Electronic Lodgement
Document No. 7E6625603
Lodgement date/time: 29-12-2014 18:00:26
Reference Id: 90786381
Corporations Act 2001
Company details Company name
EXCELSIOR GOLD LIMITED
Australian Company Number (ACN)
123 629 863
Lodgement details Who should ASIC contact if there is a query about this form?
Name
Chen Chik ONG
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
Chen Chik ONG Capacity Secretary Signature
Date signed
29-12-2014
ASIC Form 484 Ref 9078638129/12/2014 Page 1 of 2
Form 484 - Change to company details
EXCELSIOR GOLD LIMITEDACN123 629 863
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 | 13200000 | 1320 |
Earliest Date of cancellation
24-12-2014C3 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 SHARES | 437961754 | 36736093.76 | 0.00 |
Earliest date of change
24-12-2014
ASIC Form 484 Ref 9078638129/12/2014 Page 2 of 2
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