Conversion of Societas Europaea (SE) to a Public Limited Company (PLC)

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1 In accordance with Article 66 of the Council Regulations (EC) 57/00 and Regulation 85 of the European Public Limited- Liability Company Regulations 004. SE CV0 Conversion of Societas Europaea (SE) to a Public Limited Company (PLC) A fee is payable with this form. Please see How to pay on the last page. Part A What this form is for You may use this form to convert an existing SE to a PLC. SE details Details of converting SE What this form is NOT for You cannot use this form to form an SE by any other means. Do not use this form if any individual person with significant control is applying or has applied for protection from having their details disclosed on the public register. Contact enquiries@ companieshouse.gov.uk to get a separate form. For further information, please refer to our guidance at SE number Full name of converting SE A Proposed PLC name in full For official use A Proposed name Please show the proposed company name below. Company name restrictions Please tick the box only if the proposed company name contains sensitive or restricted words or expressions that require you to seek comments of a government department or other specified body. I confirm that the proposed company name contains sensitive or restricted words or expressions and that approval, where appropriate, has been sought of a government department or other specified body and I attach a copy of their response. Filling in this form Please complete in typescript or in bold black capitals. All fields are mandatory unless specified or indicated by * Duplicate names Duplicate names are not permitted. A list of registered names can be found on our website. There are various rules that may affect your choice of name. More information is available at Company name restrictions A list of sensitive or restricted words or expressions that require consent can be found in guidance available on our website: 06/6 Version 7.0

2 SE CV0 A4 A5 Building name/number Street Situation of registered office Please tick the appropriate box below that describes the situation of the proposed registered office (only one box must be ticked): England and Wales Wales Scotland Northern Ireland Proposed registered office address in the UK Registered office Every company must have a registered office and this is the address to which the Registrar will send correspondence. For England and Wales companies, the address must be in England and Wales. For Welsh, Scottish or Northern Ireland companies, the address must be in Wales, Scotland or Northern Ireland respectively. Registered office address You must ensure that the address shown in this section is consistent with the situation indicated in Section A4. You must provide an address in England or Wales for companies to be registered in England or Wales. You must provide an address in Wales, Scotland or Northern Ireland for companies to be registered in Wales, Scotland or Northern Ireland respectively. A6 Details of draft terms Registration date Please give the date that the SE named in Part was first registered d d m m y y y y Please give the date that the draft terrns of conversion were drawn up. Draft terms In accordance with Article 66() and 66(5) of the Council Regulations (EC)57/000. Drawing up date d d m m y y y y Please give the date that the certificate was prepared. Certificate date d d m m y y y y Please give the date of the meeting that the draft terms and articles of association were approved. Approved date d d m m y y y y 06/6 Version 7.0

3 SE CV0 A7 Part Secretary B Title Full forename(s) Surname Former name(s) Attachments Please tick the boxes below to confirm that all the following documents have been attached to this form. Document description Report by management or administrative organ of the SE converting to PLC in accordance with Article 66() of Council Regulation (EC) No 57/00. Copy of certificate(s) of expert(s) in accordance with Article 66(5) of Council Regulation (EC) No 57/00. Articles of proposed PLC. Copy of Resolution approving conversion of SE to PLC in accordance with Article 66(6) of Council Regulation (EC) No 57/00. Officer details Public companies are required to appoint at least one secretary and must appoint at least two directors, one of which must be an individual. For a secretary who is an individual, go to Section B; for a corporate secretary, go to Section C; for a director who is an individual, go to Section D; and for a corporate director, go to Section E. Please use a continuation page if you need to enter more details. Secretary appointments Please use this section to list all the secretary appointments. For a corporate secretary, complete Sections C-C4. Corporate appointments For corporate secretary appointments, please complete Sections C-C4 instead of Section B. Additional appointments If you wish to appoint more than one secretary, please use the Secretary appointments continuation page. Former name(s) Please provide any previous names (including maiden or married names) which have been used for business purposes in the last 0 years. B Secretary s service address Building name/number Street Country Service address This is the address that will appear on the public record. This does not have to be your usual residential address. Please state The Company s Registered Office if your service address will be recorded in the proposed company s register of secretaries as the company s registered office. If you provide your residential address here it will appear on the public record. 06/6 Version 7.0

