Notices

First name, surname, position

Mailing address of the Whistleblower

Date, place and type of the reported Breach

The Report relates to violations of law in the field:
Selectpublic procurementfinancial services, products and marketsprevention of money laundering and financing of terrorismsafety of products and their compliance with the requirementstransport safetyenvironmental protectionradiological protection and nuclear safetyfood and feed safetyanimal health and welfarepublic healthconsumer protectionprotection of privacy and personal datasecurity of networks and information and communication systemsthe financial interests of the European Unionthe internal market of the European Union, including the state rules and aid, as well as corporate taxation

Method of obtaining information about the Breach

Detailed Information about the Breach (indication of the Person Being the Subject of the Breach, description of the situation and circumstances, possible consequences)

Evidence confirming the Breach

Attach:

Witnesses

I declare that I have read the content of the Procedure for Reporting Irregularities and for the Protection of the Reporting Persons binding Ekoenergetyka – Polska S.A. I submit this Report in good faith, to the best of my knowledge, giving me grounds to believe that, in the light of the circumstances and information available to me on the date of this note, the circumstances and events revealed by me are true. In addition, I declare that I have disclosed all the information, evidence and possible witnesses known to me and related to the Breach.