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On Industrial Safety

Original Language Title: o průmyslové bezpečnosti

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405/2011 Sb.



DECREE



of 7 November. December 2011



on industrial safety



Change: 416/Sb.



The national security agency determined according to § 15a paragraph 1. 7, § 64, § 75a

paragraph. 4 and section 135 (a). (b)), d), (g)), i) to) Act No. 412/2005 Coll. on

the protection of classified information and security, as amended by

amended, (hereinafter referred to as the "Act"):



§ 1



Patterns in the field of industrial safety



(1) the model application under section 96 paragraph entrepreneurs. 1 of the Act is set out in

Annex 1 to the present Decree.



(2) the model certificate pursuant to § 54 para. 3 of the Act is set out in

Annex No 2 to this Decree.



(3) the model for the extradition of a foreign certificate power pursuant to § 57

paragraph. 2 of the Act is set out in annex 3 to this notice.



(4) the model application for recognition of the security permissions of the entrepreneur according to §

62 para. 2 of the Act is set out in annex 4 to this notice.



(5) the model questionnaire pursuant to section 97 of the Act an entrepreneur is given in annex No.

5 to this Decree.



(6) the model Declaration of waiver of confidentiality under section 96

paragraph. 2 (a). (d)) of the Act is set out in annex 6 to this Ordinance.



(7) the model of the certificate of the entrepreneur according to § 15a of the Act is given in annex

# 7 of this Decree.



§ 2



Justification for the request of the entrepreneur according to § 96 para. 1 of the law



Justification for the request contains data on entrepreneurs



and) line of business in which the entrepreneur wants to access

classified information,



(b)), in the framework of the public contract which required access to classified

information, the contracting authority and the expected duration of the contract

management,



(c)) the concession contract, under which required access to classified

information, the contracting authority and the expected duration of

the award procedure,



(d) a public contract or concession) contract before the start of the award or

the award procedure by which the entrepreneur intends to apply and under which

assumes access to classified information, the contracting authority or the public

the contracting authorities shall award the contract and estimated date of the award or

management,



e) Treaty, or other law, on the basis that it is

access to classified information, the subject matter of this agreement and

providers of classified information,



(f)) of the grounds on which entrepreneurs will emerge a classified

information,



(g)) the circumstances that justify the desired form of access in accordance with section 20

the law.



§ 3



Documents to verify compliance with the conditions for the issue of a certificate of the entrepreneur

According to § 96 para. 2 (a). (c)) of the Act



(1) an entrepreneur who is a legal person, to the request of the entrepreneur

be accompanied by a



and evidence of its decisions) authorities of the facts which are

entered in the commercial register and are not been written,



(b) a contract of silent partnership) for entrepreneurs,



c) proof of the bond issue, stating the reason and the total amount of issue

issued bonds



(d)) of the Treaty on the lease of premises, buildings and land referred to in section 97 (a). (d))

the law,



e) proper accounts for the last 5 years,



f) control agreement or a written report on the relations of ^ 1), if the

the entrepreneur of the controlled person, over the past 5 years,



(g)) of a written report on the audit of the accounts for the ordinary

the last 5 years in the scope of the auditor's opinion, if so determined by the different

Law ^ 2)



(h) the obligations of business) a summary of the activities that are after the deadline

maturity of more than 180 days, giving the individual creditors and reason

non-payment,



I) statement of account owner in the central register of investment instruments,



j) overview of all participation in the public limited liability companies and holdings

in the preparation,



for an overview of other) investment securities ^ 3), provided that the

they are not in the central register, shares and shareholdings in the share capital of

public companies, limited partnerships and companies with

limited liability company and member deposits in cooperatives.



(2) the individual entrepreneur shall be attached to the request of the entrepreneur



and the contract on the lease of space), the buildings and lands referred to in section 97 (a). (d))

the law,



(b)) ordinary financial statements, if the accounting, or tax returns,

If the tax register under the Act on income taxes, and under the

the last 5 years,



(c)) the written report on the audit of the accounts for the ordinary

the last 5 years in the scope of the auditor's opinion, if so determined by the different

Law ^ 2)



(d) an overview of the obligations from the business) activities that are after the deadline

maturity of more than 180 days, giving the individual creditors and reason

non-payment,



e) statement of account owner in the central register of investment instruments,



(f)) a list of all participation in the public limited liability companies and holdings

in the preparation,



g) overview of other investment securities ^ 3), provided that the

they are not in the central register, shares and shareholdings in the share capital of

public companies, limited partnerships and companies with

limited liability company and member deposits in cooperatives.



(3) the documents referred to in paragraph 1 (b). (h)) to) and in paragraph 2 (a).

d) to (g)) must not be older than 60 days from the date of issue and the entrepreneur is the

presented in the original or in an officially certified copy thereof.



(4) Reports referred to in paragraph 1 (b). h), (j)), and k) and paragraph 2. (d)),

f) and (g)) must be dated and signed by the responsible person.



(5) the documents referred to in paragraph 1 (b). a) to (g)) and in paragraph 2 (a).

a) to (c)) the entrepreneur can present a copy to which the responsible person

your signature will confirm the completeness of the information provided and match copy with

the original.



(6) a foreign person who is an entrepreneur, according to another legal

prescription ^ 4), showing the documents referred to in paragraph 1 or 2 of the form

other documents from the relevant register by country of origin.



(7) the manner and form of submission of documents referred to in paragraphs 1 and 2 are

set out in § 5 para. 3.



§ 4



Request of the entrepreneur according to § 96 para. 4 and 5 of the Act



The application of the entrepreneur, filed pursuant to § 96 para. 4 and 5 of the Act an entrepreneur

shall be accompanied by the questionnaire of the entrepreneur, which fills in the identifying information in the

the scope of the name or trade name and identification number of the person and shall indicate the

the data that have changed and have not been notified under section 68 (b). (c)), and (d))

the law; changes to the documents listed in documents the entrepreneur section 3 and in the manner

and in the form stipulated in § 5.



