3 January 2017

Australian Securities Exchange Limited Level 40 Central Park

152-158 St Georges Terrace PERTH WA 6000

Dear Sir

On-Market Buy-Back Notification of Cancellation of Shares

In accordance with Listing Rule 3.8A, we enclose a copy of the Form 484 that was lodged with ASIC.

Yours faithfully

Leanne Stevens Company Secretary

Electronic Lodgement

Document No. 7E8657247

Lodgement date/time: 03-01-2017 01:16:30

Reference Id: 97696184

Australian Securities & Investments Commission Change to company details

Form 484

Corporations Act 2001

Company details Company name

CHALICE GOLD MINES LIMITED

Australian Company Number (ACN)

116 648 956

Lodgement details Who should ASIC contact if there is a query about this form?

Name

Leanne STEVENS

Signature

This form must be signed by a current officeholder of the company.

I certify that the information in this form is true and complete Name

Leanne STEVENS

Capacity Secretary Signature

Date signed

03-01-2017

Form 484 - Change to company details

CHALICE GOLD MINES LIMITEDACN116 648 956

C1 Cancellation of shares

Reason for cancellation Shares cancellation details

Reason for cancellation

ss.257H(3) Share buyback - Other buy-back type. A form 280 or 281 must be lodged at least 14 days, and no more than 1 year before the share buy-back can take place

The cancelled shares are listed below:

Share class code

Number of shares

cancelled

Amount paid (cash

or otherwise)

ORD

944967

141745.05

Earliest Date of cancellation

08-12-2016

C3 Change to share structure

The updated details for this changed share class are shown in the table below.

Share class

code

Full title if not standard

Total number of

shares

Total amount paid on

these shares

Total amount unpaid

on these shares

ORD

ORDINARY

268835835

21723558.25

0.00

Earliest date of change

08-12-2016

Chalice Gold Mines Limited published this content on 03 January 2017 and is solely responsible for the information contained herein.
Distributed by Public, unedited and unaltered, on 03 January 2017 03:12:05 UTC.

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