| POLISH SECURITIES AND EXCHANGE COMMISSION | |||||||||||
| UNI - EN REPORT No | / | ||||||||||
| Date of issue: | |||||||||||
| Short name of the issuer | |||||||||||
| 34 | |||||||||||
| Subject | |||||||||||
| Official market - legal basis | |||||||||||
| Unofficial market - legal basis | |||||||||||
| Contents of the report: | |||||||||||
| Annexes | |||||||||||
| File | Description | ||||||||||
| (fullname of the issuer) | |||||||||||||
| (short name of the issuer) | (sector according to clasification of the WSE in Warsow) | ||||||||||||
| (post code) | (city) | ||||||||||||
| (street) | (number) | ||||||||||||
| (phone number) | (fax) | ||||||||||||
| (e-mail) | (web site) | ||||||||||||
| (NIP) | (REGON) | ||||||||||||
| SIGNATURE OF PERSONS REPRESENTING THE COMPANY | |||||
| Date | Name | Position / Function | Signature | ||