§ 5



The method and form of submission of the request of the entrepreneur



(1) the request of the entrepreneur and the Declaration of waiver of confidentiality

shall be submitted in paper format or by delivery to a mailbox of the national

Security Office or in electronic form) ^ 5.



(2) a questionnaire will be submitted in paper form and delivery to

a data box of the national security office or in electronic

form in the format specified on the website of the national

Security Authority. The filing in electronic form may be made even on

technical data medium.



(3) the documents referred to in section 3 may be submitted in paper form or by delivery of

in the data box or in the national security agency electronic

form ^ 5).



(4) electronic templates of the forms in annexes 1, 3 to 7 to

This notice publishes the national security agency on its

website.



(5) the appearance of the paper form of the completed questionnaire entrepreneurs must

match the look of the view in electronic form.



§ 6



Notification of changes in the application range of the entrepreneur



(1) changes to the information in the request entrepreneurs under § 103 para. 2 of the Act is

the entrepreneur is obliged to notify the date of the request.



(2) changes in the application under section 68 (b) entrepreneurs. (c)) of the Act is

the entrepreneur is obliged to notify for a period of validity of the certificate.



(3) changes in the application under section 68 (b) entrepreneurs. (d)) of the Act is

entrepreneur after the period of validity shall be obliged to notify once a

calendar year, on a date which is the date matches the date of the

the certificate. The entrepreneur is not obliged to notify the change to the data in the questionnaire

entrepreneurs under section 97 (a). (c)), j) to (l)).



(4) in the event of changes in the security documentation announces changes to entrepreneur

only in the section that has changed. In the case of notification of changes by

paragraph 2 indicates that entrepreneur changes only in the type of collateral

the protection of classified information, for which there was a change.



§ 7



The method and form of submission of notification of changes



(1) changes to the information in the questionnaire of the entrepreneur announce entrepreneur

through a questionnaire and evidence of entrepreneurs is the documents referred

in § 3. If there was a change in the information referred to in section 97 (a). e) of the Act,

It does not announce the entrepreneur through the questionnaire, the entrepreneur, but

It only showing the documents referred to in section 3. In the case of notification of changes

under section 68 (b). (c)) of the Act provide proof of an entrepreneur who is a legal

person, changes of correspondence in the scope of § 3 para. 1 (b). a) and (b)).



(2) for the notification of amendments under section 6 shall apply the provisions of § 3 para. 3 to 7

and § 5 para. 2 and 3 apply mutatis mutandis.



(3) if the holder of the certificate is more entrepreneur entrepreneurs shall notify the

changes only in a single copy. In the questionnaire, the entrepreneur shall provide all

classification and types of access.



§ 8



Safety instructions pursuant to § 75a para. 4 of the law



(1) safety instructions contains in particular



and) the designation of central public administration authority that approves security


instruction,



(b)) the rules and method of controlling classified information,



(c)) the conditions of protection of classified information and restrict access to

classified information classification of top secret,



(d)) list of classified information and specification of classified

information that will arise in the context of the performance of the contract, including their

classification,



(e)) of the Contracting Parties, the contact rules requiring access to classified

information,



(f)) rules the classification of classified information arising

under the contract,



(g)) the manner and form of provision and transport of classified information,



(h) notification of cases) rules, disclosure, misuse or loss of

classified information, or if there is suspicion of such conduct,



I) rules for visits requiring access to classified information,



j) rules on disposal of classified information after the termination of the contract and



to the rules of the communication of the Contracting Parties).



(2) the annex to the safety instruction is



and for the main contract) Directive for the assignment of degrees of confidentiality in the context of the

the project,



(b)) in the subcontracting list of degrees of secrecy.



§ 9



Regulation (EEC)



Shall be repealed:



1. Decree No. 526/2005 Coll., on the establishment of patterns used in the field of

industrial safety and of the lists of documents and their constituent parts

necessary to verify compliance with the conditions for the issue of a certificate of the entrepreneur and of the

method of submission of the application (Decree on industrial safety).



2. Decree No. 11/2008 Coll., amending Decree No. 526/2005 Coll. on

the determination of patterns used in the field of industrial safety and the

lists of documents and their constituent parts necessary to verify compliance with

the conditions for the issue of a certificate of the entrepreneur and the way of application

entrepreneurs (Ordinance on industrial safety).



§ 10



The effectiveness of the



This Decree shall enter into force on 1 January 2000. January 2012.



Director:



Ing. He returned in r.



Annex 1



Pattern



REQUEST OF THE ENTREPRENEUR



(article 96, paragraph 1, of Act No. 412/2005 Coll.)



Annex 2



Model of the certificate



Annex 3



Pattern



AN APPLICATION FOR A CERTIFICATE FOR A FOREIGN POWER



(article 57, paragraph 2, of Act No. 412/2005 Coll.)



Annex 4



Pattern



APPLICATION FOR RECOGNITION OF THE SECURITY PERMISSIONS OF THE ENTREPRENEUR



(article 62, paragraph 2, of Act No. 412/2005 Coll.)



Annex 5



Pattern



THE QUESTIONNAIRE OF THE ENTREPRENEUR



(section 97 of the Act No. 412/2005 Coll.)



Entrepreneur



* natural person



* public company,



* limited partnership,



the limited liability company,



the joint-stock company,



* team



the State Enterprise



foreign person



other legal persons.



and)



Valid data which shall be entered in the commercial, trade, or

like the register or record



A1) identification of entrepreneurial natural persons



and 1.1 Name/business name



identification number of the person and (1.2)



and 1.3 Name



and 1.4 the last name



and 1.5 academic degree



and 1.6 birth number



and 1.7 date of birth



and 1.8 place of birth



and 1.9 District of birth



and 1.10 Become birth



and 1.11 residence (residence)-District



and 1.12 Village



and 1.13 ZIP CODE



and 1.14 Street



and 1.15 house number



and 1.16 municipality number/registration



This section only filled in the following businesses:



* natural person



* natural person registered in the commercial register.