4 SE CV0 C Name of corporate body or firm Building name/number Street Corporate secretary appointments Please use this section to list all the corporate secretary appointments. Additional appointments If you wish to appoint more than one corporate secretary, please use the Corporate secretary appointments continuation page. Registered or principal address This is the address that will appear on the public record. This address must be a physical location for the delivery of documents. It cannot be a PO Box number (unless contained within a full address), DX number or LP (Legal Post in Scotland) number. Country C C Where the company/ firm is registered 4 Registration number C4 Legal form of the corporate body or firm Governing law If applicable, where the company/firm is registered 5 If applicable, the registration number Location of the registry of the corporate body or firm Is the corporate secretary registered within the European Economic Area (EEA)? EEA companies Yes Complete Section C only No Complete Section C4 only Please give details of the register where the company file is kept (including the relevant state) and the registration number in that register. Non-EEA companies Please give details of the legal form of the corporate body or firm and the law by which it is governed. If applicable, please also give details of the register in which it is entered (including the state) and its registration number in that register. 4 5 EEA A full list of countries of the EEA can be found in our guidance: This is the register mentioned in Article of the First Company Law Directive (68/5/EEC). Non-EEA Where you have provided details of the register (including state) where the company or firm is registered, you must also provide its number in that register. 06/6 Version 7.0

5 SE CV0 Director D Director appointments Title Full forename(s) Surname Former name(s) Please use this section to list all the director appointments. For a corporate director, complete Sections E-E4. Appointments Public companies must appoint at least two directors, one of which must be an individual. Former name(s) Please provide any previous names (including maiden or married names) which have been used for business purposes in the last 0 years. Country/State of residence Country/State of residence This is in respect of your usual residential address as stated in Section D4. Nationality Month/year of birth Business occupation (if any) 5 4 X X m m y y y y 4 5 Month and year of birth Please provide month and year only. Business occupation If you have a business occupation, please enter here. If you do not, please leave blank. Additional appointments If you wish to appoint more directors, please use the Director appointments continuation page. D Building name/number Street Country Director s service address 6 Please complete the service address below. You must also fill in the director s usual residential address in Section D4. 6 Service address This is the address that will appear on the public record. This does not have to be your usual residential address. Please state The Company s Registered Office if your service address will be recorded in the proposed company s register of directors as The Company s Registered Office. If you provide your residential address here it will appear on the public record. 06/6 Version 7.0

6 SE CV0 X This page is not shown on the public record Do not cover this barcode D Date of birth D4 Building name/number Street Country New director s date of birth Please complete your full date of birth below. d d m m y y y y Director s usual residential address Please complete your usual residential address below. Date of birth You must give the full date of birth. New director s usual residential address Please state Same as service address in this section if your usual residential address is recorded in the company s proposed register of director s residential addresses as Same as the service address. This does not apply if your service address has been stated in Section D as The Company s Registered Office. This cannot be a PO Box, DX or LP (Legal Post in Scotland) number. Section 4 of Companies Act 006 X Section 4 exemption Only tick the box below if you are in the process of applying for, or have been granted, exemption by the Registrar from disclosing your usual residential address to credit reference agencies under section 4 of the Companies Act 006. Different postal address: If you are applying for, or have been granted, a section 4 exemption, please post this whole form to the different postal address below: The Registrar of Companies, PO Box 408, Cardiff, CF4 WE. Where you are applying for a section 4 exemption with this notice, the application and this form must be posted together. If you are currently in the process of applying for, or have been granted, a section 4 exemption, you may wish to check you have not entered your usual residential address in Section D as this will appear on the public record. 06/6 Version 7.0

7 SE CV0 Director D Director appointments Title Full forename(s) Surname Former name(s) Please use this section to list all the director appointments. For a corporate director, complete Sections E-E4. Appointments Public companies must appoint at least two directors, one of which must be an individual. Former name(s) Please provide any previous names (including maiden or married names) which have been used for business purposes in the last 0 years. Country/State of residence Country/State of residence This is in respect of your usual residential address as stated in Section D4. Nationality Month/year of birth Business occupation (if any) 5 4 X X m m y y y y 4 5 Month and year of birth Please provide month and year only. Business occupation If you have a business occupation, please enter here. If you do not, please leave blank. Additional appointments If you wish to appoint more directors, please use the Director appointments continuation page. D Building name/number Street Country Director s service address 6 Please complete the service address below. You must also fill in the director s usual residential address in Section D4. 6 Service address This is the address that will appear on the public record. This does not have to be your usual residential address. Please state The Company s Registered Office if your service address will be recorded in the proposed company s register of directors as The Company s Registered Office. If you provide your residential address here it will appear on the public record. 06/6 Version 7.0

