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"): BANCOLOMBIA 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: BANCOLOMBIA S.A.
Form type: Form CB
Filed by: BANCOLOMBIA S.A.
Date filed (if filed concurrently, so indicate): August 5, 2005 (filed
concurrently)
D. The Filer is incorporated or organized under the laws of the Republic
of Colombia and has its principal place of business at:
Calle 50 No. 51-66
Medellin, Colombia
(574) 511-5516
E. The Filer designates and appoints
Puglisi & Associates ("Agent")
located at:
850 Library Avenue, Suite 204
Newark, Delaware 19711
(302) 738-6680
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, proceeding or cause of action arises out of or
relates to or concerns (i) any offering made or purported to
be made in connection with the securities registered or
qualified by the Filer on Form CB on August 5, 2005 or any
purchases or sales of any security in connection therewith;
(ii) the securities in relation to which the obligation to
file an annual report on Form 40-F arises, or any purchases or
sales of such securities; (iii) any tender offer for the
securities of a Canadian issuer with respect to which filings
are made by the Filer with the Commission on Schedule 13E-4F,
14D-1F or 14D-9F; or (iv) the securities in relation to which
the Filer acts as trustee pursuant to Rule 10a-5 under the
Trust Indenture Act of 1939. 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. The Filer, filing this Form in connection with the use of 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 following the effective
date of the latest amendment to such Form CB.
The Filer further undertakes to advise the Commission promptly of any
change to the Agent's name or 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, 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 transactions in such securities.
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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 Medellin, Republic of
Colombia this 5th day of August, 2005.
BANCOLOMBIA S.A
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Filer
By: /s/ Jaime Alberto Velasquez Botero
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Name: Jaime Alberto Velasquez Botero
Title: Vice President of Finance
(Chief Financial Officer)
This statement has been signed by the following person in the capacity
and on the date indicated.
Puglisi & Associates
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As Agent for Service of Process for
BANCOLOMBIA S.A. in the United States
By: /s/ Donald J. Puglisi
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Name: Donald J. Puglisi
Title: Managing Director
Date: August 5, 2005
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