Australian Securities & Investments Commission Change to company details

Electronic Lodgement

Document No. 7E6625603

Lodgement date/time: 29-12-2014 18:00:26
Reference Id: 90786381

Form 484

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 place

The cancelled shares are listed below:

Share class code

Number of shares

cancelled

Amount paid (cash

or otherwise)

ORD

13200000

1320

Earliest Date of cancellation

24-12-2014

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 SHARES

437961754

36736093.76

0.00

Earliest date of change

24-12-2014



ASIC Form 484 Ref 9078638129/12/2014 Page 2 of 2

distributed by