ANNEX I
TEMPLATE 1
Format for the insider lists referred to in Article 1(1)
Description of the source of the specific inside information [:
Date and time of creation of this section (i.e. when the specific 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 |
Surname(s) of the insider at birth (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 the insider obtained access to the inside information) |
Ceased (the date and time at which the insider ceased to have access to the inside information) |
National Identification- Number (if applicable) |
Date of birth |
Personal tele- phone 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 plat- form/auctioneer/auction monitor or, of the person acting on their behalf or on their account |
[Text describing role, function and reason for being on this list] |
[yyyy-mm-dd, hh:mm UTC] |
[yyyy-mm-dd, hh:mm UTC] |
[Number and/or text] |
[yyyy-mm-dd] |
[Numbers (no space)] |
[Text] |
TEMPLATE 2
Format for the permanent insiders section of insider lists referred to in Article 1(2)
Date and time of creation of this 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 |
Surname(s) of the insider at birth (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 the insider was included in the permanent insider section) |
National Identification Number (if applicable) |
Date of Birth |
Personal full home address (street name; street number; city; post/zip code; country) (If available at the time of the request by the competent authority) |
Personal telephone numbers (home and personal mobile telephone numbers) |
[Text] |
[Text] |
[Text] |
[Numbers (no space)] |
[Address of issuer or of the person acting on their behalf or on their account] |
[Text describing role, function and reason for being on this list] |
[yyyy-mm-dd, hh:mm UTC] |
[Number and/or text] |
yyyy- mm-dd for the date of birth] |
[Text] |
[Numbers (no space)] |