FORM 3A - Director/Chief Executive Notice - Interests in Shares of Listed Corporation
 
Form Serial Number: DA20230427E00274
1. Date of relevant event: 13/04/2023
(dd/mm/yyyy)
2. Date when director became aware of the relevant event/ interest in the shares (if later):
(dd/mm/yyyy)
3. Stock code: 09669
4. Name of listed corporation: 北森控股有限公司 
5. Class of shares: Ordinary Shares 
6. Number of issued shares in class: 715,297,060
7. Name of director (English) as printed on HKID Card/Passport:
(Surname) Liu
(Other names) Xianna
10. Name of director (Chinese): 劉憲娜 
11. Chinese Character Code as printed on HKID Card:
 
24. Details of relevant event:
  Brief description of relevant event Capacity in which shares were/are held Number of shares bought/sold or involved Currency of transaction On Exchange Off Exchange
Before relevant event After relevant event Highest price (per share) Average price (per share) Average consideration (per share) Consideration code
Long position 
1701Miscellaneous
On listing of the corporation or a class of shares of the listed corporation
 
 
 		          
 
Short position 
 
 
 		            
 
25. Total shares in listed corporation immediately before the relevant event:
 Total number of sharesPercentage figure (%)
   
 
26. Total shares in listed corporation immediately after the relevant event:
 Total number of sharesPercentage figure (%)
Long position2,843,1500.40
 
27. Capacity in which interests disclosed in Box 26 are held:
Code describing capacityNumber of shares
2101Beneficial owner
Long position1,112,160
2305Beneficiary of a trust (other than a discretionary interest)
Long position1,730,990
 
28. Further information in derivative interests in listed corporation :
Derivatives code Exercise period (dd/mm/yyyy) Consideration - if derivatives granted by listed corporation Number of shares
  BeginsEndsCurrencyPrice for grantCurrencyExercise priceCurrencyPrice on assignment 
Long position
4105Unlisted derivatives - Physically settled
01/03/202401/03/2028  USD0.000  278,040
Long position
4105Unlisted derivatives - Physically settled
01/03/202501/03/2028  USD0.000  278,040
Long position
4105Unlisted derivatives - Physically settled
01/03/202601/03/2028  USD0.000  278,040
Long position
4105Unlisted derivatives - Physically settled
01/03/202701/03/2028  USD0.000  278,040
 
29. Further information in relation to interests of children under 18 and/or spouse:
Child/SpouseName of child/spouseNumber of shares
 
 
30. Further information in relation to interests of corporations controlled by Director:
Name of controlled corporationAddress and place of incorporationName of controlling person% controlDirect interest (Y/N)Number of shares
   
 
31. Further information in relation to interests held by Director jointly with another person:
Name of joint shareholderAddressNumber of shares
 
 
32. Further information from a director who is a trustee, or beneficiary of a trust, or a person who has set up a Discretionary Trust:
Names of TrustAddressStatus codeNumber of shares
(private)Addresses of individuals are not displayed.
5102Beneficiary of a trust (other than a discretionary interest)
Long position1,730,990
 
33. Further information from a party to an agreement under Section 317 (Please see Notes for further information required):
Names of other partiesAddressNumber of shares
 
Total number of shares in which a director is interested under sections 317 and 318
 
34. Supplementary information: 根據首次公開發售前購股權計劃，方格28所涉及的購股權行使價為每股0.00001美元。方格32所涉及的權益包括劉憲娜女士作為員工信託受益人，因其於上市前已獲授的1,730,990份購股權已獲行使且根據彼等行使購股權的1,730,990股股份於上市時發行予員工持股平臺Chunsen Holding Limited，而對該等員工持股平臺持有的1,730,990股股份中擁有權益。
35. Log/Serial Number of the previous form:
36. Number of concert party document(s) under section 317 attached/uploaded:
Date of filing this Form 3A: 27/04/2023
(dd/mm/yyyy)