PHLJ L|JC SO 12BAo cAo KET oUA GIAo DIcH ' NGtPorco c6 PHIEU/cHuHc LIEN cni ouY c0n NGLPoI NOI BO VA euAN REPORT ON RESUL TS OF IRANS/CNON iN SHARES/FUND CERTIFICATES OF INTERNAL PERSO
Trang 1PHLJ L|JC SO 12
BAo cAo KET oUA GIAo DIcH ' NGtPorco c6 PHIEU/cHuHc LIEN cni ouY c0n NGLPoI NOI BO VA
euAN
REPORT ON RESUL TS OF IRANS/CNON iN SHARES/FUND CERTIFICATES OF INTERNAL PERSO/V
(Ban hdnh kem theo ThOng tu s6 155/201,/TT-BTC ngdy 06 thdng 1o nam 201 5 cla BO Tdi chinh hubng ddn
cdng bA th1ng tin ten thi truong chtrng khoAn)
(Promulgated with the Circular No 155/2015/TT-BTC on October 06, 2015 of the Ministry of Finance guiding
the lnformation disclosure on securities markets)
DOc lap - TtP do - Hqnh phric
THE SOCIALIST REPUBLIC OF VIETNAM
lndependence - Freedom - Happiness
, day month year
BAo cAo KET oUA GIAo DIcH cO PHIEU/CHOUC CniOUY CUA NGUOI NOI BO
cuA coNG Ty DAr CHUNG, r.rOUOr Nor Bo CUA auv Dfl CHoNG VA NGUO| CO
OF PUBLIC COMPANY, INTERNAL PERSON OF PUBLIC FUND AND RELATED PERSONS OF
INTERNAL PERSO/V
- Sd giao dich chung khoAn Ha NQi
1 Th6ng tin vd c5 nhin/t6 chuc thuc hien giao dich/ lnformation on individual/ organization:
- Ha va ten ca nhaniTCn t6 choc/ Name of individual/organizafioni NGUYEN MANH HAO
- Qu6c tich/ Naflonafity ViCt Nam
- So CMND, HO chi€u, The cen cuoc (d6i voi ca nhan) hoac 56 GiSy chung nhan dang ky doanh nghiep, GiSy phep hoat dong hoic giSy td phap ly tuong duong (d6i voi t6 choc), ngay c5p, noi cbpl lD
card/Passpott No (in case of individual) or Certificate of busr,ness reg,sfration No (in case of organization),
date of issue, place of issue: 023418920 - cdp ngey 06/10/2005 - tai TP.HCM
- Dia chi lien he/Dia chi trq sd chlnh/ Address: 574179 Nguy5n Ki0m, P4, Q Ph( Nhuan, TP.HCM
-Dien thoai/ Telephone 08.38256395 Fax: 08.38256396 Email: Website:
- Choc vu hien nay tai cong ty ttai chrlng, c6ng ty quan ry quy (n6u co) hoic m6i quan hC voi c6ng ty d?i chUng, cong ty quan li quy/ Current position in the public company, the fund management company (if any) or relationship with the-pubtic.company, the fund management company: Thinh vi6n HDQT ki6m T6ng girim tl6c C6ng ty c6 phan The KY 21
- Chuc vu tai cong ty dai chUng, cong ty quan ly quy tAi ngay dSng ki giao dich ,reu c6lt Posittion in the public company, the fund manag.ement company at registration date (if any): Thitnh vien HOQT ki6m T6ng giSm cf6c C6ng ty c6 phan The Ki 21vil ngay khong con la nguoi noi b0 hoac ngudi c6 li6n quan cl]a nguoi noi b0 crira cong ty dai chung, cong ty quan ly quy: (ncu ro l'i do) *l and date on which is no longer internal person or related person of internal person of the public company, the fund nanagement company:
.: MLtc ney chi ddnh cho trudng hEp chua h6t thdi han ddng ky, giao dich d6i tuong ddng ki, khong con ld ngudi n1i b0 hodc nguoi c6 fien quan cia ngudi n1i bA cia cOng ty dai ch0ng, c1ng ty quen li, quy/ This item
Trang 2is only for cases not yet registration deadline of transaction, the registrant is no longer the internal person or