A1) identification of entrepreneurs registered in the commercial register



and 1.1 business name



identification number of the person and (1.2)



and 1.3 registered office-district



and 1.4 the municipality



and 1.5 ZIP CODE



and 1.6 Street



and 1.7 house number



and 1.8 municipality number/registration



This section only filled in the following businesses:



* public company,



* limited partnership,



the limited liability company,



the joint-stock company,



* team



the State enterprise.



A1) identification of legal persons



and 1.1 Name



identification number of the person and (1.2)



and 1.3 registered office



and 1.4 the Terms in which it is registered



and 1.5 additional fact



This section only filled in the following businesses:



other legal persons.



A2) identification of foreign persons



Company/name and 2.1



and 2.2 legal form



and 2.3 persons identification number



and 2.4 Index on which it is registered



and 2.5 registration number



and 2.6 Seat/place of residence



and 2.7 State



and 2.8 for more facts



and 2.9 branch registered in the Czech Republic yes/no



organizational folder Name and 2.10 in the Czech Republic



and the identification number of the organizational folders 2.11 the registered in the Czech Republic



This section only filled in the following businesses:



foreign person.



A3) place of business



and 3.1-District Headquarters



and 3.2 the village



and 3.3 ZIP CODE



and 3.4 Street



and 3.5 house number



and 3.6 municipality number/registration



This section only filled in the following businesses:



of a natural person.



A4) line of business, in which access to classified

information



Filling out this section for all entrepreneurs.



and 5.1) statutory body-natural person-citizen of the Czech Republic



and 5.1.1 the name



and 5.1.2 Surname



and 5.1.3 academic degree



and 5.1.4. Social Security number



and 5.1.5 date of birth



and 5.1.6. Place of birth



and 5.1.7 the County of birth



and 5.1.8 State of birth



and Features from 5.1.9



and Function in 5.1.10



This section only filled in the following businesses:



* public company,



* limited partnership,



the limited liability company,



the joint-stock company,



* team



the State enterprise.



and 5.2) statutory body-natural person-the stranger



and 5.2.1 Name



and 5.2.2 last name



and 5.2.3. Academic degree



and 5.2.4 date of birth



and 5.2.5. Place of birth



and 5.2.6 District of birth



and 5.2.7 State of birth



and 5.2.8 resident abroad



and 5.2.9 State and duration of stay



and place of residence in 5.2.10. Czech Republic



and 5.2.11 Function from



and 5.2.12 functionality to



5.2.13 and country of citizenship



This section only filled in the following businesses:



* public company,



* limited partnership,



the limited liability company,



the joint-stock company,



* team



the State enterprise.



and 5.3) statutory authority-the legal person of the Czech Republic



and 5.3.1 trading company



and 5.3.2 identification number of the person



and 5.3.3 Function from



and 5.3.4 to



This section only filled in the following businesses:



* public company,



* limited partnership,



the limited liability company,



the joint-stock company,



* team.



and 5.4) statutory authority-foreign legal entity



and 5.4.1 trading company



and 5.4.2 Identification information



and 5.4.3 index, on which it is registered



and 5.4.4 the registration number



and the seat section 5.4.5



and 5.4.6 State



and 5.4.7 Function from



and 5.4.8 functionality to



This section only filled in the following businesses:



* public company,



* limited partnership,



the limited liability company,



the joint-stock company,



* team.



and 6.1) Proxy-State citizen of the Czech Republic



and 6.1.1 Name



and 6.1.2 last name



and 6.1.3 academic degree



and 6.1.4. Social Security number



and 6.1.5 date of birth



and 6.1.6 place of birth



6.1.7 District and birth



and 6.1.8 State of birth



and 6.1.9 Function from



and Function to 6.1.10



This section only filled in the following businesses:



* natural person



* public company,



* limited partnership,



the limited liability company,



the joint-stock company,



* team



the State enterprise.



and 6.2) Chief Clerk-the stranger



and 6.2.1 Name



and 6.2.2 last name



and 6.2.3. Academic degree



and 6.2.4 date of birth



and 6.2.5. Place of birth



and 6.2.6 District of birth



and 6.2.7 State of birth



and 6.2.8 resident abroad



and 6.2.9 State and duration of stay



and repeat their place of residence in the Czech Republic



and 6.2.11 Function from



6.2.12 Function and to



6.2.13 and country of citizenship



This section only filled in the following businesses:



* natural person



* public company,



* limited partnership,



the limited liability company,



the joint-stock company,



* team



the State enterprise.



and 7.1) a partner/member-natural person-citizen of the Czech Republic



and 7.1.1 Name



and 7.1.2 Surname



and 7.1.3 academic degree



and 7.1.4 birth number



and 7.1.5 date of birth



and 7.1.6 place of birth



and 7.1.7 District of birth



and 7.1.3 State of birth



and 7.1.9 deposit amount



and 7.1.10 Currency



7.1.11 and share capital



and the share represented by tribal 7.1.12 sheet yes/no



7.1.13 Deposit paid and yes/no



and the amount of the capital contribution 7.1.14



7.1.15 Companion/member and from



and the associate/member to 7.1.16



This section only filled in the following businesses:



* public company,



the limited liability company,



* team.



and 7.2) a partner/member-natural person-the stranger



and 7.2.1 Name



and 7.2.2 Surname



and 7.2.3 the academic degree



and 7.2.4 date of birth



and 7.2.5 place of birth



and 7.2.6 District of birth



and 7.2.7 State of birth



7.2.8 and Residence abroad



and 7.2.9 State and duration of stay



7.2.10 place of residence and in the Czech Republic



7.2.11 and country of citizenship



and 7.2.12 deposit amount



7.2.13 and Currency



7.2.14 and share capital



and the share represented by tribal 7.2.15 sheet yes/no



7.2.16 Deposit paid and yes/no



and the amount of the capital contribution 7.2.17



7.2.18 Companion/member and from



and the associate/member to 7.2.19



This section only filled in the following businesses:




