116-153 Street address line 1 23 MOUSE STREET 154-191 Street address line 2 Blank fill 192-218 Street address suburb, town or locality ASPLEY 219-221 Street address state or territory QLD 222-225 Street address postcode 4034 226-245 Street address country Blank fill -26 SRN/HIN I987654321 -26 Scheme type E 2-2 Security reference code Blank fill Number of ESS interests from taxed up front 00000001000 2-2 schemes eligible for reduction Discount from taxed up front schemes eligible for 00000005000 – reduction Number of ESS interests from taxed up front 00000000000 3-3 schemes - not eligible for reduction Discount from taxed up front schemes not eligible 00000000000 – for reduction Number of ESS interests acquired during the year 00000000000 3-3 under deferral scheme Number of ESS interests with a deferred taxing point 00000000000 3-3 arising during the year 3-3 Discount from deferral schemes 00000000000 Discount on ESS interests acquired pre 1 July 2009 00000000000 and occurred during the financial – ‘cessation time’ 3- year - TFN amounts withheld from discounts 0000000000000 - Discount amounts are assessable or gross (=A or G) A Number of shares acquired under start-up 00000000000 -4 concession Market value of shares acquired under start-up 0000000000000 4-4 concession Acquisition price of shares acquired under start-up 0000000000000 4-4 concession Number of options acquired under start-up 00000000000 4-4 concession Market value of ordinary shares on the date options 0000000000000 4-4 acquired under start-up concession Exercise price of options acquired under start-up 0000000000000 4-4 concession 4-4
116-153 Street address line 1 23 MOUSE STREET 154-191 Street address line 2 Blank fill 192-218 Street address suburb, town or locality ASPLEY 219-221 Street address state or territory QLD 222-225 Street address postcode 4034 226-245 Street address country Blank fill -26 SRN/HIN I987654321 -26 Scheme type E 2-2 Security reference code Blank fill 2-2 Number of ESS interests from taxed up front schemes eligible for reduction 00000001000 Discount from taxed up front schemes – eligible for reduction 00000005000 3-3 Number of ESS interests from taxed up front schemes - not eligible for reduction 00000000000 Discount from taxed up front schemes – not eligible for reduction 00000000000 3-3 Number of ESS interests acquired during the year under deferral scheme 00000000000 3-3 Number of ESS interests with a deferred taxing point arising during the year 00000000000 3-3 Discount from deferral schemes 00000000000 3- Discount on ESS interests acquired pre 1 July 2009 – and ‘cessation time’ occurred during the financial year 00000000000 - TFN amounts withheld from discounts 0000000000000 - Discount amounts are assessable or gross (=A or G) A -4 Number of shares acquired under start-up concession 00000000000 4-4 Market value of shares acquired under start-up concession 0000000000000 4-4 Acquisition price of shares acquired under start-up concession 0000000000000 4-4 Number of options acquired under start-up concession 00000000000 4-4 Market value of ordinary shares on the date options acquired under start-up concession 0000000000000 4-4 Exercise price of options acquired under start-up concession 0000000000000 4-4
ESS_annual_report_specification_Final_v3.0.0_tracked_1.docx