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Trade Register Extract Chamber of Commerce
………………………………………………………… Chamber of Commerce number 08053410 ………………………………………………………… Page 1 (of 10) ………………………………………………………… Legal Entity RSIN Legal form Statutory name Statutory headquarters First registration in trade register Date deed of incorporation Date deed of last change to articles of association Share capital Subscribed capital Deposited capital Filing of annual report ………………………………………………………… Enterprise Legal names
…………………………………………………………………………………………………………………………………… This registration falls under the management of the Chamber of Commerce East Netherlands ……………………………………………………………………………………………………………………………………
Start date of enterprise Activities Persons employed ………………………………………………………… Headquarters Branch number Legal names
…………………………………………………………………………………………………………………………………… 800478678 Public Limited Liability Company Achmea Schadeverzekeringen N.V. Apeldoorn 30-12-1991 19-12-1991 17-08-2012 EUR 2,270,000.00 EUR 681,000.00 EUR 681,000.00 The annual report over the 2011 financial year was filed on 14-05-2012. …………………………………………………………………………………………………………………………………… Achmea GlobalNeth Achmea Personenschade Achmea Schadeverzekeringen N.V. Avéro Achmea Centraal Beheer Achmea FBTO Groene Land Achmea lnShared PWZ Achmea Risicofonds Risicofonds voor het Onderwijs Zilveren Kruis Achmea GoedGenoeg Interpolis Achmea Claims Organisatie Achmea Zorgverzekeringen HEMA I. Services 19-12-1991 SBI code: 6512 - Indemnity insurances (no reinsurance) SBI code: 6622 - Insurance agents 0 …………………………………………………………………………………………………………………………………… 000020000804 Achmea Schadeverzekeringen N.V. Zilveren Kruis Achmea Groene Land Achmea Avéro Achmea A certified extract is an official proof of registration in the Trade Register. A certified extract on paper is signed, provided with a micro text and uv logo printed on security paper. A digitally certified extract is signed with a verifiable electronic signature.
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Trade Register Extract Chamber of Commerce
………………………………………………………… Chamber of Commerce number 08053410 ………………………………………………………… Page 2 (of 10) …………………………………………………………
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Visitor address Postal address Telephone number Fax number Date of establishment Activities
Persons employed ………………………………………………………… Sole shareholder Name Visitor address Registered under Chamber of Commerce number Only shareholder since ………………………………………………………… Directors Name Date of birth and place of birth Date in function Title Authority Name Date of birth and place of birth Date in function Title Authority
…………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… FBTO Centraal Beheer Achmea PWZ Achmea Achmea Personenschade Achmea GlobalNeth lnShared Risicofonds voor het Onderwijs Risicofonds GoedGenoeg Interpolis Achmea Claims Organisatie Achmea Zorgverzekeringen Laan van Malkenschoten 20, 7333NP Apeldoorn Postbus 700, 7300HC Apeldoorn 055 579 9111 055 579 2994 19-12-1991 SBI code: 6512 - Indemnity insurances (no reinsurance) The practicing of the insurance company in the sense of the Insurance Industry Supervision Act, as well as that which already has a connection with the aforementioned or which can be beneficial for it and furthermore, the participation in, taking an interest in a different manner and the financing of other enterprises of whichever nature. 0 …………………………………………………………………………………………………………………………………… Achmea B.V. Handelsweg 2, 3707NH Zeist 33235189 19-11-2011 (date of registration: 21-11-2011) …………………………………………………………………………………………………………………………………… van Breda Vriesman, Jeroen Ariën Sipco 11-07-1967, Amsterdam 01-01-2012 (date of registration: 17-02-2012) Director Solely/independently authorised van der Eijk, Danny 27-10-1958, Amsterdam 01-01-2012 (date of registration: 17-02-2012) Director Solely/independently authorised A certified extract is an official proof of registration in the Trade Register. A certified extract on paper is signed, provided with a micro text and uv logo printed on security paper. A digitally certified extract is signed with a verifiable electronic signature.