* public company,



the limited liability company,



* team.



and 7.3) the shareholder/member-legal person of the Czech Republic



and 7.3.1 trading company



and 7.3.2 identification number of the person



and 7.3.3 deposit amount



and 7.3.4 Currency



and 7.3.5 share capital



and 7.3.6 share represented by the parent sheet yes/no



and 7.3.7 Deposit paid yes/no



and the amount of the capital contribution 7



and Companion/member from 7.3.9



and 7.3.10 associate/member of the



This section only filled in the following businesses:



* public company,



the limited liability company,



* team.



and 7.4) the shareholder/member-legal person of a foreign



and 7.4.1 of firm



and 7.4.2 identifier



and 7.4.3 index, on which it is registered



and 7.4.4 number of the entry



and 7.4.5 Headquarters



and 7.4.6 State



and 7.4.7 deposit amount



7.4.8. Currency and



and 7.4.9. Share capital



and 7.4.10 share represented by the parent sheet yes/no



7.4.11 Deposit paid and yes/no



and the amount of the capital contribution 7.4.12



and Companion/member from 7.4.13



and the associate/member to 7.4.14



This section only filled in the following businesses:



* public company,



the limited liability company,



* team.



and 8.1) a limited partner-natural person-citizen of the Czech Republic



and 8.1.1 Name



and 8.1.2 last name



and 8.1.3 academic degree



and 8.1.4 birth number



and 8.1.5. Date of birth



and 8.1.6. Place of birth



and 8.1.7 District of birth



8.1.8 State of birth and



8.1.9 and deposit amount



and 8.1.10 Currency



and 8.1.11. Share capital



8.1.12 Deposit paid and yes/no



and the amount of the capital contribution 8.1.13



and a limited partner from 8.1.14



and Limited to 8.1.15



This section only filled in the following businesses:



* limited partnership.



and 8.2) a limited partner-natural person-the stranger



and 8.2.1 Name



and 8.2.2 Surname



and 8.2.3 academic degree



and 8.2.4 date of birth



and 8.2.5 place of birth



and 8.2.6 District of birth



and 8.2.7 State of birth



and 8.2.8 resident abroad



and 8.2.9 State and duration of stay



and place of residence in 8.2.10 Czech Republic



and 8.2.11 citizenship



and 8.2.12 deposit amount



8.2.13 and Currency



and 8.2.14 share capital



8.2.15 Deposit paid and yes/no



and the amount of the capital contribution 8.2.16



and a limited partner from 8.2.17



and Limited to 8.2.18



This section only filled in the following businesses:



* limited partnership.



and 8.3) Limited-legal person of the Czech Republic



and 8.3.1 trading company



8.3.2 identification number of the person and



and 8.3.3 Above deposit



and 8.3.4 Currency



and 8.3.5 share capital



and Deposit paid 8.3.6 yes/no



and 8.3.7 capital deposit



and 8.3.8 limited partner from



and Limited to 8.3.9



This section only filled in the following businesses:



* limited partnership.



and 8.4) a limited partner-foreign legal entity



8.4.1. Business name and



and 8.4.2 identifier



and an index, to which 8.4.3 is written



and 8.4.4 registration number



and 8.4.5 Headquarters



and 8.4.6 State



and 8.4.7 deposit amount



and the 8.4.8 Currency



8.4.9 and share capital



8.4.10 Deposit paid and yes/no



and the amount of the capital contribution 8.4.11



and 8.4.12 limited partner from



and Limited to 8.4.13



This section only filled in the following businesses:



* limited partnership.



and 9.1) General Partner-natural person-citizen of the Czech Republic



and 9.1.1 Name



and 9.1.2 Surname



and 9.1.3 the academic degree



and 9.1.4 birth number



and 9.1.5 date of birth



and 9.1.6 place of birth



9.1.7 and District of birth



9.1.8 the State of birth and



and a general partner from 9.1.9



and 9.1.10 general partner to



This section only filled in the following businesses:



* limited partnership.



and 9.2) General Partner-natural person-the stranger



and 9.2.1 Name



and 9.2.2 Surname



and 9.2.3 academic degree



and 9.2.4 date of birth



and 9.2.5 place of birth



and 9.2.6 District of birth



and 9.2.7 State of birth



9.2.8 and residence abroad



and 9.2.9 State and duration of stay



9.2.10 place of residence and in the Czech Republic



9.2.11 and country of citizenship



9.2.12 General Partner and from



and 9.2.13 General Partner to



This section only filled in the following businesses:



* limited partnership.



and 9.3) general partner-the legal person of the Czech Republic



and 9.3.1 business name



and 9.3.2 Identification number of the person



and 9.3.3 General partner from



and a general partner in 9.3.4



This section only filled in the following businesses:



* limited partnership.



and 9.4) General Partner-foreign legal entity



business name and 9.4.1



and 9.4.2 identifier



and 9.4.3 Terms in which it is registered



and 9.4.4. Registration number



9.4.5. The seat and



and 9.4.6 State



and 9.4.7 General partner from



and the general partner to 9.4.8



This section only filled in the following businesses:



* limited partnership.



A10) the capital of the company



and 10.1 capital



and 10.2 From



and 10.3 To



This section only filled in the following businesses:



the limited liability company.



A10) the capital of the company



and 10.1 capital



and 10.2 number of shares



and 10.3 form of shares



and 10.4 the nominal value



and 10.5 form of shares



and 10.6 From



and 10.7 In



the method of registration of shares and 10.8



and 10.9 subject to the central register of Shares (CSD

paper) Yes/No



This section only filled in the following businesses:



the joint-stock company.



A10) capital and the amount of the basic member deposits



and 10.1, the capital



and 10.2 Currency



and 10.3 Above basic member deposits



and 10.4 Currency



This section only filled in the following businesses:



* team.



