Reporting Equity Capital - Status of Shares (relevant for companies with secondary listing)

Alternatively, this form may be sent to the SIX Swiss Exchange by fax or post.

	* Mandatory fields
Name of the company*
Last name*
First name*
E-mail*
Phone*
Reporting requirements pursuant to the Directive on the Listing of Foreign Companies, Art. 19 para. 2 Reporting of the current number of quoted shares
Title category*	registered sharesbearer sharesdividend-right certificatesparticipation certificatesother
ISIN*
The abovementioned company is listed on the following primary exchange*
Status as of the end of*
Number of shares*
Currency*
Nominal Value*
Clear form	Submit