[ON HEADED NOTEPAPER OF [INSERT COMPANY NAME]]

[NAME OF ADDRESSEE LEGAL ENTITY]

[REGISTERED OR PRINCIPAL OFFICE ADDRESS]

[DATE]

Dear Sirs,

Register of People with Significant Control - Notice to a legal entity under section 790D(2) of the Companies Act 2006 (the Act)

Interests in [NAME OF COMPANY] (the Company)

We know or have reasonable cause to believe that you may be a registrable legal entity, as defined in section 790C of the Act, in respect of the Company.

We therefore require you, pursuant to section 790D of the Act, to provide us, in writing [including by email to the address shown above], within one calendar month of the date of this notice, the following information concerning your interest(s) (within the meaning of Part 21A of the Act), if any, in the Company:

1.Whether or not you are, in relation to the Company, a registrable legal entity within the meaning of Part 21A of the Act, or a legal person to be regarded as an entity under section 790C(12) of the Act;

2.If you are such an entity, to confirm or, where appropriate, to correct any of the following required particulars:

(a)[Name: [INSERT LEGAL NAME OF ADDRESSEE];]

(b)[Registered or principal office address: [IF KNOWN, INSERT ADDRESSEE'S REGISTERED OR PRINCIPAL OFFICE ADDRESS];]

(c)[Legal form and governing law: [IF KNOWN, INSERT THE LEGAL FORM AND GOVERNING LAW OF THE ADDRESSEE];]

(d)[Company registry and number (if applicable): [IF KNOWN, INSERT THE COMPANY REGISTRY AT WHICH THE ADDRESSEE IS REGISTERED AND THE REGISTRATION NUMBER];]

(e)[Date of becoming a registrable legal entity: [IF KNOWN, INSERT THE DATE THE ADDRESSEE BECAME A REGISTRABLE RELEVANT LEGAL ENTITY IN RELATION TO THE COMPANY]; [and]]

(f)[Nature of control: [IF KNOWN, INSERT THE NATURE OF THE ADDRESSEE'S CONTROL OVER THE COMPANY].]

3.[If you are such a registrable legal entity, to supply the following missing required particulars:

(a)[INSERT THOSE REQUIRED PARTICULARS NOT KNOWN TO THE COMPANY, IF ANY].]

4.If you are such a registrable legal entity, to confirm whether you hold the relevant interest(s) in the Company for yourself, or jointly with or on behalf of any other person or entity;

5.If any interest in the Company is held jointly with or on behalf of any other person or entity, to supply the name(s) and contact details of each such person or entity;

6.Whether you know the identity of any other person who is, in relation to the Company, a registrable person or a legal entity, whether registrable or otherwise, within the meaning of section 790D(6) of the Act and if so to provide, in relation to any such person or legal entity, any of the particulars set out in paragraphs 2 or 3 above that are within your knowledge, stating whether or not these particulars are being supplied with the knowledge of each person or legal entity concerned; and

7.Whether you know the identity of any person or legal entity likely to know the identity of a person or legal entity described in paragraph 6 and, if so, to provide the name and contact details of each such person and legal entity.

You should be aware that failure to provide the information required by this notice, or knowingly or recklessly to disclose false information, is an offence under paragraph 13 of Schedule 1B to the Act, subject to a penalty of up to two years in prison, or a fine (or both). In addition, the Company may take action to restrict any relevant interest (within the meaning of paragraph 2 of Schedule 1B) that you hold in the Company until such time as you have complied with this notice or have provided a valid reason sufficient to justify your failure to do so.

Yours faithfully,

[NAME]

[Director / Company Secretary]

[NAME OF COMPANY]

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