SHAREHOLDER
AGREEMENT

SHAREHOLDER AGREEMENT QUESTIONNAIRE

Please Note: Our Shareholder Agreements are only valid for UK companies only.

To help us structure your agreement correctly, please answer the following questions. If you require any help completing this form, please call 0161 440 8884.

Please bear in mind that answers to the majority of questions are not required if we formed this company for you and there have been no subsequent changes to its structure or registered office.

(A) Your email address

(1) The full name of the company

(2) Please state the company incorporation number

(3) Please state the date of incorporation

(4) What is the full Registered Office address of the company (including postcode)?

(5) What is the company's Accounting Reference Date (ARD)?

(6) What is the company's share capital? (If there are multiple share classes please advise us seperately).

- Number of shares

- Value per share

(7) Please provide full names, addresses and current share allocation for all shareholders below - continue in additional information field at the end of the form if there are more than four shareholders:

Shareholder 1 - Full name (including title)

Shareholder 1 - Shareholdings

Shareholder 1 - Address including postcode

Shareholder 2 - Full name (including title)

Shareholder 2 - Shareholdings

Shareholder 2 - Address including postcode

Shareholder 3 - Full name (including title)

Shareholder 3 - Shareholdings

Shareholder 3 - Address including postcode

Shareholder 4 - Full name (including title)

Shareholder 4 - Shareholdings

Shareholder 4 - Address including postcode

(8) Should the Shareholders' Agreement specify a minimum or maximum number of directors? (Enter "none" if not relevant).

Minimum number

Maximum number

(9) Is there an appointed Chairman?Yes - please enter name belowNo - Please go to question 14

(10) Is a Chairman to be appointed? (we will do this if required).Yes - please enter name belowNo - Please go to question 16

(11) Should the Chairman have a casting vote?YesNo

(12) Enter the name, address and postcode of the company's Accountants / Auditors (Enter "none" if none appointed):

(13) Enter the name, address and postcode of the company's Bankers (Enter "none" if none appointed):

(14) Would a minority shareholder who is also an employee of the company be required to relinquish his or shares upon cessation of employment?Yes - please give details belowNo - please go to question 23

(15) Please specify the percentage shareholding below which shareholders would cease to be party to the agreement (Enter "none" if not relevant):

(16) If the agreement is not intended to run indefinitely, please specify your preferred expiry date below:

(17) Please specify below any other requirements not covered elsewhere in the questionnaire (or use this space to include the titles, names, addresses, postcodes and number of shares held for any additional shareholders not submitted in question 9).

Note: There may be an additional charge if extra time is required to redraft our standard document. We will advise you before commencing any work if applicable.

SHAREHOLDER
AGREEMENT