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.

Name of the company* Last name* First name* E-mail* Phone*

Reporting of the current number of quoted shares

Title category*

ISIN*

The above mentioned company is primary listed on the following exchange*

Status as of the end of* Number of shares* Currency* Nominal Value*

I hereby declare that I have read and understood the Privacy Statement of SIX and the GDPR - "Customer Information on Data Protection" for SIX Exchange Regulation AG.

* mandatory field

Listing Rules

Directive on the Listing of Foreign Companies

Directive on the Listing of Foreign Companies

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