UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM CB
TENDER OFFER/RIGHTS OFFERING NOTIFICATION FORM
 
Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to file this Form:
 
Securities Act Rule 801 (Rights Offering)
o
Securities Act Rule 802 (Exchange Offer)
x
Exchange Act Rule 13e-4(h)(8) (Issuer Tender Offer)
o
Exchange Act Rule 14d-1(c) (Third Party Tender Offer)
o
Exchange Act Rule 14e-2(d) (Subject Company Response)
o
Filed or submitted in paper if permitted by Regulation S-T Rule 101(b)(8)
o

 
 
Aichi Machine Industry Co., Ltd.
(Name of Subject Company)
 
N/A
(Translation of Subject Company’s Name into English (if applicable))
 
Japan
(Jurisdiction of Subject Company’s Incorporation or Organization)
 
Nissan Motor Co., Ltd.
(Name of Person(s) Furnishing Form)
 
Common Stock
(Title of Class of Subject Securities)
 
N/A
(CUSIP Number of Class of Securities (if applicable))
 
Nissan Motor Co., Ltd.
Attn: Joji Shirai
1-1-1 Takashima, Nishi-ku, Yokohama, Kanagawa, Japan
Phone: +81-45-523-5550
(Name, Address (including zip code) and Telephone Number (including area code)
of Person(s) Authorized to Receive Notices and Communications on Behalf of Subject Company)
 
N/A
(Date Tender Offer/Rights Offering Commenced)
 



 
- 1 -
 
 
 
PART I – INFORMATION SENT TO SECURITY HOLDERS
 
Item 1.  Home Jurisdiction Documents

Exhibit
Number
 
99.1
Notice of Convocation of Extraordinary General Meeting of Shareholders
   
 
 
Item 2.  Informational Legends
 
The required legend is prominently included in the documents referred to in Item 1.
 
PART II – INFORMATION NOT REQUIRED TO BE SENT TO SECURITY HOLDERS
 
 
N/A
 
PART III – CONSENT TO SERVICE OF PROCESS
 
Nissan Motor Co., Ltd. submitted to the Securities and Exchange Commission written irrevocable consent and power of attorney on Form F-X dated December 19, 2011.
 
 
 
 
 
 
 
 
 

 
 
- 2 -

 

SIGNATURES
 
     After due 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.
 
 
 
 
    /s/ Joji Tagawa   
   
 By: Joji Tagawa
 
 
 
 Title: Corporate Vice President
 
       
 
 
Date: January 31, 2012