9 January 2015
Australian Securities Exchange Limited
Level 40 Central Park
152-158 St Georges Terrace
Perth WA 6000
Dear Sir
On-Market Buy-Back
Notification of Cancellation of Shares
In accordance with Listing Rule 3.8A, we enclose a copy of the Form 484 that was lodged with ASIC.
Yours faithfully
LEANNE STEVENS Company Secretary
Australian Securities & Investments Commission
Change to company details
Electronic Lodgement
Document No. 7E6639875
Lodgement date/time: 09-01-2015 13:59:52
Reference Id: 90826870
Form 484
Corporations Act 2001
Company details Company name
CHALICE GOLD MINES LIMITED
Australian Company Number (ACN)
116 648 956
Lodgement details Who should ASIC contact if there is a query about this form?
Name
Leanne STEVENS
Signature
This form must be signed by a current officeholder of the company.
I certify that the information in this form is true and complete
Name
Leanne STEVENS
Capacity Secretary Signature
Date signed
09-01-2015
ASIC Form 484 Ref 9082687009/01/2015 Page 1 of 2
Form 484 - Change to company details
CHALICE GOLD MINES LIMITEDACN116 648 956
C1 Cancellation of shares
Reason for cancellation Shares cancellation details
Reason for cancellation
ss.257H(3) Share buyback - Other buy-back type. A form 280 or 281 must be lodged at least 14 days, and no more than 1 year before the share buy-back can take place
The cancelled shares are listed below:
Share class code
|
Number of shares
cancelled
|
Amount paid (cash
or otherwise)
|
ORD
|
3000000
|
299850.83
|
Earliest Date of cancellation
18-12-2014
C3 Change to share structure
The updated details for this changed share class are shown in the table below.
Share class
code
|
Full title if not standard
|
Total number of
shares
|
Total amount paid on
these shares
|
Total amount unpaid
on these shares
|
ORD
|
ORDINARY
|
282710802
|
22187203.49
|
0.00
|
Earliest date of change
18-12-2014
ASIC Form 484 Ref 9082687009/01/2015 Page 2 of 2