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  • 8/7/2019 Google Ireland Registry

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    ,

    Company Name )i n f u ll

    Return made up to )o ote o n

    t:0GLE IRELAND HOLDINGSDay Month Year

    ~ ~ 12 1 0 1 1 1 0 1If the retum Is made up to a date earlier than the existing ARD, do you wishto retain the anniversary of the existing AROfor next year? note two

    YesD NooDay Month Year

    From @ I ! ] @ i l l 121 010191inancial Year )---~n ot e t hr ee The company is claiming the exemption from audit in respect of the financial year covered by Ihe accounts Dattached to this return.

    Registered Office)n ote fo ur

    Other Addresses)note five

    Secretary )____.n ote s ix

    n ote s ix

    ResidentialAddressnote six

    Donations forPolillcal Purposesn ot e e ig ht

    To

    70 Sir John Rogerson's Quay, Dublin 2, Ireland

    Address Regisler(s)/documents held al this address

    Surname Former Surname nole sevenfAR:~~~R~I~S~O~N~~~~~~~~~~~~~~~~~~~~~~~~~=lr~_o_n_e ~Forename Former Forename n ol e s ev enr-O-N-AL--D--S-T-EW--AR--T-------------------,IEone

    Mar1nov1ch Way, Los Altos CA 94024, Un1ted States

    Name of person or polilical party 10 whom donation was made Value of donalion I_

    . _ _ _ f o n e _ _ - 1 1 1 - - - 1 _Presenter Details)

    NameAddress

    OXNumberTelephone NumberEmail

    Person10whom queries can be addressed~theson Ormsby Prentice .70 Sir John Rogerson's Quay, Dublin 2, Ireland

    OXExchange .--01 232 2000 Fax Number 01 232 3333jrno p@mo p.ie Reference Number 638956/39

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    Authorised ShareCapital Total

    no#enine IE/_ 1,000,100.001 made up as fotlows:.,.C""la_;s;;;.s-------------...;_----.J Number of Shares -ORDINARY 1,000,000 1.00series A Ordinary 100 1.00

    Nominal ValuePer ShareEI

    Issued Share Capital(Insert n om in al v al ue s)Total

    101. 001 made up as follows:

    Paid up on shares issued for cash E I - 100.00

    } The sum of theseConsidered paid on other shares E I - 1.00 li gures must equal thetotal issued shareTotal cal ls unpaid I - 0.00 (E) capital.Tota l not yet cal led E I 0.00 (F)Shares Issued )C on s/d era Uo n sll cII5h Total standing to c r e d i t of Capital Convers ion Reserve Fund n o te t en I L . ~ . ; _ I _ = - . . . ; 0 : . . ;. . ; 0 . . : . . 0Class Number of Shares Total Nominal Value I Total Premium Paid I Total Amount Paid I- -ORDINARY 99 99.00 0.00 99.00

    series A Ordinary 1 1.00 0.00 1.00

    Tolals (A) 100 (C) 100.00C onsldoraU on not 1111ehClass Number of Shares Total Nominal Value I

    Total Premium ConsideredPaid I

    Total Amounl ConsideredPaid I- -

    ORDINARY 1 1.00 335, 0 0 3, 521 . 00 335,003,522.00

    Total, (8) 1 (O) 335,003,522.00Totals

    Total number of shares I 1011issued (A) + (8) L . . . . . . . . Total paid and unpaid and consIdered IE Ipaid (C) + (D) + (E) + IF) L. - - - = _ = - - - 3_3_5_,00_3_,_62_2_._0--,0Th io 10101" " '" -vr . . wl1h 1he lola! numll.r of IINro. h eld b y .xJa!ing . .. .. "b . .. 1.lednUleLI.!."Pul end_nllll_ .._len oI1he '""""Other Share f

    Debenture Detailsno te e l ev e n

    IBLUEPRI~Page 2

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    lilt of Past andPresent Members

    notes $i xendthirteenName

    Address

    Folio No.Name

    Address

    Fol io No.Name

    Address

    Fol io No.

    NameAddress

    Folio No.Name

    Address

    Fol io No.Name

    Address

    Fol io No.Name

    Address

    Fal la No.Name

    Address

    Fol io No.Name

    Address

    Fol ia No.Name

    Address

    Fol io No.Total number held

    Persons holding shares on the date to which the annual return has been made up for 20 J : ._ (insert year) and ofpersons who have held shares therein at any time since the date of the last retum, or in the case of the first return, thedate of Incorporation of the company. note twelveD Tick box if the list of past and present members is submitted on CD.

    Name and Address Number Transfer red Part iculars o tand Date Transfereenote fifteen notefifteen

    Share Class Numbers Heldnote fourteen

    po OGLE BE RM UD A U NL IMI TE D ~l.OO Senes A 1Clarendon House, 2 Church prdinary~treet, PO Box HM666, Hamilton~cx, Bermuda

    GOO GL E BE RM UD A LI MIT ED f:l.00 ORDINARY 100l ar en do n Ho us e, 2 Ch ur chStreet. Hamilton HM 11, Bermuda

    ,

    1011 The total number of shares held must a gre e W lt h t h e total number of ISsued shares'-- ---'. given In the Share_Issued section (total Of (A) plus (8. Page 3

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    DirectorsInCItdng .hMIOwI_~~,."y

    note six

    note six

    Date of Birth

    Residential Addressnote six

    Surname Former Sumame n ote s av enrIH-O-R-R-I-L-L-O-------------------------,~INone'l:F:-:o~re:-::n:-::a":'m:-::e~---------------.J Former Forename note seven