8 SE CV0 X This page is not shown on the public record Do not cover this barcode D Date of birth D4 Building name/number Street Country New director s date of birth Please complete your full date of birth below. d d m m y y y y Director s usual residential address Please complete your usual residential address below. Date of birth You must give the full date of birth. New director s usual residential address Please state Same as service address in this section if your usual residential address is recorded in the company s proposed register of director s residential addresses as Same as the service address. This does not apply if your service address has been stated in Section D as The Company s Registered Office. This cannot be a PO Box, DX or LP (Legal Post in Scotland) number. Section 4 of Companies Act 006 X Section 4 exemption Only tick the box below if you are in the process of applying for, or have been granted, exemption by the Registrar from disclosing your usual residential address to credit reference agencies under section 4 of the Companies Act 006. Different postal address: If you are applying for, or have been granted, a section 4 exemption, please post this whole form to the different postal address below: The Registrar of Companies, PO Box 408, Cardiff, CF4 WE. Where you are applying for a section 4 exemption with this notice, the application and this form must be posted together. If you are currently in the process of applying for, or have been granted, a section 4 exemption, you may wish to check you have not entered your usual residential address in Section D as this will appear on the public record. 06/6 Version 7.0

9 SE CV0 Corporate director E Name of corporate body or firm Building name/number Street Corporate director appointments Please use this section to list all the corporate director appointments. Additional appointments If you wish to appoint more than one corporate director, please use the Corporate director appointments continuation page. Registered or principal address This is the address that will appear on the public record. This address must be a physical location for the delivery of documents. It cannot be a PO Box number (unless contained within a full address), DX number or LP (Legal Post in Scotland) number. Country E E Where the company/ firm is registered 4 Registration number E4 Legal form of the corporate body or firm Governing law If applicable, where the company/firm is registered 5 If applicable, the registration number Location of the registry of the corporate body or firm Is the corporate director registered within the European Economic Area (EEA)? EEA companies Yes Complete Section E only No Complete Section E4 only Please give details of the register where the company file is kept (including the relevant state) and the registration number in that register. Non-EEA companies Please give details of the legal form of the corporate body or firm and the law by which it is governed. If applicable, please also give details of the register in which it is entered (including the state) and its registration number in that register. 4 5 EEA A full list of countries of the EEA can be found in our guidance: This is the register mentioned in Article of the First Company Law Directive (68/5/EEC). Non-EEA Where you have provided details of the register (including state) where the company or firm is registered, you must also provide its number in that register. 06/6 Version 7.0

10 SE CV0 Part Statement of capital F Currency Complete a separate table for each currency Statement of capital Complete the table(s) below to show the share capital. Complete a separate table for each currency (if appropriate). For example, add pound sterling in Currency table A and Euros in Currency table B. Class of shares E.g. Ordinary/Preference etc. Number of shares Aggregate nominal value (,, $, etc) Number of shares issued multiplied by nominal value Continuation pages Please use a continuation page if necessary. Total aggregate amount to be unpaid, if any (,, $, etc) Including both the nominal value and any share premium Currency table A Totals Currency table B Totals Currency table C Totals Totals (including continuation pages) Total number Total aggregate Total aggregate of shares nominal value amount unpaid Please list total aggregate values in different currencies separately. For example: $0 etc. 06/6 Version 7.0

11 SE CV0 F Class of share Prescribed particulars Statement of capital (Prescribed particulars of rights attached to shares) Please give the prescribed particulars of rights attached to shares for each class of share shown in the statement of capital share tables in Section F. Prescribed particulars of rights attached to shares The particulars are: a. particulars of any voting rights, including rights that arise only in certain circumstances; b. particulars of any rights, as respects dividends, to participate in a distribution; c. particulars of any rights, as respects capital, to participate in a distribution (including on winding up); and d. whether the shares are to be redeemed or are liable to be redeemed at the option of the company or the shareholder. A separate table must be used for each class of share. Continuation pages Please use the next page or a Statement of Capital (Prescribed particulars of rights attached to shares) continuation page if necessary. 06/6 Version 7.0

12 SE CV0 Class of share Prescribed particulars Prescribed particulars of rights attached to shares The particulars are: a. particulars of any voting rights, including rights that arise only in certain circumstances; b. particulars of any rights, as respects dividends, to participate in a distribution; c. particulars of any rights, as respects capital, to participate in a distribution (including on winding up); and d. whether the shares are to be redeemed or are liable to be redeemed at the option of the company or the shareholder. A separate table must be used for each class of share. Continuation pages Please use a Statement of capital (Prescribed particulars of rights attached to shares) continuation page if necessary. 06/6 Version 7.0

13 SE CV0 Class of share Prescribed particulars Prescribed particulars of rights attached to shares The particulars are: a. particulars of any voting rights, including rights that arise only in certain circumstances; b. particulars of any rights, as respects dividends, to participate in a distribution; c. particulars of any rights, as respects capital, to participate in a distribution (including on winding up); and d. whether the shares are to be redeemed or are liable to be redeemed at the option of the company or the shareholder. A separate table must be used for each class of share. Continuation pages Please use a Statement of capital (Prescribed particulars of rights attached to shares) continuation page if necessary. 06/6 Version 7.0

