1964_INSURANCE_COMPANIES_ORDINANCE — Page 52

1988 Ed.]

Insurance Companies

FORM B

[CAP. 41

51

[para. 2, 2nd Sch.]

PARTICULARS REQUIRED IN RESPECT OF BODIES CORPORATE WHICH ARE

Name of Insurer*

DIRECTORS OR CONTROLLERS

The following are particulars of a body corporate which became director, controller, chief executive or managing director, or which is a partner in a partnership which became director, controller, chief executive or managing director of the above-named Insurer on

.... (date).

1. Name and address of body corporate and address of registered office (where different). 2. Principal business activity.

3. Address of principal place of business established in Hong Kong.

4. Date and place of incorporation.

5. Registered number (if any).

6. Full name and residential address of every director and every controller.

(Note: In relation to a body corporate which is not an insurer, "controller" is to be construed as a reference to a person who would, if he were a company, be a holding company of that body in accordance with section 2(7) of the Companies Ordinance).

7. Name and address of main bank.

8. Accounts for the last 3 completed financial years and particulars of any reports, resolutions and other circulars issued to shareholders during the last 4 years.

9. Name, place of incorporation and principal business activities of all subsidiary companies and of any holding company or ultimate holding company.

(Note: Shares held by a nominee are to be treated as shares held by his principal).

†10. In the case of a company to which Part XI of the Companies Ordinance applies--

(a) name(s) and address(es) of person(s) residing in Hong Kong authorized to accept on behalf of the company service of process and any notices;

(b) date of registration under Part XI of the Companies Ordinance.

†11. Particulars of circumstances (by reference to section 9(1) of the Insurance Companies Ordinance) by virtue of which the above-named body corporate became a controller.

12. Has any body corporate or insurer with which the above-named body corporate was associated as director or controller in the last 10 years, in Hong Kong or elsewhere, been compulsorily wound up or made any compromise or arrangement with its creditors or ceased trading in circumstances where its creditors did not receive or have not yet received full settlement of their claims, either whilst the above-named body corporate was associated with it or within one year after the above-named body corporate ceased to be associated with it? If so, give full particulars.

(Note: In relation to a body corporate which is not an insurer, "controller" is to be construed as a reference to a person who would, if he were a company, be a holding company of that body in accordance with section 2(7) of the Companies Ordinance).

I certify that the above information is complete and correct to the best of my knowledge and belief and I certify that this notice is served with the knowledge and consent of the above-named body corporate.

Date

Signed

(Director/Secretary of body corporate.)

I certify that the above particulars have been supplied by the above-named body corporate and that in respect of *

†(a) the above-named body corporate is Director/Controller/Chief Executive/Managing Director

†(b) ....... above-named body corporate is a partner in Controller

of which the

Date

* Insert name of Insurer.

† Delete as necessary.

+ Insert name of partnership.

Signed

(Director/Secretary† of the Insurer.)