ࡱ> 352 Rbjbj 4R '0     $W  >>>   >>>> p9 1  >0'>*>>T>>' : INFORMATION STATEMENT PURSUANT TO TREASURY REGULATION SECTION 1.307-1(a) BY A SHAREHOLDER THAT RECEIVED A DISTRIBUTION OF STOCK SUBSCRIPTION RIGHTS FROM HSBC HOLDINGS PLC ADS On March 20, 2009, HSBC Holdings plc (HSBC) distributed to its ADS holders the right to acquire HSBC ADS shares at a discounted price. Each ADS share represents five Ordinary shares. Five HSBC ADS rights were received for each twelve HSBC ADS shares. The closing prices on the date of distribution on the London stock exchange were: HSBC Ordinary shares: 371.00 pence HSBC Ordinary rights: 110.00 pence The equivalent market values of the ADS shares and ADS rights were therefore: 12 ADS shares x 5 Ordinary shares per ADS share x 371.00 pence = 22,260.00 pence 89.0% 5 ADS rights x 5 Ordinary rights per ADS right x 110.00 pence = 2,750.00 pence 11.0% Combined equivalent market value = 25,010.00 pence 100.0% The equivalent market value of the HSBC ADS rights was 11% of the combined equivalent market value of HSBC ADS shares and HSBC ADS rights on the London stock exchange on the date of distribution. The market value of the HSBC ADS rights is less than fifteen percent (15%) of the HSBC ADS shares and no basis allocation is required per Treasury Regulation Section 1.307-2. However, taxpayer irrevocably elects, pursuant to Treasury Regulation Sections 1.307-1(a), to allocate basis from HSBC ADS shares to HSBC ADS rights with respect to all ADS rights received in the distribution of March 20, 2009. ________________________________ Shareholders Name ________________________________ Shareholders Signature ________________________________ Social Security Number or Taxpayer Identification Number %HI 5    # 7 @ F M N P V W  % E F H P Y ^ _ a m o p q r s    * . 6 ? j ~   ? g t | ǿǿǿhKh,hXf>*h,h,>*h?h?hXf>* h,>*hXfh4h,hn}hihOhwFxhjJI $ W  s j Nw+Rgd\qgdZ/gdj$a$gdj 'M;QRhjh\qhZ/hXfh4hn} 21h:pO/ =!"#$% j 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ OJPJQJ_HmH nH sH tH J`J ONormal dCJ_HaJmH sH tH DA D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List PK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] R  R R T  # AA@0(  B S  ?TT@@KMNPCEFH[^_anopq,.6?j~MMPQTOZ/zKXfiwFx\q?Rn}4,KjRT@wwoowwRX@UnknownG* Times New Roman5Symbol3. * Arial7.{ @CalibriA BCambria Math"h$&ުՆ5f; ; r0OO2HP  $Pj2!xx6HSBC ADS Stock Rights Costbasis Information Statementcostbasis.com, Inc.MOh+'0 0 <H h t  8HSBC ADS Stock Rights Costbasis Information Statementcostbasis.com, Inc.NormalM7Microsoft Office Word@0@0,@j@b1;՜.+,0  hp|   O 7HSBC ADS Stock Rights Costbasis Information Statement Title  !#$%&'()+,-./014Root Entry FP 16Data  1TableWordDocument4SummaryInformation("DocumentSummaryInformation8*CompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q