A10) founder and amount of the equity



and 10.1 Founder



and 10.2 Stem equity



This section only filled in the following businesses:



the State enterprise.



and 11.1) a person whose participation in the capital or voting

rights is higher than 10% (natural person-citizen of the Czech Republic)



and 11.1.1 share capital in%



and 11.1.2 form of shares



and 11.1.3. Form of shares



and 2.1.4 Name



and 11.1.5. Last name



and 11.1.6. Academic degree



and 11.1.7. Social Security number



and 11.1.8. Date of birth



11.1.9. Place of birth and



and District of birth 11.1.10



and State of birth 11.1.11



and Shareholder from 11.1.12.



and the shareholder to 11.1.13



This section only filled in the following businesses:



the joint-stock company.



and 7.0) a person whose participation in the capital or voting

rights is higher than 10% (natural person-an alien)



and 11.2.1 share capital in%



and 11.2.2 form of shares



and 11.2.3 form of shares



11.2.4 the Name and



11.2.5 Surname and



and 11.2.6 academic degree



and 11.2.7 the date of birth



11.2.8, and place of birth



11.2.9 District and birth



and State of birth 11.2.10



11.2.11 and residence abroad



11.2.12 and State and duration of stay



11.2.13 place of residence and in the Czech Republic



11.2.14 and country of citizenship



11.2.15 Shareholder and from the



11.2.16 Shareholder and the



This section only filled in the following businesses:



the joint-stock company.



and 11.3) a person whose participation in the capital or voting

rights is higher than 10% (legal person of the Czech Republic)



and 11.3.1 share capital in%



and 11.3.2 form of shares



and 11.3.3 form of shares



and 11.3.4 trading company



and person identification number is 11.3.5



and 11.3.6 Shareholder from



and the shareholder to 11.3.7



This section only filled in the following businesses:



the joint-stock company.



and 7.1) a person whose participation in the capital or voting

rights is higher than 10% (legal person)



and 11.4.1 share capital in%



and 11.4.2 form of shares



and 11.4.3 form of shares



and 11.5 trading company



and reflect the identification data



and an index, to which 11.4.6 is written



and 11.4.7 registration number



11.4.8 the seat and



11.4.9 and State



and Shareholder from 11.4.10



and 11.4.11 Shareholder to



This section only filled in the following businesses:



the joint-stock company.



and 12.1) the Supervisory Board-national citizen of the Czech Republic



and 12.1.1 Name



and 12.1.2 Surname



and 12.1.3 academic degree



and 12.1.4 birth number



and 12.1.5 date of birth



and 12.1.6 place of birth



and District of birth 12.1.7 update



12.1.8 State and birth



and Features from 12.1.9 update



and 12.1.10 Function to



This section only filled in the following businesses:



the limited liability company,



the joint-stock company,



the State enterprise.



and 12.2) the supervisory board-the stranger



and 12.2.1 Name



and 12.2.2 Surname



and 12.2.3 academic degree



and 12.2.4. Date of birth



and 12.2.5 update place of birth



12.2.6 District and birth



12.2.7 State of birth and



and 12.2.8 resident abroad



and State and duration of stay 12.2.9.



12.2.10 place of residence and in the Czech Republic



12.2.11 and country of citizenship



12.2.12 Features from and



and Function to 12.2.13



This section only filled in the following businesses:



the limited liability company,



the joint-stock company,



the State enterprise.



and 12.3) Supervisory Board-legal person of the Czech Republic



12.3.1 business name and



identification number of the person and 12.3.2



and 12.3.3 from Function



and 12.3.4 functionality to



This section only filled in the following businesses:



the limited liability company,



the joint-stock company.



and 12.4) the supervisory board-foreign legal entity



12.4.1 business name and



and 12.4.2 identifier



and an index, to which 12.4.3 is written



and 12.4.4. Registration number



and 12.4.5 Headquarters



12.4.6 and State



and Features from 12.4.7



and 12.4.8 Function to




This section only filled in the following businesses:



the limited liability company,



the joint-stock company.



and 13.1) the Board-natural person-citizen of the Czech Republic



and 13.1.1 Name



and 13.1.2 Surname



and 13.1.3 academic degree



and 13.1.4 birth number



and 13.1.5 date of birth



13.1.6 place of birth and



a 13.1.7 District of birth



13.1.8 State of birth and



13.1.9 Function from and



and Function to 13.1.10



This section only filled in the following businesses:



the joint-stock company.



and 13.2) the Board-natural person-the stranger



and 13.2.1 Name



and 13.2.2 Surname



and 13.2.3 academic degree



13.2.4 and date of birth



and chip breaking place of birth



13.2.6 and District of birth



and 13.2.7 State of birth



13.2.8 and residence abroad



and State and duration of stay 13.2.9



13.2.10 place of residence and in the Czech Republic



13.2.11 and country of citizenship



and Features from 13.2.12



and Function to 13.2.13



This section only filled in the following businesses:



the joint-stock company.



and 13.3) the Board-legal person of the Czech Republic



and the trade name of 13.3.1



13.3.2 the person ID number and



and 13.3.3 function from



and 13.3.4 Function to



This section only filled in the following businesses:



the joint-stock company.



and 13.4) the Board-foreign legal entity



and trading firm 13.4.1



and 13.4.2 identifier



and 13.4.3 index, in which it is registered



13.4.4 and registration number



13.4.5 Headquarters and



and 13.4.6 State



and Features from 13.4.7



and Function in 13.4.8



This section only filled in the following businesses:



the joint-stock company.



and 14.1) the person authorized to act on behalf of the legal entity that is a member of

authority of the entrepreneur-State citizen of the Czech Republic



and 14.1.1 Name



and last name 14.1.2.



and 14.1.3 the academic degree



and 14.1.4 birth number



and 14.1.5 date of birth



14.1.6 and place of birth



14.1.7 and District of birth



14.1.8 infant State and birth



14.1.9 Features from and



and Function to 14.1.10



This section only filled in the following businesses:



* public company,



* limited partnership,



the limited liability company,



the joint-stock company,



* team.



