FORM 3B - Director/Chief Executive Notice – Interests in Shares of Associated Corporation
 
Form Serial Number: DB20210924E00069 
1. Date of relevant event: 21/09/2021
(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: 00876 
4. Name of listed corporation: Kaisa Health Group Holdings Ltd.
5.  Name of associated corporation of listed corporation: Kaisa Capital Investment Holdings Limited
6. Registered office: Windward 3, Regatta Office Park, P.O. Box 1350, Grand Cayman KY1-1108, Cayman Islands 
7.  Principal place of business: Unit 3610, 36/F., The Center, 99 Queen’s Road Central, Central, Hong Kong
8.  Class of shares in which interested: Ordinary shares 
9.  Number of issued shares in class: 1,060,000,000
12. Exchange on which listed: The Stock Exchange of Hong Kong Limited
13. Name of director (English) as printed on HKID Card/Passport:
(Surname) Kwok
(Other names) Hiu Yan
16. Name of director (Chinese): 郭晓欣 
17. Chinese Character Code as printed on HKID Card:
30. 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) Nature of consideration
Long position
1113The number of shares in which you are interested has increased because:
any other event (you must briefly describe the relevant event in the Supplementary Information box)
2201Interest of corporation controlled by you
600,020,000
Short position 
 
 
 
           
 
31. Total shares immediately before the relevant event:
 Total number of sharesPercentage figure (%)
Long position00.00
Short position00.00
 
32. Total shares immediately after the relevant event:
 Total number of sharesPercentage figure (%)
Long position600,020,00056.60
 
33. Capacity in which interests disclosed in Box 32 are held:
Capacity codeNumber of shares
2201Interest of corporation controlled by you
Long position275,600,000
2501Other (you must describe the capacity in the Supplementary Information box)
Long position324,420,000
 
34. Further information in derivative interests in associated corporation:
Derivatives code Exercise period (dd/mm/yyyy) Consideration - if derivatives granted by associated corporation Number of shares
  BeginsEndsCurrencyPrice for grantCurrencyExercise priceCurrencyPrice on assignment 
           
 
35. Further information in relation to interests of children under 18 and/or spouse:
Child/SpouseName of child/spouseNumber of shares
 
 
36. 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
Excel Range Investments Limited3rd Floor, J & C Building, Road Town, Tortola, British Virgin Islands, VG 1110Kwok Hiu Yan33.33Y
Long position275,600,000
 
37. Further information in relation to interests held by director jointly with another person:
Name of joint shareholderAddressNumber of shares
 
 
38. Further information from a trustee, a beneficiary of a trust, or a person who has set up a discretionary trust:
Names of TrustAddressStatus codeNumber of shares
  
 
39. Supplementary information: Ms. Kwok has been appointed as an executive director of Kaisa Health Group Holdings Ltd. since 21 September 2021. To supplement on Box 33, the capacity code of 2501 refers to the interests held by Mighty Empire Group Limited, a party acting in concert wiht Excel Range Investments Limited which is controlled by Ms. Kwok.
40. Log/Serial Number of the previous form:
Date of filing this Form 3B: 24/09/2021
(dd/mm/yyyy)