Preamble
Date of notification
Statement in accordance with Article 6(3) of Regulation (EU) 2023/1114
Compliance statement in accordance with Article 6(6) of Regulation (EU) 2023/1114
Statement in accordance with Article 6(5), points (a), (b), (c), of Regulation (EU) 2023/1114
Statement in accordance with Article 6(5), point (d), of Regulation (EU) 2023/1114
Statement in accordance with Article 6(5), points (e) and (f), of Regulation (EU) 2023/1114
Summary
Warning in accordance with Article 6(7), second subparagraph, of Regulation (EU) 2023/1114
Characteristics of the crypto-asset
Information about the quality and quantity of goods or services to which the utility tokens give access and restrictions on the transferability
Key information about the offer to the public or admission to trading
Part A – Information about the offeror or the person seeking admission to trading
Name
Legal form
Registered address
Head office
Registration date
Legal entity identifier
Another identifier required pursuant to applicable national law
Contact telephone number
E-mail address
Response time (Days)
Parent company
Members of the management body
Business activity 15 Parent company business activity
Newly established
Financial condition for the past three years
Financial condition since registr0ation
Part B – Information about the issuer, if different from the offeror or person seeking admission to trading
Issuer different from offeror or person seeking admission to trading
Name
Legal form
Registered address
Head office
Registration date
Legal entity identifier
Another identifier required pursuant to applicable national law
Parent company
Members of the management body
Business activity
Parent company business activity
Part C – Information about the operator of the trading platform in cases where it draws up the crypto-asset white paper and information about other persons drawing the crypto-asset white paper pursuant to Article 6(1), second subparagraph, of Regulation (EU) 2023/1114
Name
Legal form
Registered address
Head office
Registration date
Legal entity identifier
Another identifier required pursuant to applicable national law
Parent company
Reason for crypto-Asset white paper Preparation
Members of the Management body
Operator business activity
Parent company business activity
Other persons drawing up the crypto-asset white paper according to Article 6(1), second subparagraph, of Regulation (EU) 2023/1114
Reason for drawing the white paper by persons referred to in Article 6(1) , second subparagraph, of Regulation (EU) 2023/1114
Part D – Information about the crypto-asset project
Crypto-asset project name
Crypto-assets name
Abbreviation
Crypto-asset project description
Details of all natural or legal persons involved in the implementation of the crypto- asset project
Utility Token Classification
Key Features of Goods/Services for Utility Token Projects
Plans for the token
Resource allocation
Planned use of Collected funds or crypto-Assets
Part E – Information about the offer to the public of crypto-assets or their admission to trading
Public offering or admission to trading
Reasons for public offer or admission to trading
Fundraising target
Minimum subscription goals
Maximum subscription goals
Oversubscription acceptance
Oversubscription allocation
Issue price
Official currency or any other crypto-assets determining the issue price
Subscription fee
Offer price determination method
Total number of offered/traded crypto-assets
Targeted holders
Holder restrictions
Reimbursement notice
Refund mechanism
Refund timeline
Offer phases
Early purchase discount
Time-limited offer
Subscription period beginning
Subscription period end
Safeguarding arrangements for Offered Funds/Crypto-Assets
Payment methods for crypto-asset purchase
Value transfer methods for reimbursement
Right of withdrawal
Transfer of purchased crypto-assets
Transfer time schedule
Purchaser's technical requirements
Crypto-asset service provider (CASP) name
CASP identifier
Placement form
Trading platforms name
Trading platforms Market identifier code (MIC)
Trading platforms access
Involved costs
Offer expenses
Conflicts of interest
Applicable law
Competent court
Part F – Information about the crypto-assets
Crypto-asset type
Crypto-asset functionality
Planned application of functionalities
A description of the characteristics of the crypto asset, including the data necessary for classification of the crypto-asset white paper in the register referred to in Article 109 of Regulation (EU) 2023/1114, as specified in accordance with paragraph 8 of that Article
Type of crypto-asset white paper
The type of submission
Crypto-asset characteristics
Commercial name or trading name
Website of the issuer
Starting date of offer to the public or admission to trading
Publication date
Any other services provided by the issuer
Identifier of operator of the trading platform
Language or languages of the crypto-asset white paper
Digital token identifier code used to uniquely identify the crypto-asset or each of the several crypto assets to which the white paper relates, where available
Functionally fungible group digital token identifier, where available
Voluntary data flag
Personal data flag
LEI eligibility
Home Member State
Host Member States
Part G – Information on the rights and obligations attached to the crypto-assets
Purchaser rights and obligations
Exercise of rights and obligations
Conditions for modifications of rights and obligations
Future public offers
Issuer retained crypto-assets
Utility token classification
Key features of goods/services of utility tokens
Utility tokens redemption
Non-trading request
Crypto-assets purchase or sale modalities
Crypto-assets transfer restrictions
Supply adjustment protocols
Supply adjustment mechanisms
Token value protection schemes
Token value protection schemes description
Compensation schemes
Compensation schemes description
Applicable law
Competent court
Part H – information on the underlying technology
Distributed ledger technology (DTL)
Protocols and technical standard
Technology used
Consensus mechanism (TON)
Incentive mechanisms and applicable fees
Use of distributed ledger technology
DLT functionality description
Audit
Audit outcome
Part I – Information on risks
Offer-related risks
Issuer-related risks
Crypto-assets-related risks
Project implementation-related risks
Technology-related risks
Mitigation measures
Part J – Information on the sustainability indicators in relation to adverse impact on the climate and other environment-related adverse impacts
Adverse impacts on climate and other environment-related adverse impacts
Name
Relevant legal entity identifier
Name of the crypto-asset
Consensus Mechanism (TON)
Incentive Mechanisms and Applicable Fees
Beginning of the period to which the disclosure relates
End of the period to which the disclosure relates
Energy consumption
Energy consumption sources and methodologies
Renewable energy consumption
Energy intensity
Scope 1 DLT GHG emissions – Controlled
Scope 2 DLT GHG emissions – Purchased
GHG intensity
Key energy sources and methodologies
Key GHG sources and methodologies
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