14 SE CV0 Part 4 People with significant control (PSC) G Use this Part to tell us about people with significant control or registrable relevant legal entities in respect of the company. Do not use this Part to tell us about any individual people with significant control whose particulars must not be disclosed on the public record. You must use a separate form, which you can get by contacting us enquiries@companieshouse.gov.uk If on registration there will be someone who will count as a person with significant control (either a registrable person or registrable relevant legal entity (RLE)) in relation to the company, tick the box in G and complete any relevant sections. If there will be no registrable person or RLE tick the box in G and go to Part 5 Consent to act. Statement of initial significant control On registration, there will be someone who will count as a person with significant control (either a registrable person or registrable RLE) in relation to the company. Statement of initial significant control If there will be a registrable person (which includes other registrable persons ) or RLE, please complete the appropriate details in sections G, H, I as appropriate. Please use the PSC continuation pages if necessary G Statement of no PSC (Please tick the statement below if appropriate ) The company knows or has reason to believe that there will be no person with significant control (either a registrable person or RLE) in relation to the company 06/6 Version 7.0

15 SE CV0 Individual PSC G Title* Full forename(s) Surname Country/State of residence Nationality Month/year of birth G4 Building name/number Street Country Individual s details Use sections G-G9 as appropriate to tell us about individuals with significant control who are registrable persons and the nature of their control in relation to the company X X m m y y y y Individual s service address Please complete the individual s service address below. You must also complete the individual s usual residential address in Section G6. Country/State of residence This is in respect of the usual residential address as stated in section G6. Month and year of birth Please provide month and year only. Service address This is the address that will appear on the public record. This does not have to be the individual s usual residential address. If you provide the individual s residential address here it will appear on the public record. 06/6 Version 7.0

16 SE CV0 X This page is not shown on the public record Do not cover this barcode G5 Date of birth Individual s date of birth Please complete the full date of birth below. d d m m y y y y Date of birth Please give the full date of birth. G6 Individual s usual residential address Building name/number Street Country Please complete the individual s usual residential address below. Individual s usual residential address You can state Same as service address in this section if the usual residential address is same as the service address. You cannot state Same as service address if the service address has been stated in Section G4 as The Company s Registered Office. You will need to complete the address in full. This address cannot be a PO Box, DX or LP (Legal Post in Scotland) number. Section 790ZF of Companies Act 006 X Section 790ZF exemption Only tick the box below if the individual is in the process of applying for, or has been granted, exemption by the Registrar from disclosing his or her usual residential address to credit reference agencies under section 790ZF of the Companies Act 006. Different postal address: If the individual is applying for, or has been granted, a section 790ZF exemption, please post this whole form to the different postal address below: The Registrar of Companies, PO Box 408, Cardiff, CF4 WE. Where the individual is applying for a section 790ZF exemption with this form, the application and this form must be posted together. If the individual is currently in the process of applying for, or has been granted, a section 790ZF exemption, you may wish to check you have not entered the individual s usual residential address in section G4 as this will appear on the public record. 06/6 Version 7.0

17 SE CV0 G7 G8 Nature of control for an individual Please indicate how the individual is a person with significant control over the company Ownership of shares The individual holds, directly or indirectly, the following percentage of shares in the company (tick only one): more than 5% but not more than 50% Ownership of voting rights The individual holds, directly or indirectly, the following percentage of voting rights in the company (tick only one): more than 5% but not more than 50% Ownership of right to appoint/remove directors The individual holds, directly or indirectly, the right to appoint or remove a majority of the board of directors of the company Significant influence or control (Only tick if none of the above apply) The individual has the right to exercise, or actually exercises, significant influence or control over the company Nature of control by a firm over which the individual has significant control The individual has the right to exercise or actually exercises significant influence or control over the activities of a firm that is not a legal person under its governing law, and: the members of that firm (in their capacity as such) hold, directly or indirectly, the following percentage of shares in the company (tick only one): more than 5% but not more than 50% the members of that firm (in their capacity as such) hold, directly or indirectly, the following percentage of voting rights in the company (tick only one): more than 5% but not more than 50% Tick each that apply. Tick each that apply. the members of that firm (in their capacity as such) hold the right, directly or indirectly, to appoint or remove a majority of the board of directors of the company the members of that firm (in their capacity as such) have the right to exercise, or actually exercise, significant influence or control over the company 06/6 Version 7.0