    I~R~O~NN~I~MAR~--I-E~~-------------------..ll~N-o-n-e---------------------- ~Day Month Year~ ~ 1 1 1 9 1 6 1 7 1 EEA Resident note sixteen D Alternate Director not e sev en teen D1 5 0 5 Emory Street, San Jose CA 9 5 1 2 6 , United States

    Business Occupation ITreasury and Risk Manager INationality IAmeriCan 1rc_ ; ;o,; . ;m,;: ;p_ ; ;a;; , ;n,:_y__ ; ,n; , , ;;o, ; .; te;,_ ; ; , ;eig,: : :h; ., . te; . ; .; ; ,e; ., .n - . Place of Incorporation not e n inet een Company Number

    Other Directorships I See continuation sheet I I 1 1 " " 1 - - - . . . . . : . . - - ' ' - - - - - , 1Surname Former Surname n ote s ev en

    nate six 1""1-U-TC--H-IN--S-O-N------------------------'IINoneForename ~F~orm==e~r~F~o~re~n~a=m~e~no~t~e~s~B~ve~n~---------..

    note six "'1 TH--O-MA---S-W--E-S-L-E-y----------------------.IIL.N_o_n_e ----JDay Month Year

    Date of Birth [ I I 2 J [2li] 1 1 1 9 1 6 1 5 1Residential Address

    note six

    EE A Resident not e s ix teen D Alternate Director note sev en teen D1 4 3 5 Montclaire Place, Los Altos CA 94024, United States

    Business Occupation ITax Director 1 Nationality IAmerican I"'C,...o-m--p-a-ny--no-,-te-e'""ig,-h,...t:-ee-n-------------I Place of Incorporation not e n inet een Company Number

    Other Directorships 1See continuation sheet II Ir l - - - . . . . . : . . _ _ ; = - - - - - - - . ISurname Former Surname no te s e ve n

    note six IrR-I-C-HAR---O-S-O-N----------------------.11NoneForename Former Forename note seven

    noteslx I . .,;.;AM~O,;.;N,;.;,;.;-ANT---H-O-NY----------------------__,II~N_o_n_e .JDay Month Year

    Date oJBirth II0 [ill] 1 1 1 9 1 7 1 2 1Residential Address

    note six

    EEA Resident nate s ix teen D Alternate Director note seventeen ~2 3 1 Louise Lane, San Mateo CA 94403, United States

    Business Occupation IInternational Tax Manager I NationalHy IAmeriCan 1Company not e e ight een Place of Incorporation nat e n inet een Company Number

    OtherDirectorships Irs-e-e";_-c=-o-n-t-1-'-u;;.a-t-i-o-n--s-h-e-e-t---------,II 1 1 " " 1 - - - . . . : . . - - ' ' - - - - - "CertlflcaUon )

    n ote tw e ntyWe hereby certify that (I) this form has been completed in accordancew~h the Notes on Completion of Form Bl. contains the particulars In respect of the company as atthe dateto which the return is made upand that (ii i)

    Namein bold capi tals or typeScript

    The company is not a private company.The company is a private company and has not since the date oJthe fast a nual return (Drthe dateof incorporation if this is the first return) issued any invitation tothe public tshares or debentures inthe company.The company Is a private company with more than 50 membmembers over 50 consisting wholly of persons who. under ctio: : :~_~~~50

    D[i]D

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    SeC/etary

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    Other Directorships Company Number 1369511~ = = = = = = = = = = ~ - - - - - - - - - - - - - - - - - - - .Director's Name 1 RONNI MARIE HORRILLO

    Form 81Continuation sheet

    Other directorships

    C om pa ny N am a no t e e igh te en P l ace o f I n cor po r at ionno t e n ine t e en Res ignedCompanyNumberD OU BL EC LI CK I NT ER NA TI ON AL T EC H 291686S OL UT IO NS L IM IT ED ( IN L IQ UI DA TI ON )

    W AL KW AY T EC HN OL OG IE S l RE r. AN D 465805

    Continuation Page 1

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    Other Directorships Company Number 1369511~ = = = = = = = = = = ~ - - - - - - - - - - - - - - - - - - ~Director's Name 1 THOMAS WESLEY HUTCHINSON

    Form 81 Continuation sheet

    Other directorships

    C om pa ny N am e no te e igh teenPlace of Incorporat ionno te n in e te e n Resigned

    CompanyNumber

    OOUBLECLICK INTERNATIO N~ T ECH 2n686S OL UT IO NS L IM IT ED (I N L IQ UI DA TI ON )

    W AL KW AY T EC HN OL OGI ES I RE LA ND 465805

    .

    Continuation Page 2

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    Other DirectorshiPS) C ompan y N umber 1369511~ = = = = = = = = = = ~ - - - - - - - - - - - - - - - - - - - ,D ir ecto r' s Name 1 DAMON ANTHONY RICHARDSON

    Form 81 Continuation sheet

    Other directorships

    C om pan y N am e no te e igh teen Place of Incorporationno te n ine teen ResignedCompanyNumberO OU BLE CL IC K IN TE RN ATI ON AL T ECH 291686S OL UTI ON S LIM IT ED (IN LI QU ID ATI ON I

    O OUBLE CL ICK I NT ER NAT IO NA L TE CH 291686S OLU TI ON S LI MIT ED (IN LI QU ID ATI ON )

    WALKWAY TECHNOLOGIES IRELAND 465805

    Continuation page 3