Conditional Capital

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

	* Mandatory fields
Issuer*
Last name*
First name*
E-mail*
Phone no.*

Reporting obligations pursuant to Circular No. 1, Annex 1, Point 5.02

Monthly reporting of newly created equity securities from conditional capital

Title category*	registered sharesbearer sharesdividend-right certificatesparticipation certificatesother
Security no.*
Intended use (pursuant to articles of association)*
Duration in the case of warrant bonds and convertible bonds*

The current capital structure of our company is as follows

Spent equity capital		Number of shares	CHF
Status as of the end of*
Status as at the end of the previous month*
Conditional capital		Number of shares	CHF
Number of exercised securities*
Amount of remaining conditional capital*

Description	Download
Monthly reporting of newly created equity securities from conditional capital

This report is also made if no equity securities have been created from conditional capital in the month in question.

Address	SIX Swiss Exchange Ltd SIX Exchange Regulation Listing & Enforcement-MAP CH-8021 Zurich
Phone Fax	+41(0)58 854 29 15 +41(0)58 854 29 33
E-mail	Reporting obligations

Relevant documents:

• Circular No. 1, Annex 1, Point 5.02
• Art. 653 / Art. 653 b / Art. 653 h CO (in German)