FINANCIAL REPORTING SUPERVISION
FORM FOR FILING PERIODIC INFORMATION AFTER 1 JANUARY 2008 AS REQUIRED BY PARAGRAPH 5.1a.1.2 OF THE DUTCH ACT ON FINANCIAL SUPERVISION (‘WFT’), SECTIONS 5:25C, 5:25D AND 5:25E WFT
You can submit your filing electronically via Loket AFM. To access Loket AFM you will need to use an access code and password which you previously received by email. Via you can request an access code and password.
If you encounter technical problems with filing electronically via Loket AFM you can use this form and send it together with the financial report to
1. Statutory name of the issuer :
2. Address of registered office
a) Address (Street name) :
b) Postal code :
c) City :
d) Country :
3. Please select the type of information:
q Annual financial report
q Half-yearly financial report
q Interim management statement
q Public message released by the issuer
4. Home Member State:
5. (Choice) Home Member State valid until:
6. If applicable date of adoption of the Annual financial report:
7. Please select the language of the periodic information:
q Dutch
q French
q German
q English
q Other namely:
8. Periodic information runs from to .
9. Please select report type
q Consolidated and company financial statements
q Company financial statements
10. Please select reporting standards:
q IFRS and Title 9 of Book 2 of the Dutch Civil Code
q IFRS
q Title 9 of Book 2 of the Dutch Civil Code
q Other reporting standards namely:
11. Which securities are admitted to trading by the issuer:
q Shares, other similar securities (such as participations or depository receipts) and/or debt securities of which the denomination per unit is less than € 1.000,--
q Exclusively debt securities (such as bonds) of which the denomination per unit is at least equivalent to € 1.000,-- but less than € 50.000,--
12. On which regulated market(s) are the securities of the issuer admitted to trading?
Additional information
FORM FOR FILING PERIODIC INFORMATION AFTER 1 JANUARY 2008 AS REQUIRED BY PARAGRAPH 5.1a.1.2 OF THE DUTCH ACT ON FINANCIAL SUPERVISION (‘WFT’), SECTIONS 5:25C, 5:25D AND 5:25E WFT
Contact details
1. Name :
2. Address :
3. Postal code :
4. City :
5. Country :
6. Phone number :
7. Fax number :
8. E-mail :
Completed truthfully:
Date
City
Signature
EXPLANATORY NOTES TO THE FORM FOR FILING PERIODIC INFORMATION AFTER 1 JANUARY 2008 AS REQUIRED BY PARAGRAPH 5.1a.1.2 OF THE DUTCH ACT ON FINANCIAL SUPERVISION (‘WFT’), SECTIONS 5:25C, 5:25D AND 5:25E WFT
If your undertaking is an issuer of shares and/or debt securities of which the denomination per unit is less than € 1.000,-- The Netherlands may be the Home Member State of the issuer. If the securities of the issuer are solely admitted to trading on the Dutch regulated market of Euronext Amsterdam some regulations regarding the disclosure of regulated information apply regardless of the choice for the Home Member State. If the issuer is not incorporated in a Member State of the European Union, but in a third country The Netherlands can be the Home Member State in accordance with Article 10 of Directive 2003/71/EC (‘the Prospectus Directive’[1]).
In case your undertaking issues exclusively debt securities of which the denomination per unit is equivalent or more than € 1.000,-- but less than € 50.000,-- The Netherlands may be the Home Member State of the issuer. The issuer must choose its Home Member State from among the Member State of the European Union in which the issuer has its registered office and those Member States of the European Union (among which The Netherlands) in which its securities are admitted to trading on a regulated market in their territory. If the securities of the issuer are solely admitted to trading on the Dutch regulated market of Euronext Amsterdam some regulations regarding the disclosure of regulated information apply regardless of the choice for the Home Member State. Furthermore The Netherlands automatically become the Home Member State for your undertaking if its registered office is not in a Member State of the European Union but in a third country and its securities are solely admitted to trading on (a) Dutch regulated market(s).
In addition, section 3 of the Dutch Act on the Supervision of Financial Reporting requires undertakings to file with the AFM any message made public by the issuer following a recommendation by the AFM.
As of 1 January 2009 issuers whose securities are admitted to trading on a regulated market shall disclose the following regulated information applied for financial periods beginning on or after 1 January 2008:
Which periodic information? / When shall the periodic information be disclosed to the AFM?Annual financial reports[2] / At the same time the regulated information is made public and at the latest four months after the end of each financial year.
Half-yearly financial reports[3] / At the same time the regulated information is made public and at the latest two months after the end of the first six months of the financial year.
Interim management statements[4] / At the same time the regulated information is made public during the first six-month period and during the second six-month period of the financial year and between ten weeks after the beginning and six weeks before the end of the relevant six-month period.
The annual document[5] / At the same time the regulated information is made public and at least once a year.
The documents mentioned above do not require any signatures for the filing purposes. The AFM wants to stipulate that it cannot be held liable for unauthorized use or any other manner of counterfeiting regarding regulated information made public by the undertaking and kept in the public database of the AFM as officially appointed mechanism for the central storage of regulated information in the Netherlands.
Regulated information shall be made public by a press release on a non-discriminatory basis in the Home Member State and if applicable in the Host Member State(s) (Member State(s) in which securities are admitted to trading on a regulated market, if different from the Home Member State). According to Dutch law it is sufficient when the press release refers to a website where the regulated information is disclosed in full to the public.
Preferably the Annual and Half-yearly financial reports and Interim management statements are filed electronically using Loket AFM at https://www.loket.afm.nl. In order to log in at Loket AFM your undertaking requires an AFM entry code or a DigiD entry code for companies. In case your undertaking does not yet have a DigiD entry code you can request one at the Netherlands Chamber of Commerce. If you have any questions concerning Loket AFM please send an email to . Processing electronic filings, Loket AFM offers you an efficient way of electronic filing which is less time-consuming and providing you instantly with a confirmation that your periodic information has been received by the AFM. The capacity of Loket AFM has been upgraded to 100mb for each document to be filed.
For filing periodic information hard copy, please send the periodic information together with this completed and signed ‘Form for filing hardcopy periodic information’ to: The Netherlands Authority for the Financial Markets, Department Melden en Registreren, P.O. Box 11723, 1001 GS AMSTERDAM.
The annual document can be send by email to .
For further information regarding the filing of periodic information, please send an e-mail to .
The following paragraph is only applicable to issuers which are incorporated in The Netherlands
Furthermore the Annual General Meeting of shareholders of issuers which are incorporated in The Netherlands (statutory seat in the Netherlands) will have to adopt the annual accounts within two months after it has been made public and the issuer shall send the complete annual financial report (including the adopted annual accounts, the management report and the additional information) by email to in order to comply with section 5:25o Wft jo. 2:394 of Book 2 of the Dutch Civil Code.
Amsterdam, January 2013 version 1.1
[1] Official Journal of the European Union 31-12-2003, L 345, p. 64-89.
[2] In accordance with Article 5:25c Wft (transition of Article 4 of the Transparency Directive).
[3] In accordance with Article 5:25d Wft (transition of Article 5 of the Transparency Directive).
[4] Only applicable to issuers of shares in accordance with Article 5:25e Wft (transition of Article 6 of the Transparency Directive).
[5] In accordance with Article 5:25f Wft (transition of Article 10 of the Prospectus Directive).