UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM F-X
APPOINTMENT OF AGENT FOR SERVICE OF PROCESS AND UNDERTAKING
A. Name of issuer or person filing ("Filer"):
Braskem S.A.
B. (1) This is [check one]
X an original filing for the Filer
an amended filing for the Filer
(2) Check the following box if you are filing the Form F-X in paper in
accordance with Regulation S-T Rule 101(b)(9)
C. Identify the filing in conjunction with which this Form is being filed:
Name of registrant: Braskem S.A.
Form type: Form CB
File Number (if known):
Filed by: Braskem S.A.
Date Filed (if filed concurrently, so indicate): September 3, 2004
(filed concurrently)
D. The Filer is incorporated or organized under the laws of: Brazil and has
its principal place of business at:
Rua Eteno, 1561,
Zip Code 42810-000, Camacari,
Bahia, Brazil
Phone (55-71) 632-5939
E. The Filer designates and appoints:
CT Corporation
111 Eighth Avenue
New York, NY 10011
("Agent")as the agent of the Filer upon whom may be served any process,
pleadings, subpoenas, or other papers in:
(a) any investigation or administrative proceeding conducted by the
Commission; and
(b) any civil suit or action brought against the Filer or to which the
Filer has been joined as defendant or respondent, in any appropriate
court in any place subject to the jurisdiction of any state or of the
United States or of any of its territories or possessions or of the
District of Columbia, where the investigation, proceedings or cause of
action arises out of or relates to or concerns any offering made
or purported to be made in connection with the securities registered
or qualified by the Filer on Form CB on September 3, 2004 or any
purchases or sales of any security in connection therewith.
The Filer stipulates and agrees that any such civil suit or action or
administrative proceeding may be commenced by the service of process
upon, and that service of an administrative subpoena shall be effected
by service upon such agent for service of process, and that service as
aforesaid shall be taken and held in all courts and administrative
tribunals to be valid and binding as if personal service thereof had
been made.
F. Each person filing this Form in connection with the use of Form F-8,
Form F-80 or Form CB stipulates and agrees to appoint a successor
agent for service of process and file an amended Form F-X if the Filer
discharges the Agent or the Agent is unwilling or unable to accept
service on behalf of the Filer at any time until six years have
elapsed from the effective date of the latest amendment to such Form
F-8, Form F-80 or Form CB;
Each filer further undertakes to advise the Commission promptly of any
change to the Agent's name and address during the applicable period by
amendment of this Form, referencing the file number of the relevant form in
conjunction with which the amendment is being filed.
G. Each person filing this Form, other than a trustee filing in accordance
with General Instruction I.(a) of this Form, H undertakes to make
available, in person or by telephone, representatives to respond to
inquiries made by the Commission staff, and to furnish promptly, when
requested to do so by the Commission staff, information relating to: the
Forms, Schedules and offering statements described in General Instructions
I.(a), I.(b), I.(c), I.(d) and I.(f) of this Form, as applicable; the
securities to which such Forms, Schedules and offering statements relate;
and the transaction in such securities.
The Filer certifies that it has duly caused this power of attorney, consent,
stipulation and agreement to be signed on its behalf by the undersigned,
thereunto duly authorized, in the City of Sao Paulo, State of Sao Paulo, Brazil,
this 3rd day of September, 2004
Braskem S.A.
By: /s/ Paul Altit
Name: Paul Altit
Title: Chief Financial Officer
This statement has been signed by the following person in the capacity and on
the date indicated.
CT Corporation
By: /s/ Ann Laskowski
Name: Ann Laskowski
Title: Assistant Secretary
Date: September 3, 2004