and 14.2) the person authorized to act on behalf of the legal entity that is a member of

authority of the entrepreneur-the stranger



and 14.2.1 Name



and 14.2.2 Surname



and 14.2.3 academic degree



and 14.2.4 date of birth



14.2.5. Place of birth and



and District of birth 14.2.6



and 14.2.7 State of birth



14.2.8 and residence abroad



and State and duration of stay 14.2.9



14.2.10 place of residence and in the Czech Republic



14.2.11 and country of citizenship



and Features from 14.2.12



and 14.2.13 functionality to



This section only filled in the following businesses:



* public company,



* limited partnership,



the limited liability company,



the joint-stock company,



* team.



and 15.1) the person authorized to act on behalf of a legal person-citizen of the United State

of the Republic of



and 15.1.1 Name



and 15.1.2 Surname



and 15.1.3 academic degree



15.1.4 and birth number



15.1.5 and date of birth



and 15.1.6 place of birth



15.1.7 District and birth



15.1.8 State and birth



and Features from 15.1.9



and Function to 15.1.10



This section only filled in the following businesses:



foreign person



other legal persons.



and 15.2) the person authorized to act on behalf of a legal person-the stranger



and 15.2.1 Name



and 15.2.2 Surname



15.2.3 and academic degree



15.2.4 and date of birth



15.2.5 and place of birth



15.2.6 District and birth



and b State of birth



and 15.2.8 resident abroad



and 15.2.9 State and duration of stay



15.2.10 place of residence and in the Czech Republic



15.2.11 and country of citizenship



and Features from 15.2.12



15.2.13 features to and



This section only filled in the following businesses:



foreign person



other legal persons.



(b))



Companion unregistered in the commercial register



B1) Companion unregistered in the commercial register-a natural person-

a State citizen of the Czech Republic



(b) 1.1 Name



(b) 1.2 Surname



(b) 1.3 academic degree



(b) 1.4 ID number



(b) 1.5 date of birth



(b) 1.6 place of birth



(b) 1.7 District of birth



(b) 1.8 State of birth



(b) 1.9 deposit amount



(b) 1.10 Currency



(b) 1.11 Companion from



(b) 1.12 to Companion



This section only filled in the following businesses:



* public company,



the joint-stock company,



the limited liability company,



* team



foreign person



other legal persons.



B2) Companion unregistered in the commercial register-a natural person-

the stranger



(b) 2.1 Name



(b) 2.2 family name



(b) 2.3 academic degree



(b) 2.4 date of birth



(b) 2.5. Place of birth



(b) 2.6 District of birth



(b) 2.7 State of birth



(b) 2.8 resident abroad



(b) 2.9 State and duration of stay



(b) 2.10 instead of staying in the Czech Republic



(b) 2.11 citizenship



(b) 2.12 deposit amount



(b) 2.13 Currency



(b) 2.14 Companion from



(b) 2.15 Companion to



This section only filled in the following businesses:



* public company,



the joint-stock company,



the limited liability company,



* team



foreign person



other legal persons.



B3) Companion unregistered in the commercial register of the Czech – legal entity

of the Republic of



(b) 3.1 business name



(b) 3.2 a person identification number



(b) 3.3 the amount of the deposit



(b) 3.4 Currency



(b) 3.5 Companion from



(b) 3.6 Companion to



This section only filled in the following businesses:



* public company,



the joint-stock company,



the limited liability company,



* team



foreign person



other legal persons.



B4) Companion unregistered in the commercial register-legal person

Foreign



(b) 4.1 business name



(b) 4.2 identifier



(b) the register in which the 4.3 is a registered



(b) 4.4 registration number



(b) 4.5 Headquarters



(b) 4.6 State



(b) 4.7 deposit amount



(b) 4.8 Currency



(b) 4.9 Companion from



(b) 4.10 Companion to



This section only filled in the following businesses:



* public company,



the joint-stock company,



the limited liability company,



* team



foreign person



other legal persons.



(c))



Current accounts of the entrepreneur



C1 name of financial institution



C2 code financial institution



C3 State



C4 account number



C5 account type



C6 Date opened your account



(d)) rented property and commercial space entrepreneurs, in

where there is a secure area under section 25 of the Act



D1 relation to real estate



D2 District



D3 Village



D4 cadastral territory



D5 Number title deed (LV)



D6 number of lot



D7 the building number



Ownership of the land of D8



Ownership of the land and the construction of the D9



D10 Limits ownership of Yes/No



D11 reason for limitation of property rights



e) data of all the ordinary accounts ^ 1), if the entrepreneur

accounting, or information to the tax declaration, if the entrepreneur the tax

registration in accordance with other legislation ^ 2), and the proper accounting

accounts authenticated by the Auditor, if so provided by another law,

over the past 5 years



E1 Year



E2 tax consultant yes/no



E3 audit report yes/no



E4 report yes/no



(f))



Provided and received loans and credits in the last 5 years



F1) Credit received



(f) the name of the financial institution 1.1



(f) 1.2 financial institution Code



f 1.3 State



(f) 1.4 the loan amount



(f) 1.5 Currency



f 1.6 Purpose



f 1.7 Pumping started



(f) the balance to be paid 1.8



f 1.9 Repayment started



(f) 1.10 maturity of the loan to the



(f) 1.11 to ensure



(f) 2.1) Loan taken (the lender a legal person of the Czech Republic)



(f) 2.1.1 the trade name



(f) the Identification number of the person 2.1.2



(f) the amount of the loan, 2.1.3



(f) 2.1.4 Currency



(f) 2.1.5 Pumping started



f 2.1.6 the balance to be paid



(f) 2.1.7 begin Repayment



(f) the maturity of the loans up to 2.1.8



(f) the method of providing the 2.1.9



(f) 2.2) Loan taken (legal person of a foreign creditor)



(f) 2.2.1 trading company



(f) 2.2.2 identifier



(f) 2.2.3 the index to which it is registered



(f) 2.2.4 the registration number



(f) 2.2.5 Headquarters



(f) 2.2.6 State



(f) the amount of the loan 2.2.7.