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Trade Register Extract Chamber of Commerce
………………………………………………………… Chamber of Commerce number 08053410 ………………………………………………………… Page 3 (of 10) ………………………………………………………… Name Date of birth and place of birth Date in function Title Authority ………………………………………………………… Supervising Directors Name Date of birth and place of birth Date in function
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Name Date of birth and place of birth Date in position ………………………………………………………… Authorised Representatives Name Date of birth and place of birth Date in function Title Authorisation capacity
Vermeer, Antonius Johannes Adrianus Maria 21-10-1949, Udenhout 17-08-2012 (date of registration: 31-08-2012) ……………………………………………………………………………………………………………………………………
Name Date of birth and place of birth Date in function Title Authorisation capacity Start (current) authorisation
Schonewille, Christiaan Simon Andreas 14-06-1954, Alexander Bay, South Africa 01-05-1999 Director Insurances Direct Distribution Division Complete authority 01-09-2000
Name Date of birth and place of birth Date in function Title Authorisation capacity Start (current) authorisation
Woudstra, Theodorus Johannes Hinderikus 06-02-1956, Leeuwarden 01-05-1999 Director Achmea Claims Organisation (ACO) Complete authority 01-05-2009
Name Date of birth and place of birth Date in function Title Authorisation capacity
van den Boom, Adrianus Cornelis Johannes 11-03-1960, Tholen 01-09-2000 Director Achmea Zorg Complete authority
…………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… van Olphen, Gerard 22-03-1962, Nieuwer-Amstel 01-01-2012 (date of registration: 29-02-2012) Director Solely/independently authorised …………………………………………………………………………………………………………………………………… Veenman, Adriaan Willem 17-06-1947, Bleiswijk 17-08-2012 (date of registration: 31-08-2012)
Markesteijn, Ronald Mario Bastiaan 29-04-1960, ‘s-Gravenhage 19-12-1991 Tax employee Limited authority. Consult registration for the limiting provisions.
A certified extract is an official proof of registration in the Trade Register. A certified extract on paper is signed, provided with a micro text and uv logo printed on security paper. A digitally certified extract is signed with a verifiable electronic signature. Stamp Chamber of Commerce
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Trade Register Extract Chamber of Commerce
………………………………………………………… Chamber of Commerce number 08053410 ………………………………………………………… Page 4 (of 10) ………………………………………………………… Name Date of birth and place of birth Date in function Title Authorisation capacity
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Name Date of birth and place of birth Date in function Title Authorisation capacity
Konterman, Roelof 25-07-1956, Nieuwleusen 01-01-2004 Director Achmea Zorg Complete authority
Name Date of birth and place of birth Date in function Title Authorisation capacity
Mentink, Lex Pieter 07-10-1959, ‘s-Gravenhage 01-06-2004 Director Achmea Zorg Complete authority
Name Date of birth and place of birth Date in function Title Authorisation capacity
ter Mors, Robert 30-05-1963, Enschede 01-10-2005 Director Intermediate Distribution Division Complete authority
Name Date of birth and place of birth Date in function Title Authorisation capacity Start (current) authorisation
Maassen, Johannes Jacobus Wilhelmus 20-12-1967, Valburg 01-10-2005 Chairman Achmea Corporate Relations Complete authority 01-01-2007
Name Date of birth and place of birth Date in function Title Authorisation capacity
Buckens, Jacobus Maria 02-02-1957, Oud en Nieuw Gastel 01-04-2006 Division Chairman Interpolis Complete authority
Name Date of birth and place of birth Date in function Title
Janssens, Willem 24-09-1966, ‘s-Gravenhage 01-09-2006 Secretary Board of Directors
…………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… Alkemade, Johannes Wilhelmus Jozef 24-07-1960, Sassenheim 01-11-2001 Head of Tax Affairs Authorised to: doing tax returns, enter into binding agreements with the tax authorities as long as they do not exceed a material interest of EUR 200,000.00.
A certified extract is an official proof of registration in the Trade Register. A certified extract on paper is signed, provided with a micro text and uv logo printed on security paper. A digitally certified extract is signed with a verifiable electronic signature. Stamp Chamber of Commerce
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Trade Register Extract Chamber of Commerce
………………………………………………………… Chamber of Commerce number 08053410 ………………………………………………………… Page 5 (of 10) ………………………………………………………… Authorisation capacity
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Name Date of birth and place of birth Date in function Authorisation capacity
van Sunten, Cornelis Johannes Petrus 20-07-1956, Gilze en Rijen 01-01-2007 Complete authority
Name Date of birth and place of birth Date in function Title Authorisation capacity
Mittertreiner, Franciscus Johannes 10-01-1957, Den Helder 01-01-2007 Director Group Tax Department Authorised to doing tax returns, enter into binding agreements with the tax authorities as long as they do not exceed a material interest of EUR 200,000.00.
