ANNEX I
TEMPLATE 1
Insider list: section related to [Name of the deal-specific or event-based inside information]
Date and time (of creation of this section of the insider list, i.e. when this inside information was identified): [ yyyy-mm-dd; hh:mm UTC (Coordinated Universal Time) ]
Date and time (last update): [ yyyy-mm-dd, hh:mm UTC (Coordinated Universal Time) ]
Date of transmission to the competent authority: [ yyyy-mm-dd ]
|
First name(s) of the insider |
Surname(s) of the insider |
Birth surname(s) of the insider (if different) |
Professional telephone number(s) (work direct telephone line and work mobile numbers) |
Company name and address |
Function and reason for being insider |
Obtained (the date and time at which a person obtained access to inside information) |
Ceased (the date and time at which a person ceased to have access to inside information) |
Date of birth |
National Identification Number (if applicable) |
Personal telephone numbers (home and personal mobile telephone numbers) |
Personal full home address: street name; street number; city; post/zip code; country) |
||||||||
|
[Text] |
[Text] |
[Text] |
[Numbers (no space)] |
[Address of issuer/emission allowance market participant/auction platform/auctioneer/auction monitor or third party of insider] |
[Text describing role, function and reason for being on this list] |
[yyyy-mm-dd, hh:mm UTC] |
[yyyy-mm-dd, hh:mm UTC] |
[yyyy-mm-dd] |
[Number and/or text] |
[Numbers (no space)] |
[Text: detailed personal address of the insider
|
TEMPLATE 2
Permanent insiders section of the insider list
Date and time (of creation of the permanent insiders section) [ yyyy-mm-dd, hh:mm UTC (Coordinated Universal Time) ]
Date and time (last update): [ yyyy-mm-dd, hh:mm UTC (Coordinated Universal Time) ]
Date of transmission to the competent authority: [ yyyy-mm-dd ]
|
First name(s) of the insider |
Surname(s) of the insider |
Birth surname(s) of the insider (if different) |
Professional telephone number(s) (work direct telephone line and work mobile numbers) |
Company name and address |
Function and reason for being insider |
Included (the date and time at which a person was included in the permanent insider section) |
Date of birth |
National Identification Number (if applicable) |
Personal telephone numbers (home and personal mobile telephone numbers) |
Personal full home address (street name; street number; city; post/zip code; country) |
||||||||
|
[Text] |
[Text] |
[Text] |
[Numbers (no space)] |
[Address of issuer/emission allowance market participant/auction platform/auctioneer/auction monitor or third party of insider] |
[Text describing role, function and reason for being on this list] |
[yyyy-mm-dd, hh:mm UTC] |
[yyyy-mm-dd] |
[Number and/or text] |
[Numbers (no space)] |
[Text: detailed personal address of the insider
|