18 SE CV0 G9 Nature of control by a trust over which the individual has significant control The individual has the right to exercise or actually exercises significant influence or control over the activities of a trust and: Tick each that apply. the trustees of that trust (in their capacity as such) hold, directly or indirectly, the following percentage of shares in the company (tick only one): more than 5% but not more than 50% the trustees of that trust (in their capacity as such) hold, directly or indirectly, the following percentage of voting rights in the company (tick only one): more than 5% but not more than 50% the trustees of that trust (in their capacity as such) hold the right, directly or indirectly, to appoint or remove a majority of the board of directors of the company the trustees of that trust (in their capacity as such) have the right to exercise, or actually exercise, significant influence or control over the company 06/6 Version 7.0

19 SE CV0 Individual PSC G Title* Full forename(s) Surname Country/State of residence Nationality Month/year of birth G4 Building name/number Street Country Individual s details Use sections G-G9 as appropriate to tell us about individuals with significant control who are registrable persons and the nature of their control in relation to the company X X m m y y y y Individual s service address Please complete the individual s service address below. You must also complete the individual s usual residential address in Section G6. Country/State of residence This is in respect of the usual residential address as stated in section G6. Month and year of birth Please provide month and year only. Service address This is the address that will appear on the public record. This does not have to be the individual s usual residential address. If you provide the individual s residential address here it will appear on the public record. 06/6 Version 7.0

20 SE CV0 X This page is not shown on the public record Do not cover this barcode G5 Date of birth Individual s date of birth Please complete the full date of birth below. d d m m y y y y Date of birth Please give the full date of birth. G6 Individual s usual residential address Building name/number Street Country Please complete the individual s usual residential address below. Individual s usual residential address You can state Same as service address in this section if the usual residential address is same as the service address. You cannot state Same as service address if the service address has been stated in Section G4 as The Company s Registered Office. You will need to complete the address in full. This address cannot be a PO Box, DX or LP (Legal Post in Scotland) number. Section 790ZF of Companies Act 006 X Section 790ZF exemption Only tick the box below if the individual is in the process of applying for, or has been granted, exemption by the Registrar from disclosing his or her usual residential address to credit reference agencies under section 790ZF of the Companies Act 006. Different postal address: If the individual is applying for, or has been granted, a section 790ZF exemption, please post this whole form to the different postal address below: The Registrar of Companies, PO Box 408, Cardiff, CF4 WE. Where the individual is applying for a section 790ZF exemption with this form, the application and this form must be posted together. If the individual is currently in the process of applying for, or has been granted, a section 790ZF exemption, you may wish to check you have not entered the individual s usual residential address in section G4 as this will appear on the public record. 06/6 Version 7.0

21 SE CV0 G7 G8 Nature of control for an individual Please indicate how the individual is a person with significant control over the company Ownership of shares The individual holds, directly or indirectly, the following percentage of shares in the company (tick only one): more than 5% but not more than 50% Ownership of voting rights The individual holds, directly or indirectly, the following percentage of voting rights in the company (tick only one): more than 5% but not more than 50% Ownership of right to appoint/remove directors The individual holds, directly or indirectly, the right to appoint or remove a majority of the board of directors of the company Significant influence or control (Only tick if none of the above apply) The individual has the right to exercise, or actually exercises, significant influence or control over the company Nature of control by a firm over which the individual has significant control The individual has the right to exercise or actually exercises significant influence or control over the activities of a firm that is not a legal person under its governing law, and: the members of that firm (in their capacity as such) hold, directly or indirectly, the following percentage of shares in the company (tick only one): more than 5% but not more than 50% the members of that firm (in their capacity as such) hold, directly or indirectly, the following percentage of voting rights in the company (tick only one): more than 5% but not more than 50% Tick each that apply. Tick each that apply. the members of that firm (in their capacity as such) hold the right, directly or indirectly, to appoint or remove a majority of the board of directors of the company the members of that firm (in their capacity as such) have the right to exercise, or actually exercise, significant influence or control over the company 06/6 Version 7.0

22 SE CV0 G9 Nature of control by a trust over which the individual has significant control The individual has the right to exercise or actually exercises significant influence or control over the activities of a trust and: Tick each that apply. the trustees of that trust (in their capacity as such) hold, directly or indirectly, the following percentage of shares in the company (tick only one): more than 5% but not more than 50% the trustees of that trust (in their capacity as such) hold, directly or indirectly, the following percentage of voting rights in the company (tick only one): more than 5% but not more than 50% the trustees of that trust (in their capacity as such) hold the right, directly or indirectly, to appoint or remove a majority of the board of directors of the company the trustees of that trust (in their capacity as such) have the right to exercise, or actually exercise, significant influence or control over the company 06/6 Version 7.0

