hiQn hdnh cria Ph6p luflt.
Ngudi tluoc iy quy6n
(K!, vd ghi rd h,p $n, ituing diia niiu cti)
Ngudi
(Kjr vd ghi rd h,p
iy
quy6n
ftn; ildng ttdu
nif u cd)
/
CO.
NG HOA XA HOI CHU NGI{A VIEJ NAM
DQc 10p - TU do - Hqnh phnc
thdng.... Ndm 2014
rN
#ffi.R'\
\e
?/' coptAlr
cri ps,lrr '\1
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pHlN eoN VA
c
GIAYUY QUYEN DAI DIE.NNHOM C6 DONG
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iAi oeu xri
:J,lvquq$l
,t
,d^ ,i\/
vrr
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CMND/I{Ocfri6UCi6yDKKDs6:
Dia chi li€n
NgriycAp: ................,NoicAp:
hQ:
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^;
50 01en
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d6ng:
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cnu:
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2.
NQi dung
;
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...... Sd cd^ phi€u ndm giii
ld:
............
............................/.\
ty
quyOn.
\
. r.:
t,
,
i
" quydn dU hqp vi bi6u quyOt th6ng
Ngudi tlugc riy quy6n duqc dgi diQn cho b€n rly
qua c6c nQi dung trong chuong trinh cuQc hqp D4i hQi thuong ni€n ndm 2014 cin
c6ng ty Cd phAn Phdn b6n vd H6a ch6t DAu khi Tdy Nam BQ td chric ngdy
03/04/2014.
Chung tdi hodn toan chiu tr6ch nhiQm vA vi6c riy quy€n ndy vd cam k6t tudn thri
nghiOm chinh c6c quy dinh hiQn hdnh cia phdp luflt.
3. Danh s6ch nguoi riy quyOn:
CMTND,HO
SO Cf riy quy6n d4i
,.i
t^.1
STT
Ho vd t€n CD
cnleu/ulay
Cht k),
di€n
DKKD
Tdng c0ns
Cht ky cila ngudi tlugc riy quydn
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