FORM 3
SECURITIES AND FUTURES ACT (CAP. 289) SECURITIES AND FUTURES (DISCLOSURE OF INTERESTS) REGULATIONS 2012
NOTIFICATION FORM FOR SUBSTANTIAL SHAREHOLDER(S)/ UNITHOLDER(S) IN RESPECT OF INTERESTS IN SECURITIES
FORM
3
(Electronic Format)
Explanatory Notes
1. Please read the explanatory notes carefully before completing the notification form.
2. This form is for a Substantial Shareholder(s)/Unitholder(s) to give notice under section 135, 136, 137, 137J (as applicable to sections 135, 136 and 137) or 137U (as applicable to sections 135, 136 and 137) of the Securities and Futures Act (the "SFA").
3. This electronic Form 3 and a separate Form C, containing the particulars and contact details of the Substantial Shareholder(s)/Unitholder(s), must be completed by the Substantial Shareholder(s)/ Unitholder(s) or a person duly authorised by the Substantial Shareholder(s)/Unitholder(s) to do so. The person so authorised should maintain records of information furnished to him by the Substantial Shareholder(s)/Unitholder(s).
4. This form and Form C, are to be completed electronically and sent to the Listed Issuer via an electronic medium such as an e-mail attachment. The Listed Issuer will attach both forms to the prescribed SGXNet announcement template for dissemination as required under section 137G(1), 137R(1) or 137ZC(1) of the SFA, as the case may be. While Form C will be attached to the announcement template, it will not be disseminated to the public and is made available only to the Monetary Authority of Singapore (the "Authority").
5. Where a transaction results in similar notifiable obligations on the part of more than one Substantial Shareholder/Unitholder, all of these Substantial Shareholders/Unitholders may give notice using the same notification form.
6. A single form may be used by a Substantial Shareholder/Unitholder for more than one transaction resulting in notifiable obligations which occur within the same notifiable period (i.e. within two business days of becoming aware of the earliest transaction). There must be no netting-off of two or more notifiable transactions even if they occur within the same day.
7. All applicable parts of the notification form must be completed. If there is insufficient space for your answers, please include attachment(s) by clicking the paper clip icon on the bottom left-hand corner or in item 11 of Part II or item 10 of Part III. The total file size for all attachment(s) should not exceed 1MB.
8. Except for item 5 of Part II and item 1 of Part IV, please select only one option from the relevant check boxes.
9. Please note that submission of any false or misleading information is an offence under Part VII of the SFA.
10. In this form, the term "Listed Issuer" refers to -
(a) a company incorporated in Singapore any or all of the shares in which are listed for quotation on the official list of a securities exchange;
(b) a corporation (not being a company incorporated in Singapore, or a collective investment scheme constituted as a corporation) any or all of the shares in which are listed for quotation on the official list of a securities exchange,such listing being a primary listing;
Export XML
(c) a registered business trust (as defined in the Business Trusts Act (Cap. 31A)) any or all of the units in which are listed for quotation on the official list of a securities exchange;
(d) a recognised business trust any or all of the units in which are listed for quotation on the official list of a securities exchange, such listing being a primary listing; or
(e) a collective investment scheme that is a trust, that invests primarily in real estate and real estate- related assets specified by the Authority in the Code on Collective Investment Schemes, and any or all the units in which are listed for quotation on the official list of a securities exchange, such listing being a primary listing ("Real Estate Investment Trust").
11. For further instructions and guidance on how to complete this notification form, please refer to section 7 of the User Guide on Electronic Notification Forms which can be accessed at the Authority's Internet website at http://www.mas.gov.sg (under "Regulations and Financial Stability", "Regulations, Guidance and Licensing", "Securities, Futures and Fund Management", "Forms", "Disclosure of Interests").
Export XML
Part I - General
1. Name of Listed Issuer:
Interra Resources Limited
2. Type of Listed Issuer:
✔ Company/Corporation
Registered/Recognised Business Trust
Real Estate Investment Trust
3. Is more than one Substantial Shareholder/Unitholder giving notice in this form?
✔ No
Yes
(Please proceed to complete Part II) (Please proceed to complete Parts III & IV)
4. Date of notification to Listed Issuer:
11-Dec-2014
FORM 3/[ Version 2.0 ]/Effective Date [ 21 March 2014 ]
Page 3 of 7
Part II - Substantial Shareholder/Unitholder and Transaction(s) Details
[To be used for single Substantial Shareholder/Unitholder to give notice]
1. Name of Substantial Shareholder/Unitholder:
PT Saratoga Investama Sedaya Tbk
2. Is Substantial Shareholder/Unitholder a fund manager or a person whose interest in the securities of the Listed Issuer are held solely through fund manager(s)?