23 SE CV0 Relevant legal entity (RLE) H Corporate or firm name RLE details Building name/number Street Country H Legal form Governing law If applicable, register in which RLE is entered Country/State Legal form and governing law Please give details of the legal form of the RLE and the law by which it is governed. If applicable, please also give details of the register of companies in which it is entered (including the country/state) and its registration number in that register. Registration number Where you have provided details of the register (including country/ state) where the RLE is registered, you must also provide its number in that register. Registration number 06/6 Version 7.0

24 SE CV0 H Nature of control for the RLE Please indicate how the RLE has significant control over the company Tick each that apply. H4 Ownership of shares The RLE holds, directly or indirectly, the following percentage of shares in the company (tick only one): more than 5% but not more than 50% Ownership of voting rights The RLE holds, directly or indirectly, the following percentage of voting rights in the company (tick only one): more than 5% but not more than 50% Ownership of right to appoint/remove directors The RLE holds the right, directly or indirectly, to appoint or remove a majority of the board of directors of the company Significant influence or control (only tick if none of the above apply) The RLE has the right to exercise, or actually exercises, significant influence or control over the company Nature of control by a firm over which the RLE has significant control The RLE has the right to exercise or actually exercises significant influence or control over the activities of a firm that is not a legal person under its governing law, and: the members of that firm (in their capacity as such) hold, directly or indirectly, the following percentage of shares in the company (tick only one): more than 5% but not more than 50% the members of that firm (in their capacity as such) hold, directly or indirectly, the following percentage of voting rights in the company (tick only one): more than 5% but not more than 50% Tick each that apply. the members of that firm (in their capacity as such) hold the right, directly or indirectly, to appoint or remove a majority of the board of directors of the company the members of that firm (in their capacity as such) have the right to exercise, or actually exercise, significant influence or control over the company 06/6 Version 7.0

25 SE CV0 H5 Nature of control by a trust over which the RLE has significant control The RLE has the right to exercise or actually exercises significant influence or control over the activities of a trust and: Tick each that apply. the trustees of that trust (in their capacity as such) hold, directly or indirectly, the following percentage of shares in the company (tick only one): more than 5% but not more than 50% the trustees of that trust (in their capacity as such) hold, directly or indirectly, the following percentage of voting rights in the company (tick only one): more than 5% but not more than 50% the trustees of that trust (in their capacity as such) hold the right, directly or indirectly, to appoint or remove a majority of the board of directors of the company the trustees of that trust (in their capacity as such) have the right to exercise, or actually exercise, significant influence or control over the company 06/6 Version 7.0

26 SE CV0 Other registrable person (ORP) I ORP details An other registrable person is: a corporation sole a government or government department of a country or territory or a part of a country or territory an international organisation whose members include two or more countries or territories (or their governments) a local authority or local government body in the UK or elsewhere Name of ORP I Principal office address Building name/number Street Principal office address This is the address that will appear on the public record. Country I Legal form Legal form and governing law Governing law 06/6 Version 7.0

27 SE CV0 I4 Nature of control Please show how the ORP has significant control over the company Ownership of shares The ORP holds, directly or indirectly, the following percentage of shares in the company (tick only one): more than 5% but not more than 50% Ownership of voting rights The ORP holds, directly or indirectly, the following percentage of voting rights in the company (tick only one): more than 5% but not more than 50% Ownership of right to appoint/remove directors The ORP holds, directly or indirectly, the right to appoint or remove a majority of the board of directors of the company Significant influence or control (Only tick if none of the above apply) The ORP has the right to exercise, or actually exercises, significant influence or control over the company. Tick each that apply. I5 Nature of control by a firm over which the ORP has significant control The ORP has the right to exercise or actually exercises significant influence or control over the activities of a firm that is not a legal person under its governing law, and: the members of that firm (in their capacity as such) hold, directly or indirectly, the following percentage of shares in the company (tick only one): more than 5% but not more than 50% the members of that firm (in their capacity as such) hold, directly or indirectly, the following percentage of voting rights in the company (tick only one): more than 5% but not more than 50% Tick each that apply. the members of that firm (in their capacity as such) hold the right, directly or indirectly, to appoint or remove a majority of the board of directors of the company the members of that firm (in their capacity as such) have the right to exercise, or actually exercise, significant influence or control over the company 06/6 Version 7.0

28 SE CV0 I6 Nature of control by a trust over which the ORP has significant control The ORP has the right to exercise or actually exercises significant influence or control over the activities of a trust and: Tick each that apply. the trustees of that trust (in their capacity as such) hold, directly or indirectly, the following percentage of shares in the company (tick only one): more than 5% but not more than 50% the trustees of that trust (in their capacity as such) hold, directly or indirectly, the following percentage of voting rights in the company (tick only one): more than 5% but not more than 50% the trustees of that trust (in their capacity as such) hold the right, directly or indirectly, to appoint or remove a majority of the board of directors of the company the trustees of that trust (in their capacity as such) have the right to exercise, or actually exercise, significant influence or control over the company 06/6 Version 7.0

29 SE CV0 Part 5 J Consent to act Please tick the box to confirm consent. I confirm that each of the persons named as a director or secretary has consented to act in that capacity. Part 6 Statement about individual PSC particulars K Particulars of an individual PSC Please tick the box to confirm. The member(s) of the management or administrative organ of the SE confirm that each person named in this application as an individual PSC knows that their particulars are being supplied as part of this application. Only tick this if you have completed details of one or more individual PSCs in sections G-G9 Part 7 L Statement of Compliance Statement of compliance I am signing this form on behalf of the SE and confirm that all the requirements of these Regulations and the EC Regulation in respect of the conversion of an SE into a public company (including as to registration) have been complied with. Signature Signature This form may be signed by: A member of the management or administrative organ of the SE named in Part 06/6 Version 7.0

30 SE CV0 Presenter information You do not have to give any contact information, but if you do it will help Companies House if there is a query on the form. The contact information you give will be visible to searchers of the public record.! Important information Please note that all information on this form will appear on the public record, apart from information relating to usual residential addresses and day of birth. Contact name Company name Address How to pay A fee of 0 is payable to Companies House in respect of a conversion. Make cheques or postal orders payable to Companies House. Where to send Country DX Telephone Checklist We may return forms completed incorrectly or with information missing. Please make sure you have remembered the following: You have filed form SE DT0 in advance of this form. You have given the correct details for the SE. You have given the proposed name of the PLC. You have completed the appointment details for the officers. Any addresses given must be a physical location. They cannot be a PO Box number (unless part of a full service address), DX or LP (Legal Post in Scotland) number. You have completed the statement of capital. You have ticked the appropriate statement in G or G and given any specific PSC details. You have attached the appropriate supporting documents. You have completed the declaration. You have signed the form, where appropriate. You have enclosed the correct fee. You may return this form to any Companies House address, however for expediency we advise you to return it to the appropriate address below: For companies registered in England and Wales: The Registrar of Companies, Companies House, Crown Way, Cardiff, Wales, CF4 UZ. DX 050 Cardiff. For companies registered in Scotland: The Registrar of Companies, Companies House, Fourth floor, Edinburgh Quay, 9 Fountainbridge, Edinburgh, Scotland, EH 9FF. DX ED5 Edinburgh or LP - 4 Edinburgh (Legal Post). For companies registered in Northern Ireland: The Registrar of Companies, Companies House, Second Floor, The Linenhall, -8 Linenhall Street, Belfast, Northern Ireland, BT 8BG. DX 48 N.R. Belfast. Section 4 OR Section 790ZF exemption If you are applying for, or have been granted, a section 4 or 790ZF exemption, please post this whole form to the different postal address below: The Registrar of Companies, PO Box 408, Cardiff, CF4 WE. i Further information For further information, please see the guidance notes on the website at or enquiries@companieshouse.gov.uk This form is available in an alternative format. Please visit the forms page on the website at This form has been provided free of charge by Companies House. 06/6 Version 7.0

31 In accordance with Article 66 of the Council Regulations (EC)57/00 and Regulation 85 of the European Public Limited-Liability Company Regulations 004. SE CV0 - continuation page Secretary B Title Full forename(s) Surname Former name(s) Secretary appointments Please use this section to list all the secretary appointments. For a corporate secretary, complete Sections C-C4. Corporate appointments For corporate secretary appointments, please complete Sections C-C4 instead of Section B. Former name(s) Please provide any previous names (including maiden or married names) which have been used for business purposes in the last 0 years. B Secretary s service address Building name/number Street Country Service address This is the address that will appear on the public record. This does not have to be your usual residential address. Please state The Company s Registered Office if your service address will be recorded in the proposed company s register of secretaries as the company s registered office. If you provide your residential address here it will appear on the public record. 06/6 Version 7.0

