CM 15 Return of Allotment of shares
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Form CM 15
REPUBLIC OF NAMIBIA
BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA
COMPANIES ACT 2004
(Section 99(3)) (Regulation 26(1))
RETURN OF ALLOTMENT OF SHARES
Name of company
1.
Date of allotment of shares
2.
Authorised capital of company
No par value
Par value
Number of shares
Class of shares
Number of shares
Class of shares
Nominal amount of each share
Authorised capital
N$
N$
Total
Total
Total
N$
3. Shares subscribed for in memorandum of association:
No par value
Par value
Number of shares
Class of shares
Number of shares
Class of shares
Nominal amount of each share
Total amount
paid-up
N$
N$
Total
Total
Total
N$
4. Number of shares previously issued, paid-up capital and stated capital, including shares subscribed for in the memorandum.
No par value
Par value
Number of
shares
Class of shares
Issue price per share
Stated
Capital
N$
Number of
shares
Class of shares
Nominal
amount of
each share
Amount of
issued paid-up capital
N$
N$
Total
Total
N$
Total
Total
N$
Summary of issued capital prior to allotment:
Amount of issued paid-up capital
N$
Stated capital
N$
Premium account
N$
Total issued capital
N$
5. Shares comprising this allotment:
No par value
Par value
Number of
shares
Class of shares
Issue price per share
Stated
Capital
Number of
shares
Class of shares
Nominal
amount of
each share
Premium one each share
Total amount of paid-up
capital and premium
(if any)
N$
N$
N$
N$
N$
Total
Total
N$
Total
Total
N$
6.(a) Shares allotted otherwise than for cash:
No par value
Par value
Number of
shares
Class of shares
Issue price per share
Deemed
Stated
Capital
Number of
shares
Class of shares
Nominal
amount of
each share
Premium one each share
Total amount of capital
deemed to be paid-up
N$
N$
N$
N$
N$
Total
Total
N$
Total
Total
N$
the consideration for which the shares have been allotted is as follows* …………………………………………………………………
……………………………………………………………………………………………………………………………………………………………
*A copy of the contract, in writing, constituting the title of the allottee to the allotment, together with any contract of sale, or for service or other consideration in respect of which the allotment was made, must be attached. If the contract is not in writing, a memorandum containing full particulars of such contract must be attached.
The names and addresses of the allottees:
Name of allottee
Address of allottee
Number of shares
Description of shares allotted
7. Issued capital at date of this return:
No par value
Par value
Number of
shares
Class of shares
Issue price per share
Stated
Capital
Number of
shares
Class of shares
Nominal
amount of
each share
Premium on each share
Total premium account
Total amount of capital
deemed to be paid-up
N$
N$
N$
N$
N$
N$
Total
Total
N$
Total
Total
N$
N$
Summary of total issued capital as at the date of this return:
Amount of issued paid-up capital
N$
Stated capital
N$
Premium account
N$
Total issued capital
N$
Certified correct
Date
Signature
Director/Manager/Secretary
Rubber stamp of company, if any, or of secretaries
Perforated (To be completed by company)
Date of receipt by
Registrar of Business
_______________________
Acknowledgement of receipt of return of allotments, dated
Name of company
Registrar of Business
Postal address
Date stamp of Business Registration Office
Email address:
Copyright: Business and Intellectual Property Authority, Namibia
N$ 20,00 fee payable in terms of the Act and as set out in the regulations.
Registration Number of Company
Continuation of Form CM 15
Continuation of Form CM 15