9 January 2015
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 SharesIn 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
Australian Securities & Investments Commission Change to company detailsElectronic Lodgement
Document No. 7E6639875
Lodgement date/time: 09-01-2015 13:59:52
Reference Id: 90826870
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
09-01-2015
ASIC Form 484 Ref 9082687009/01/2015 Page 1 of 2
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 placeThe cancelled shares are listed below:
Share class code | Number of shares cancelled | Amount paid (cash or otherwise) |
ORD | 3000000 | 299850.83 |
Earliest Date of cancellation
18-12-2014C3 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 | 282710802 | 22187203.49 | 0.00 |
Earliest date of change
18-12-2014
ASIC Form 484 Ref 9082687009/01/2015 Page 2 of 2
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