Form KO-1 Report on Lending Operations Abroad

FORM KO–1
REPORT ON LENDING OPERATIONS ABROAD BASIC INFORMATION Reporting period Responsible person Period/Year Responsible person’s address INFORMATION ON RESIDENT Responsible person’s e-mail ID number Name of resident Information on the person filling in the form Resident’s office address (street and number) Name and surname Municipality Accounting agency Resident’s status Phone Activity (main activity) E-mail Date of founding Date of entry (dd-mm-yyyy) Type of entity Type of investment INFORMATION ON NON-RESIDENT Name of non-resident Non-resident’s office Country of non-resident Type of entity Non-resident’s activity (main activity) Country of parent company Type of foreign investment Share in capital (in %)

INFORMATION ON LOANS
Name of non-resident
LOAN
Type of agreement
Date of agreement
Loan type
Security instrument
Government guarantees Maturity Loan agreement currency Loan repayment currency Agreed amount Recorded amount PRINCIPAL Debt balance at the start of the reporting period Increase of principal Matured principal Principal repaid in the reporting period Capitalised principals Currency differentials Other (state the type of change) Other (amount) Debt balance at the end of period Total outstanding matured obligations INTEREST

Type of interest
Interest rate
Total interest on loan Balance at the start of the period Accrued interest for the reporting period Repaid interest Interest accrued to principal Other (state the type of change) Other (amount) Debt balance at the end of period Accrued outstanding interest Total accrued unmatured interest ________________________________________ (Stamp and signature)