Yes
✔ No
Transaction A
1. Notification in respect of:
Becoming a Substantial Shareholder/Unitholder
✔ Change in the percentage level of interest while still remaining a Substantial Shareholder/Unitholder
Ceasing to be a Substantial Shareholder/Unitholder
2. Date of acquisition of or change in interest:
09-Dec-2014
3. Date on which Substantial Shareholder/Unitholder became aware of the acquisition of, or the change in, interest (if different from item 2 above, please specify the date):
09-Dec-2014
4. Explanation (if the date of becoming aware is different from the date of acquisition of, or the change in, interest):
5. Type of securities which are the subject of the transaction (more than one option may be chosen):
Voting shares/units
✔ Rights/Options/Warrants over voting shares/units
Convertible debentures over voting shares/units (conversion price known) Others (please specify):
6. Number of shares, units, rights, options, warrants and/or principal amount of convertible debentures acquired or disposed of by Substantial Shareholder/Unitholder:
7,936,400
FORM 3/[ Version 2.0 ]/Effective Date [ 21 March 2014 ]
Page 4 of 7
7. Amount of consideration paid or received by Substantial Shareholder/Unitholder (excluding brokerage and stamp duties):
Not applicable
8. Circumstance giving rise to the interest or change in interest: Acquisition of:
Securities via market transaction
Securities via off-market transaction (e.g. married deals)
Securities via physical settlement of derivatives or other securities
Securities pursuant to rights issue
Securities via a placement
Securities following conversion/exercise of rights, options, warrants or other convertibles
Disposal of:
Securities via market transaction
Securities via off-market transaction (e.g. married deals)
Other circumstances:
Acceptance of take-over offer for the Listed Issuer
Corporate action by the Listed Issuer which Substantial Shareholder/Unitholder did not
✔
participate in (please specify):
This is pursuant to the issue of Bonus Warrants as approved by shareholders of the Company at the extraordinary general meeting held on 24 October 2014.
Others (please specify):
FORM 3/[ Version 2.0 ]/Effective Date [ 21 March 2014 ]
Page 5 of 7
9. Quantum of total voting shares/units (including voting shares/units underlying rights/options/ warrants/convertible debentures {conversion price known}) held by Substantial Shareholder/ Unitholder before and after the transaction:
Immediately before the transaction
|
Direct Interest
|
Deemed Interest
|
Total
|
No. of voting shares/units held and/or underlying the rights/options/warrants/ convertible debentures:
|
0
|
0
|
0
|
As a percentage of total no. of voting shares/units:
|
0
|
0
|
0
|
Immediately after the transaction
|
Direct Interest
|
Deemed Interest
|
Total
|
No. of voting shares/units held and/or underlying the rights/options/warrants/ convertible debentures:
|
7,936,400
|
0
|
7,936,400
|
As a percentage of total no. of voting shares/units:
|
1.78
|
0
|
1.78
|
10.
Circumstances giving rise to deemed interests (if the interest is such):
[You may attach a chart in item 11 to illustrate how the Substantial Shareholder/Unitholder's deemed interest arises]
11.
Attachments (if any):
(The total file size for all attachment(s) should not exceed 1MB.)
12.
If this is a replacement of an earlier notification, please provide:
(a) SGXNet announcement reference of the firstnotification which was announced on
SGXNet (the "Initial Announcement"):
(b)
Date of the Initial Announcement:
(c) 15-digit transaction reference number of the relevant transaction in the Form 3 which was attached in the Initial Announcement:
13.
Remarks (if any):
The substantial shareholder was issued 7,936,400 Bonus Warrants on 9 December 2014, each carrying the right to subscribe for one (1) new ordinary share in the capital of the Company during the relevant exercise period in accordance with the terms of the Bonus Warrants.
The percentage of the interest is calculated based on the total number of existing issued shares in the capital of the Company, being 446,170,357 shares.
FORM 3/[ Version 2.0 ]/Effective Date [ 21 March 2014 ]
Page 6 of 7
Transaction Reference Number (auto-generated):
6
|
0
|
3
|
7
|
5
|
8
|
1
|
4
|
9
|
1
|
1
|
9
|
5
|
9
|
5
|
Item 14 is to be completed by an individual submitting this notification form on behalf of the Substantial
Shareholder/Unitholder.
14. Particulars of Individual submitting this notification form to the Listed Issuer: (a) Name of Individual:
Beatrice Kartika
(b) Designation (if applicable):
Finance Division Head
(c) Name of entity (if applicable):
PT Saratoga Investama Sedaya Tbk
FORM 3/[ Version 2.0 ]/Effective Date [ 21 March 2014 ]
Page 7 of 7