32 In accordance with Article 66 of the Council Regulations (EC)57/00 and Regulation 85 of the European Public Limited-Liability Company Regulations 004. Corporate secretary C Name of corporate body or firm Building name/number Street Country SE CV0 - continuation page Corporate secretary appointments Please use this section to list all the corporate secretary appointments. Registered or principal address This is the address that will appear on the public record. This address must be a physical location for the delivery of documents. It cannot be a PO Box number (unless contained within a full address), DX number or LP (Legal Post in Scotland) number. C C Where the company/ firm is registered Registration number C4 Legal form of the corporate body or firm Governing law If applicable, where the company/firm is registered 4 If applicable, the registration number Location of the registry of the corporate body or firm Is the corporate secretary registered within the European Economic Area (EEA)? EEA companies Yes Complete Section C only No Complete Section C4 only Please give details of the register where the company file is kept (including the relevant state) and the registration number in that register. Non-EEA companies Please give details of the legal form of the corporate body or firm and the law by which it is governed. If applicable, please also give details of the register in which it is entered (including the state) and its registration number in that register. 4 EEA A full list of countries of the EEA can be found in our guidance: This is the register mentioned in Article of the First Company Law Directive (68/5/EEC). Non-EEA Where you have provided details of the register (including state) where the company or firm is registered, you must also provide its number in that register. 06/6 Version 7.0

33 In accordance with Article 66 of the Council Regulations (EC)57/00 and Regulation 85 of the European Public Limited-Liability Company Regulations 004. SE CV0 - continuation page Director D Title Full forename(s) Surname Former name(s) Country/State of residence Nationality Month/year of birth Business occupation (if any) 5 4 Director appointments Please use this section to list all the director appointments. For a corporate director, complete Sections E-E4. X X m m y y y y 4 5 Appointments Public companies must appoint at least two directors, one of which must be an individual. Former name(s) Please provide any previous names (including maiden or married names) which have been used for business purposes in the last 0 years. Country/State of residence This is in respect of your usual residential address as stated in Section D4. Month and year of birth Please provide month and year only. Business occupation If you have a business occupation, please enter here. If you do not, please leave blank. Additional appointments If you wish to appoint more directors, please use the Director appointments continuation page. D Building name/number Street Country Director s service address 6 Please complete the service address below. You must also fill in the director s usual residential address in Section D4. 6 Service address This is the address that will appear on the public record. This does not have to be your usual residential address. Please state The Company s Registered Office if your service address will be recorded in the proposed company s register of directors as The Company s Registered Office. If you provide your residential address here it will appear on the public record. 06/6 Version 7.0

34 SE CV0 - continuation page X This page is not shown on the public record Do not cover this barcode D Date of birth D4 Building name/number Street Country New director s date of birth Please complete your full date of birth below. d d m m y y y y Director s usual residential address Please complete your usual residential address below. Date of birth You must give the full date of birth. New director s usual residential address Please state Same as service address in this section if your usual residential address is recorded in the company s proposed register of director s residential addresses as Same as the service address. This does not apply if your service address has been stated in Section D as The Company s Registered Office. This cannot be a PO Box, DX or LP (Legal Post in Scotland) number. Section 4 of Companies Act 006 X Section 4 exemption Only tick the box below if you are in the process of applying for, or have been granted, exemption by the Registrar from disclosing your usual residential address to credit reference agencies under section 4 of the Companies Act 006. Different postal address: If you are applying for, or have been granted, a section 4 exemption, please post this whole form to the different postal address below: The Registrar of Companies, PO Box 408, Cardiff, CF4 WE. Where you are applying for a section 4 exemption with this notice, the application and this form must be posted together. If you are currently in the process of applying for, or have been granted, a section 4 exemption, you may wish to check you have not entered your usual residential address in Section D as this will appear on the public record. 06/6 Version 7.0

35 In accordance with Article 66 of the Council Regulations (EC)57/00 and Regulation 85 of the European Public Limited-Liability Company Regulations 004. Corporate director E Name of corporate body or firm Building name/number Street Country SE CV0 - continuation page Corporate director appointments Please use this section to list all the corporate director appointments. Registered or principal address This is the address that will appear on the public record. This address must be a physical location for the delivery of documents. It cannot be a PO Box number (unless contained within a full address), DX number or LP (Legal Post in Scotland) number. E E Where the company/ firm is registered Registration number E4 Legal form of the corporate body or firm Governing law If applicable, where the company/firm is registered 4 If applicable, the registration number Location of the registry of the corporate body or firm Is the corporate director registered within the European Economic Area (EEA)? EEA companies Yes Complete Section E only No Complete Section E4 only Please give details of the register where the company file is kept (including the relevant state) and the registration number in that register. Non-EEA companies Please give details of the legal form of the corporate body or firm and the law by which it is governed. If applicable, please also give details of the register in which it is entered (including the state) and its registration number in that register. 4 EEA A full list of countries of the EEA can be found in our guidance: This is the register mentioned in Article of the First Company Law Directive (68/5/EEC). Non-EEA Where you have provided details of the register (including state) where the company or firm is registered, you must also provide its number in that register. 06/6 Version 7.0

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