(f) 2.2.8 Currency



(f) 2.2.9 Pumping started



(f) the balance to be paid 2.2.10



f 2.2.11 Repayment started



(f) the maturity of the loans to 2.2.12



(f) 2.2.13 way of ensuring



(f) 3.1) Loan taken by the creditor (natural person-citizen of the United State

the Republic)



f 3.1.1 Name



(f) 3.1.2 last name



(f) 3.1.3 academic degree



(f) 3.1.4. Date of birth



(f) 3.1.5 amount of the loan



(f) 3.1.6 Currency



f 3.1.7 Pumping started



(f) the balance to be paid 3.1.8



f 3.1.9 started Repayment



(f) the maturity of the loans to 3.1.10



(f) ensure 3.1.11



(f) 3.2) Loan taken (the creditor is a natural person-an alien)



(f) 3.2.1 Name



(f) 3.2.2 Surname



(f) 3.2.3 academic degree



f 3.2.4. Date of birth



(f) 3.2.5 resident abroad



(f) 3.2.6 State and duration of stay



(f) 3.2.7 place of residence in the Czech Republic



(f) 3.2.8 citizenship



(f) the amount of the loan 3.2.9



f 3.2.10 Currency



f 3.2.11 Pumping started



(f) the balance to be paid 3.2.12



(f) the 3.2.13 Repayment started



(f) the maturity of the loans to 3.2.14



(f) ensure 3.2.15



(f) 4.1) credit granted (legal person debtor the United States)



(f) 4.1.1 business name



(f) the Identification number of the person (4.1.2)



(f) 4.1.3 the loan amount



(f) 4.1.4 Currency



(f) 4.1.5 Pumping started



(f) the balance to be paid 4.1.6



(f) 4.1.7 started Repayment



(f) the maturity of the loan to 4.1.8



(f) 4.1.9 way of ensuring



(f) 4.2) credit granted (foreign legal person debtor)



(f) 4.2.1 business name




(f) 4.2.2 identifier



(f) 4.2.3 Index on which it is registered



(f) the registration number of the



(f) 4.2.5 Headquarters



(f) 4.2.6 State



(f) 4.2.7 the loan amount



(f) 4.2.8 Currency



(f) 4.2.9 Pumping started



(f) the balance to be paid 4.2.10



(f) any repayment of the initiated



(f) the maturity of the loan to 4.2.12



(f) 4.2.13 way of ensuring



(f) 5.1) credit granted (the debtor is a natural person-citizen of the United State

the Republic)



(f) 5.1.1 Name



(f) 5.1.2 Surname



(f) 5.1.3 academic degree



(f) 5.1.4 date of birth



(f) 5.1.5 the loan amount



(f) 5.1.6 Currency



(f) 5.1.7 Pumping started



(f) the balance to be paid 5.1.8



f 5.1.9 Repayment started



(f) the maturity of the loan to 5.1.10



(f) ensure 5.1.11



f 5.2) credit granted (the debtor is a natural person-an alien)



(f) 5.2.1 Name



(f) 5.2.2 last name



(f) 5.2.3 academic degree



(f) 5.2.4 date of birth



(f) 5.2.5 resident abroad



(f) 5.2.6 State and duration of stay



(f) 5.2.7 place of residence in the Czech Republic



(f) 5.2.8 citizenship



(f) the amount of the loan 5.2.9



(f) 5.2.10 Currency



f 5.2.11 Pumping started



(f) the balance to be paid 5.2.12



f 5.2.13 Repayment started



(f) the maturity of the loan to 5.2.14.



(f) ensure 5.2.15



(f) 6.1) loan granted (the debtor is a legal person of the Czech Republic)



(f) 6.1.1 trading company



(f) the Identification number of the person 6.1.2



(f) the amount of the loan 6.1.3



(f) a 6.1.4 Currency



(f) 6.1.5 Pumping started



(f) the balance to be paid 6.1.6



(f) 6.1.7 Repayment started



(f) the maturity of the loans to 6.1.8.



(f) ensure 6.1.9



f 6.2) loan granted (foreign legal person debtor)



(f) 6.2.1 trading company



(f) 6.2.2 identifier



(f) 6.2.3 into which the Index registered



(f) 6.2.4 registration number



(f) 6.2.5 Headquarters



(f) 6.2.6 State



(f) the amount of the loan 6.2.7



f 6.2.8 Currency



f 6.2.9 Pumping started



(f) repeat the Balance to be paid



f 6.2.11 Repayment started



(f) the maturity of the loans under 6.2.12



(f) ensure 6.2.13



f 7.1) loan granted (the debtor is a natural person-citizen of the United State

the Republic)



(f) 7.1.1 Name



(f) 7.1.2 Surname



(f) 7.1.3 academic degree



(f) 7.1.4. Date of birth



(f) the amount of the loan 7.1.5



(f) 7.1.6 Currency



f 7.1.7 Pumping started



(f) the balance to be paid 7.1.8



f 7.1.9 Repayment started



(f) the maturity of the loan into a 7.1.10



(f) ensure 7.1.11



(f) 7.2) loan granted (the debtor is a natural person-an alien)



(f) 7.2.1 Name



(f) 7.2.2 Surname



(f) 7.2.3 academic degree



(f) 7.2.4 date of birth



(f) 7.2.5 resident abroad



(f) 7.2.6 State and duration of stay



(f) the place of residence in 7.2.7 Czech Republic



(f) 7.2.8 citizenship



(f) the amount of the loan 7.2.9



f 7.2.10 Currency



(f) 7.2.11 Pumping started



(f) the balance to be paid 7.2.12



f 7.2.13 Repayment started



(f) the maturity of the loan into 7.2.14



(f) ensure 7.2.15



(g))