related person of internal person of the pubtic company, the fund management company
2 Thong tin ve nguoi noi bq cia cong ty dai chong/quy dai chung Ia nguoi co lien quan cia ca nhan/t6 chuc
c1ng ty dAi chlng/quy dAi ch1ng)l lnformation about internal person of the public company/public fund is related person of trading individual/organization (in case trader is related person of internal person of the
p u blic com pan y/p ubl ic f u nd ) :
- HA va ten ngudi nQi bdl Name of internal person:
- Qu6c lichl Nationality:
- 56 CMND, HO chi6u, Thd cen cuOc/ /D card/Passpott No.:
- Dia chi thuong tt()l Permanent address:
- ChLrc vu tai cOng ty dai chUng, c6ng ty quan ly quy tai ngay ca nhAn/t6 chuc neu tai muc 1 deng ky giao
dicnl Posittion in the public company, the fund management company at date on which individual /
organization referred tc in paragraph 1 to regbtet the transaction:
- Chuc vtr hien nay tai cong ty dai ch0ng, c6ng ty quan ly quil Currently posittion in the public company, the
- M6i quan he gira cd nhan/t6 chuc thuc hien giao dich voi nguoi nli blt Relationship of
individual/organization executing transaction with internal person:
- 56 luqng, t! lQ c6 phieu/chung chi qu! ma ngudi noi b9 dang nim gi0 (n6u c6)l Number ownership
propottion of shares held by the internal (if any):
3 Ma chung khoan giao dich/ Securities code: C21
4 Cec tai khoan giao dich c6 c6 phieu/chL?ng chi quy n€u lai mvc 3lTrading account number with shareslfund
ceftificates mentioned above: 001C507910 tai c6ng ty chOng khoan/ /n securities company C6ng ty cO
phin ch0ng kh6an Bao Vigt
5 56 lugng, t! 16 c6 phi€u/chting chi qu! n5m gio truoc khi thuc hien giao dich/ Number, ownership
proportion of shareslfund certificates held before transaction: 599.999 CP - chiem 3,1Q%
6 56 luong c6 phieu/chung chi qu! ddng ky mua/ban/cho/ttLt'oc cho/teng/aruEc tang/thi?a t<clctruyen
nhuqng/nhan chuyen nhuqng/ Number of shares/fund ceftificates registered to purchase/ sale/ give/ be
given/ donate/ be donated /inheriv transfer/ transferred: 50.000CP
7 56 lugng c6 phieu/chung chi quy da giao dich (mua/ban/cho/duqc cho/tang/dugc teng/thua ke/chuy6n
nhuqng/nhan chuydn nhuqng/hoan d6i\ / Number of shares/fund ceftificates traded (purchase/ sale/ give/
be given/ donate/ be donated /inheriy transfer/ transferred/swap): 50.000 CP
8 56 luqng, t! lQ c6 phi6u/chring chi quy n5m gio sau khi thuc hien giao dichl Number, ownership propottion
of shares/find cefiificates hetd after executing transaction: 649.999 CP - chi€m 3,36%
9 Phuong thuc giao dich/ Mode of transaction: thda thuAn
10 Thoi gian thuc hi6n giao dich/ Transaction period: ngdy 0911112016
:l lTlol.S trucrng hqp kh6ng thuc
nOi b6/ ngudi c6 lien quan phai giai
trinh nguyen nnan.)l'(ln case of
failing to execute full registered
number, the internal person/ related
person of internal person shall need
to explain the reasons.)
NGUO| Drrgc 0y auyEN c6NG BO rHoNG TlN NAME OF REPORTING ORGANIZATION/
INDIVIDUAU PERSONS AUTHORIZED TO DISCLOSE