Phu luc so 12
Appendix 12
BAO C A O KÉT Q UA G IA O DICH C Ó P H I É U /C H Ú N G CHÍ QUY
CIJA NGUÓI NÓI BÓ VA N G U Ó I CÓ LIEN QUAN

RE POR T ON RESUL TS OE TRA NSA CTION IN SHA RES/ EVND CER TIFICA TES
OEINTERNAL PERSON AND AEFIL1A TED PERSONS
(Barí hánh kém theo Thóng tusó 155 /2015/TT-BTC ngáy 06 lliáng 10 nám 2015 cita
Bó Tai chính huáng dan córtg bó thóng fin tren thi tru&ng chírng khoán)
(Promulgated with the Circular No 155/2015/TT-BTC on October 06, 2015 ofthe Ministry
o f Finance guiding the Information disclosure on securities markets)
C O N O HÓA XA HUI CHÜ N G H lA VIET NAM
Doc lap - Tu- do - Hanh phúc

THE SOCIALIST REPUBLIC OE V1ETNAM
Independence - Ereedom - Happiness
.... ngáy ... tháng... nám...
........ dav ... montli... year ...
BAO C A O KÉT Q UA G IA O D |C H CO P H I É U /C H Ú N G CHÍ QUV CUA NGUÓI
NQI BÓ CUJA CÓNG TY DAI CHÚNG, NGUÓI NÓI BO CUA QUY DAI CHÚNG V A
N G U Ó I CÓ LIEN Q U A N C Ü A N G U Ó I NÓI BÓ

RE POR T ON RESUL TS OE TRA NSA CTION IN SHA RES/ EUND CER TIFICA TES
OF INTERNAL PERSON OE PUBLIC COMPANY, INTERNAL PERSON OE
PUBLIC EUND AND RELA TED PERSONS OF INTERNAL PERSON

1.

Kính giri:

- Uy ban Chírng khoán Nhá nuóc


fund management company (if any) or relationship with the public company. the Jund
management company:
-

Chúc vu tai cóng ty dai chúng, cóng ty quan ly quy tai ngáy dáng ky giao dich (néu

c ó)/Positíion in the public company, the fund management company at registration datefif
any):........................ vá ngáy khóng con la nguói nói bó hoác nguói có lién quan cua ngirói
nói bó cúa cóng ty dai chúng, cóng ty quán ly quy:............. (néu ró ly do) */ and date on

which is no lunger internal person or related person of interna/ person o) the public
company, the fund management company:
*: Muc nay chi dánh cho trirang hop chira hét thái han dáng ky giao dich. dói tirong
dáng ky' khóng con la nguai nói bó hoác nguói có lién quan cua ngirói nói bó cua cóng ty
dai chúng, cóng ty quán ly quy/ This ítem is onlyjor cases not yet registration deadline of
transaction, the registrant is no longer the internal person or related person o f interna/
person o f the public company, the Jund management company.
2. Thóng tin vé ngirói nói bó cua cóng ty dai chúng/quy dai chúng la nguói có lién
quan cúa cá nhán/tó chúc thirc hién giao dich (dói vái tnráng hop ngirói liare hién giao dich

la nguai có lién quan cúa nguai nói bó cúa cóng ty dai chúng/quy dai chúng)/ Information
about internal person o f the public company/public Jund is related person o f trading
individual/organization (in case trader is related person o f internal person o f the public
company/public Jund):
- Ho vá tén nguói nói bó/ Ñame o f internal person: David Eric Roes
- Quóc tich/ Nationality: United States of America
- So CMND, Hó chiéu, The can cuóc/ ID card/Passport No.: 545617230
- Dia chi thuóng trú/ Permanent address:
-Dién thoai lién he/ Address:

4,942,200 / 13.96%

6. So lugng có phiéu/chúng chi quy dáng ky mua / Number o f shares/fund

certijicates registered to purchase: 600,000
7. So lugng có phicu/chúng chi quy da giao dich (mua) **/ Number of shares/fund

certijicates traded (purchase) : 500,000
8. So lugng, ty le có phiéu/chúng chi quy nám giú sau khi thuc hicn giao dich/

Number, ownership proportion o f shares/fund certijicates held after executing transad ion:
5,442,200 / 15.37%

9. Phuong thúc giao dich/ Mode o f iransaction: Put through
10.
Thó'i gian thuc hién giao dich/ Transaction period: tú ngáy//'rom 02/03/2017 den
ngáy/to 31/03/2017.

1 1. Ly do khóng thuc hién hét so lugng dáng ky/ The reason fo r Jailure to purchase in

full the registered number: Because the price has moved higher than expected price.
(Trong truóng hgp khóng
CÁ N H Á N /T Ó C H Ú C BAO C Á O /
thuc hién hét so lugng dáng N G U Ó I D U O C ÜY Q U Y É N C Ó N G BÓ T H ÓN G TIN
ky, nguai nói bó/nguófi có lién
ÑAME OF RFPORTINC, ORGANIZA T/ON/
quan phai giái trinh nguyén
INDI VID UA1 / PERSONS A L'THORIZED TO
nhán.)/ * (In case of failing to
DISCLOSE INFORMA TION