Shares Outstanding Report Form
Please complete this form to report current shares outstanding, share class details, and any changes for the specified period.
Company Name
*
Company Registration Number
*
Reporting Period Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reporting Period End Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Share Classes
*
Were there any changes in outstanding shares during the reporting period?
*
Yes
No
If yes, please specify the type(s) of change that occurred
Issuance of new shares
Share buyback
Stock split / reverse split
Conversion between share classes
Other
Please provide details of the changes (number of shares affected, date, and reason)
Total Shares Outstanding (All Classes, End of Period)
*
Please upload supporting documentation (e.g., board resolutions, share registers)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Additional Comments or Explanations
Contact Person Name
*
First Name
Last Name
Contact Person Email
*
example@example.com
Contact Person Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Submit Report
Should be Empty: