ANNEX III
TEMPLATE 1
Format for the insider lists referred to in Article 2(2), first subparagraph
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 |
|
Professional telephone number(s) (work direct telephone line and work mobile numbers) |
Function or 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) Or otherwise Date of Birth |
|
[Text] |
[Text] |
|
[Numbers (no space)] |
[Text describing role, function and/or reason for being on this list] |
[yyyy-mm-dd, hh:mm UTC] |
[yyyy-mm-dd, hh:mm UTC] |
[Number and/or text or yyyy-mm-dd for the date of birth] |
TEMPLATE 2
Format for the permanent insiders section of insider lists referred to in Article 2(2), second subparagraph
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 |
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) Or otherwise Date of Birth |
|
[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 yyyy- mm-dd for the date of birth] |