Section 27.

106

Names, Addresses, and Description of Subscribers.

"1. John Jones of

2. John Smith of

Inerchant.

107

Total amount of debt due from the coin-1 pany in respect of all mortgages and charges which are required to be regis- tered with the registrar of companies,.

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

A.B., No.

+

Queen's Rond, Victoria, Hongkong.

FORM E.

As required by Part 11, of the Ordinance.

SUMMARY OF SHARE CAPITAL and SILARES 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*

shares of S

each.

shares of $

each.

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).

Number of shares issnei subject ro payment

wholly in cash

Number of shares issued as fully paid up

otherwise than in cash

Number of shares issued as parily paid up to

the extent of

per share otherwise

than in ensh

†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

shares,

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 eash,

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 suma paid by way of commission in respect of shares

or debentures or allowed by way of disconut since date of last suntmary....

Total amount (if any) paid on $

sitares forfeited,

$

$

Total amount of shares and stock for į which share warrauts are outstanding, 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 warranı,

$

STATEMENT in the form of a balance sheet male up to the

day of

19 containing the parti- culars of the capital, liabilities, and assets of the company,

When there are shares of different kinds or amounts (eg.. Preference and Ordinary, or $100 or $50) state the numbers aud nominal values separately,

† Where various mots have been called or there are shares of different kinds state them separately.

Include what has been receiver on forfeited as well as on existing shares.

State the aggregate number of shares forfeited (if any).

The Return must be signed at the end by the mannger

or secretary of the company.

Presented for tiling by

LIST OF PERSONS holding shares in the

61

Company Limited, on the

day of

, and of persons who have held shares therein at say thue since the date of the last return, showing their names and addresses and an account of the shares so held.

Names, Addresses, and

*Swing

Occupations.

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ss0uppy

*kunjoų jo bare in

-ogy Supsção do peq

sɔavng jo ddymug 4

stay

Account of Shares.

| § Particolars of Shares! § Partionlars of Shares

transferred since the

Date of the last

Return by Persons

who are still

Num-

ber.

Members.

Date of

Registration

of Transfer.

transferred since the Date of the last

Remarks.

Return by Persons

postao os ogas

to be Members.

Num

her.f

Date of Registration of Transfer.

sapang B

y al opg

the acuber shares held and got the

tine niin

and 1

must to have been taken must be

When the shares are of different classes these columns may be subdivided so that the number of each class held or added up throughout so as to make one total to agree with that stated in the summary transferred may be shown separately.

The date of registration of each transfer should be given as well as the number of sunces transferred on cach date. The particulars should he placed opposite the name of the transferor and not opposite that of the transferce, but tho name of transferee may be inserted in the Remarks" column immediately opposite the particulars of each transfer.

464

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