Section 27.

914

Names, Addresses, and Description of Subscribers.

"1. John Joues of

"2. John Smith of

"3. Thomas Green of "4. John Thompson of

"5. Caleb White of "6. Andrew Brown of

7. Abel Brown of

Dated the

day of

Witness to the above signatures,

19

merchant.

A.B., No. Queen's Road, Victoria, Hongkong.

2

FORM E.

As required by Part II. of the Ordinance,

SUMMARY OF SHARE CAPITAL and SHARES of the

COMPANY, LIMITED, made up to the

day

of

19 (being the fourteenth day after the date of the first ordinary general meeting in 19

).

Nominal share capital $

divided into*

Total number of shares taken up

to the

19

day of

*

(which number must agree

with the total shown in the list

as held by existing members).

shares of S

each.

shares of $

each.

Number of shares issued subject to payment

wholly in cash

Number of shares issued as fully paid up

otherwise than in cash

Number of shares issued as partly paid up to

the extent of

than in cash

per share otherwise

There has been called up on each of

shares.

There has been called up on each of

shares,

† There has been called up on each of

sbares,

Total amount of calls received, including payments on application and allotment, Total amount (if any) agreed to be con-

sidered as paid on

shares

which have been issued as fully paid up otherwise than in cash,...

Total amount (if any) agreed to be con-

sidered as paid on

shares

which have been issued as partly paid

up to the extent of

per share,

Total amount of calls unpaid, Total amount (if any) of sums paid by way of commission in respect of shares or debentures or allowed by way of discount since date of last summary,... Total amount (if any) paid on §

shares forfeited,

Total amount of shares and stock for

which share warrants are outstanding, Į Total amount of share warrants issned and surrendered respectively since date of last summary,

Number of shares or amount of stock

comprised in each share warrant,

$

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