CHALICE MINING LIMITED — Share Issue/Capital Change 2016

Sep 11, 2016

12 September 2016

Australian Securities Exchange Limited Level 40 Central Park 152-158 St Georges Terrace PERTH WA 6000

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Dear Sir

On-Market Buy-Back Notification of Cancellation of Shares

In accordance with Listing Rule 3.8A, we enclose a copy of the Form 484 that was lodged with ASIC.

Yours faithfully

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Leanne Stevens Company Secretary

Australian Securities & Investments Commission

Electronic Lodgement

Document No. 7E8336281

Lodgement date/time: 12-09-2016 16:01:47 Reference Id: 95824829

Form 484 Corporations Act 2001

Change to company details

Company details

Company name CHALICE GOLD MINES LIMITED Australian Company Number (ACN) 116 648 956

Lodgement details

Who should ASIC contact if there is a query about this form?

Name Leanne STEVENS

Signature

This form must be signed by a current officeholder of the company.

I certify that the information in this form is true and complete Name

Leanne STEVENS

Capacity Secretary Signature

Date signed 12-09-2016

ASIC Form 484 Ref 9582482912/09/2016

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Form 484 - Change to company details CHALICE GOLD MINES LIMITEDACN116 648 956

C1 Cancellation of shares

Reason for cancellation

Shares cancellation details

Reason for cancellation

Reason for cancellation	Reason for cancellation	Reason for cancellation	Reason for cancellation
ss.257H(3) Share buyback - Other buy-back type. A form 280 or 281 must be lodged at least 14 days, and no more than 1 year before the share buy-back can take place The cancelled shares are listed below:
Share class code	Number of shares cancelled	Amount paid (cash or otherwise)
ORD	500000	80000
Earliest Date of cancellation 25-08-2016

C3 Change to share structure

The updated details for this changed share class are shown in the table below.

Share class code	Full title if not standard	Total number of shares	Total amount paid on these shares	Total amount unpaid on these shares
ORD	ORDINARY	270280802	21940303.30	0.00
Earliest date of change 25-08-2016

ASIC Form 484 Ref 9582482912/09/2016

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