SECTION 603

The subscription form shall state: 1)the company name followed, where applicable, by its acronym; 2)the company type; 3)the amount of stated capital; P. 166 of 267 4)the address of the headquarters; 5)the company registration number in the registry of commerce and securities; 6)the amount and terms of the capital increase: nominal shares, issue price; 7) where applicable, the amount to subscribe for shares issued in cash and the amount paid for contribution in-kind; 8) the name orcompany name and address of the personreceiving the funds; 9) the last and first name, and domicile of the subscriber and the number of shares subscribed; 10) statement of the depositary in charge of receiving the funds; 11) statement of the notary in charge of drawing up the statement of subscription and payment; 12) statement of delivery of the copy of the subscription form to the subscriber. Payment of shares