PREMIER LEAGUE

APPENDICES PREMIER LEAGUE FORMS
PREMIER LEAGUE
DUAL INTEREST NOTICE (Rules G.1 and G.2)
To: The Secretary Date:
The Premier League
Pursuant to Rule V.11 we hereby give notice that a Person
*holds
*has acquired
*has ceased to hold
a Significant Interest in Football Club.
The particulars required by Rule V.12 are as follows:
1. The Person holding/acquiring/ceasing to hold* a Significant Interest in the Club is
(name)
of (address)
2. The details of the Significant Interest are as follows
3. The proportion (expressed in percentage terms) which the Shares bear to the total number of
Shares of that class in issue is %
4. The proportion (expressed in percentage terms) which the Shares bear to the total number of
issued Shares of the Club is %
This notice is given on the basis that the words “Club” “Holding” “Person” “Shares” “Significant Interest”
(together with any other defined terms comprising any part of the definitions set out therein) have the meanings
set out in the Rules of the Premier League.
* delete as appropriate
232
Signed
Position
Form 5