Form-Filing-Financial-Reports-Before-1-1-2008

Form-Filing-Financial-Reports-Before-1-1-2008

ACT ON THE SUPERVISION OF FINANCIAL REPORTING

FORM FOR FILING THE FINANCIAL REPORT BEFORE 1 JANUARY 2008 AS REQUIRED IN SECTION 5a Wte 1995 – Part I

You can submit your filing electronically via Loket AFM. To access Loket AFM you will need to use an access code and password which you previously received by email. Via you can request an access code and password.

If you encounter technical problems with filing electronically via Loket AFM you can use this form and send it together with the financial report to

  1. Statutory name:
  2. Address of registered office

a)Address (Street name):

b)Postal code :

c)City:

d)Country:

  1. Date of adoption financial statements:
  1. Language of the financial statements approved by the annual general meeting of

shareholders

Dutch

French

German

English

  1. Financial year runs from to.
  1. Please select report type

Consolidated

Company

  1. Please select reporting standards:

IFRS

Part 9 of Book 2 of the Netherlands Civil Code

Other

  1. Please select type of document filed:

Financial Reporting

Public statement

  1. On which market(s) are the securities of the issuer admitted to trading?
  2. Does the company issue exclusively debt securities (bonds e.g.) of which the denomination per unit is at least € 50.000,--?

Additional information

FORM FOR FILING THE FINANCIAL REPORT BEFORE 1 JANUARY 2008 AS REQUIRED IN SECTION 5a Wte 1995 – Part II

(The information requested below will not be published; this information is for verification purposes by the AFM only)

Contact details

  1. Name:
  2. Address:
  3. Postal code:
  4. City:
  5. Country:
  6. Phone number:
  7. Fax number:
  8. E-mail:

Completed truthfully:

Date

City

Signature

EXPLANATORY NOTES TO FORM FOR FILING A HARDCOPY OF THE FINANCIAL REPORT BEFORE 1 JANUARY 2008 AS REQUIRED IN SECTION 5a Wte 1995 – Part III

Pursuant to Section 5a Wte 1995, securities issuing institutions are required to file their financial reporting with the AFM within eight days of the adoption of the financial statements. The financial reporting consists of the adopted financial statements, director’s report and other information required in Section 392 of Book 2 of the Netherlands Civil Code. In addition, Section 3 of the Act on the Supervision of Financial Reporting requires companies to file with the AFM any statement made public by an issuer following a recommendation by the AFM.

Preferably, financial reports are filed electronically using Loket AFM. Processing electronic filings is less time-consuming. But above all, Loket AFM offers you an efficient way of filing your financial reports, instantly providing you with a confirmation that your report has been received by the AFM. To file your financial report electronically, please use the following link

For filing hard copy financial reports pursuant to, please enter the required information in the text entry fields. All entry fields are required. Send the completed and signed form and the hard copy financial reports to: Netherlands Authority for the Financial Markets, Department Melden en Registreren, P.O. Box 11723, 1001 GS AMSTERDAM. The AFM will process the filed hard copy documents to the public registers available on the AFM-website.

Please select the correct type, report type and reporting standards.

Please enter the contact details of the person who the AFM can contact regarding the filing.

For further information regarding the filing of financial reports, please send an e-mail to .

Amsterdam, January 2013 version 1.1

Top View