The contract, which the subject of performance contains classified information



G1) the details of the contract



g 1.1 close date



(g) 1.2 contract number



g 1.3 object of the contract



(g) 1.4 the contractual relationship Participants



g 1.5 financial volume contract/currency



G2) kind of classified information relating to the performance of the contract



(g) a classified national information 2.1 (Czech Republic) Yes/No



g 2.2 classification



(g) 2.3 the total number of



(g) a classified EU information 2.4 yes/no



g 2.5 classification



(g) 2.6 total number of



(g) a classified NATO information 2.7 yes/no



g 2.8 degree of confidentiality



g 2.9 total number of



(h))



Foreign business partners with the exception of the business partners of the Member

States of the European Union, with a total financial volume of transactions

over 2 000 000 Czk in the last 5 years



H1 foreign partner Name



H2 identifier



H3 Index into which is written



H4 registration number



H5 Seat partner



H6 State



H7 Items trades



H8 trades



H9 Currency



I)



Czech business partners and business partners from the Member States of the European

the Union, with an indication of the total annual transactions carried out shops

exceeding 20% of the annual turnover in the last 5 years



I1/Name of firm, foreign partner



identification number of the person/i2 identifier of the foreign partner



i3 registry, to which the foreign partner is written



I4 the registration number



i5 Headquarters foreign partner



I6 State



I7 Year



I8 Annual performance of the shops-the total amount of



I9 Currency



I10 Items trades



(j))



Details of the administration of insolvency



J1 Date request the opening of insolvency proceedings



j2 Valuation of the estate



J3 of the petition for a moratorium



j 3.1 filing date proposal for a moratorium



J4 on the decision on the application of the moratorium



j 4.1 date of decision



j 4.2 effective date of the decision



(j) 4.3 reference number of final decision



(j) 4.4 Effectiveness from



j 4.5 Effectiveness to



(j) 4.6 extension of 30 days-Yes/No



(j) the designation of the Court which 4.7 decided to



k)



Details of the decision on the insolvency of the proposal



K1 date of decision



K2, the date of the decision



K3 reference number of final decision



K4 designation of the Court which decided to



K5 Administrator



K6 is a natural person



to 6.1 Name



to 6.2 last name



to 6.3 date of birth



K7 legal person



to 7.1 trading company



identification number of the person to 7.2



l)



Information about how to resolve the bankruptcy of



L1 date of decision



L2 acquisition Date of the decision



L3 reference number of final decision



L4 designation of the Court which decided to



L5 how to resolve bankruptcy



m)



Details about the cancellation of the entrepreneur



M1 on the abolition of court-yes/no



m 1.1 designation of the Court which decided to



m 1.2 Date proposal for a decision on the abolition of



m 1.3 date of initiation of the proceeding



m 1.4 decision Number



m 1.5 date of decision to cancel



m 1.6 Date acquisition of legal power



M2 repealing decided to entrepreneur-yes/no



m 2.1 date of decision to cancel



m 2.2 effective date



m 2.3 cancellation date



M3 the cancellation date of the proposal on the abolition of the entrepreneur



n)



The implementation of commitments to the State



N1) implementation of commitments to the State pursuant to § 17 para. 2 (a). and) Act



n 1.1 Payable balance due on social security and on

contribution to the State employment policy, including the finance charge yes/no



n 1.2 the amount owed on the insurance



n 1.3 finance charge memo



n 1.4 Currency



n 1.5 due date



n 1.6 Creditor



n 1.7 the decision to allow rescheduling of Yes/No



an outstanding balance Due on n 1.8 premiums on health insurance premiums

including the finance charge yes/no



n 1.9 amount owed on insurance



n 1.10 finance charge memo



n 1.11 Currency



n 1.12 due date



n 1.13 Creditor



n 1.14 authorization decision rescheduling yes/no



N2) implementation of commitments to the State pursuant to § 17 para. 2 (a). (b)) of the Act



n 2.1 Due in arrears on income tax, value added tax or

on other taxes, including the relevant penalty payment of the amount due, or

on the vyměřeném duty, including any interest yes/no



n 2.2 type of taxes/duties



n the amount owed tax 2.3/duty



n 2.4 finance charge memo



n 2.5 Interest



n 2.6 Currency



n 2.7 due date



n 2.8 Creditor



n 2.9 the decision to allow rescheduling of Yes/No



about)



Details of the responsible person of the entrepreneur



O1 Name



O2 last name



O4 birth number



o date of birth



O6 function for entrepreneurs



p)



Criminal proceedings



the legal designation of an offence P1



P2 start date of criminal prosecution



P3 end date of criminal prosecution



P4 prosecution led



P5 termination



P6 of the penalty



P7 Stored protective measure



P8 a detailed statement



P9 criminal responsibility was transferred to the entrepreneurs in transforming business

company or cooperative as a legal successor of the Yes/No



p 9.1 trading company, which has entered the criminal responsibility



p 9.2 identification number of the person from the criminal liability



p 5.8 a detailed statement



P10 extinction of criminal responsibility yes/no



p 10.1 Reasons the extinction of criminal liability



_______________



1) section 18 of Act No. 563/1991 Coll., on accounting, as amended by Act No.

353/2001 Coll., Act No. 441/2003 Coll., Act No. 179/2005 Coll., Act No.

304/2008 Coll., Act No. 227/2009 Coll. and Act No. 410/2010 Sb.



2) Act No. 563/1991 Coll., on accounting, as amended.



Annex 6



Pattern



DECLARATION OF WAIVER OF CONFIDENTIALITY



pursuant to § 52 para. 2 the tax code



Annex 7



Pattern



DECLARATION OF THE ENTREPRENEUR



(§ 15a paragraph 7 of law No 412/2005 Coll., on the protection of classified information

and about security, as amended by Act No. 255/2011 Sb.)



1) section 66a.



2) Act No. 563/1991 Coll., on accounting, as amended.



3) Act No. 586/1992 Coll., of the Securities Act, as amended

regulations.



4) commercial code.



5) § 89 paragraph 1. 8 of law No 412/2005 Coll., on the protection of classified information

and about security, as amended by Act No. 255/2011 Sb.