19 July 2016
Australian Securities Exchange Limited Level 40 Central Park
152-158 St Georges Terrace PERTH WA 6000
Dear Sir
On-Market Buy-Back
Notification of Cancellation of Shares
In accordance with Listing Rule 3.8A, we enclose a copy of the Form 484 that was lodged with ASIC.
Yours faithfully
Leanne Stevens Company Secretary
Electronic Lodgement
Document No. 7E8170001
Lodgement date/time: 19-07-2016 16:01:31
Reference Id: 95306513
Australian Securities & Investments Commission
Change to company details
Form 484
Corporations Act 2001
Company details Company name
CHALICE GOLD MINES LIMITED
Australian Company Number (ACN)
116 648 956
Lodgement details Who should ASIC contact if there is a query about this form?
Name
Leanne STEVENS
Signature
This form must be signed by a current officeholder of the company.
I certify that the information in this form is true and complete Name
Leanne STEVENS
Capacity Secretary Signature
Date signed
19-07-2016
Form 484 - Change to company details
CHALICE GOLD MINES LIMITEDACN116 648 956
C1 Cancellation of shares
Reason for cancellation Shares cancellation details
Reason for cancellation
ss.257H(3) Share buyback - Other buy-back type. A form 280 or 281 must be lodged at least 14 days, and no more than 1 year before the share buy-back can take place
The cancelled shares are listed below:
Share class code
|
Number of shares
cancelled
|
Amount paid (cash
or otherwise)
|
ORD
|
930000
|
166900
|
Earliest Date of cancellation
05-07-2016
C3 Change to share structure
The updated details for this changed share class are shown in the table below.
Share class
code
|
Full title if not standard
|
Total number of
shares
|
Total amount paid on
these shares
|
Total amount unpaid
on these shares
|
ORD
|
ORDINARY
|
281780802
|
22020303.49
|
0.00
|
Earliest date of change
05-07-2016