Australian Securities & Investments Commission
Change to company details
Electronic Lodgement
Document No. 7E6625603
Lodgement date/time: 29-12-2014 18:00:26
Reference Id: 90786381
Form 484
Corporations Act 2001
Company details Company name
EXCELSIOR GOLD LIMITED
Australian Company Number (ACN)
123 629 863
Lodgement details Who should ASIC contact if there is a query about this form?
Name
Chen Chik ONG
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
Chen Chik ONG Capacity Secretary Signature
Date signed
29-12-2014
ASIC Form 484 Ref 9078638129/12/2014 Page 1 of 2
Form 484 - Change to company details
EXCELSIOR GOLD LIMITEDACN123 629 863
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
|
13200000
|
1320
|
Earliest Date of cancellation
24-12-2014
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 SHARES
|
437961754
|
36736093.76
|
0.00
|
Earliest date of change
24-12-2014
ASIC Form 484 Ref 9078638129/12/2014 Page 2 of 2