Name Date of birth and place of birth Date in function Title Authorisation capacity
Mentink, Hans Christiaan 07-10-1959, ‘s-Gravenhage 01-04-2007 Director Insurances Authorised to sign letters, proposals, policies and agreements regarding insurances.
Name Date of birth and place of birth Date in function Title Authorisation capacity
de Vries, Frans Christian Alexander 09-11-1972, Dordrecht 23-07-2007 Claims Handler Co-insurance Avéro Achmea Signing of documents within the framework of transport insurances signed by Avéro Achmea, such as, but not limited to the Rotterdam Guarantee Form, Guarantee Form ex art. 9 State Water Management Works Administration Act, Power of Attorney and insurance certificates elonging to transport documents.
Name Date of birth and place of birth Date in function Title Authorisation capacity
Sluys, Jan Peter 12-09-1966, Duiven 23-07-2007 Manager Claims Co-insurance Avéro Achmea Signing of documents within the framework of transport insurances signed by Avéro Achmea, such as, but not limited to the Rotterdam Guarantee Form, Guarantee Form ex art. 9 State Water Management Works Administration Act, Power of Attorney and insurance certificates belonging to transport documents.
Name Date of birth and place of birth
Dröge, George Theodorus Johannes 22-11-1954, Oosterhout
…………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… Authorised to making statements for the Chamber of Commerce.
A certified extract is an official proof of registration in the Trade Register. A certified extract on paper is signed, provided with a micro text and uv logo printed on security paper. A digitally certified extract is signed with a verifiable electronic signature. Stamp Chamber of Commerce
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Trade Register Extract Chamber of Commerce
………………………………………………………… Chamber of Commerce number 08053410 ………………………………………………………… Page 6 (of 10) ………………………………………………………… Date in function Title Authorisation capacity
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Name Date of birth and place of birth Date in function Title Authorisation capacity
Richter, Johannes 09-09-1955, Apeldoorn 15-11-2007 Marine Underwriter Authorised for the signing, on behalf of Centraal Beheer Achmea and/or Achmea Schadeverzekeringen NV, of documents at the Chamber of Commerce that are required for the completion of a transport insurance.
Name Date of birth and place of birth Date in function Title Authorisation capacity
Singel, Christiaan 13-01-1960, Apeldoorn 15-11-2007 Marine Underwriter Authorised for the signing, on behalf of Centraal Beheer Achmea and/or Achmea Schadeverzekeringen NV, of documents at the Chamber of Commerce that are required for the completion of a transport insurance.
Name Date of birth and place of birth Date in function Title Authorisation capacity Start (current) authorisation
Koeckhoven, Bernardinus Waltherus Maria 29-09-1958, Haarlemmermeer 01-01-2008 Manager Agro Division Service Limited authorisation up to EUR 500,000.00 Authorised to make transactions that result from the Agro activities. 01-02-2011
Name Date of birth and place of birth Date in function Title Authorisation capacity
Jagersma, Hendrik 15-06-1957, Ede 01-06-2008 Director For authorisation capacity, see file.
Name Date of birth and place of birth Date in function Title Authorisation capacity
Hommel, Jacobus Marinus Josephus 01-04-1959, Moergestel 01-07-2008 Chairman Intermediate Distribution Division Complete authority
Name Date of birth and place of birth Date in function
van de Graaf, Robert Alexander 04-01-1966, Rotterdam 01-12-2008
…………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… 01-08-2007 Director Achmea Vastgoed For authorisation capacity, see file.
A certified extract is an official proof of registration in the Trade Register. A certified extract on paper is signed, provided with a micro text and uv logo printed on security paper. A digitally certified extract is signed with a verifiable electronic signature. Stamp Chamber of Commerce
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Trade Register Extract Chamber of Commerce
………………………………………………………… Chamber of Commerce number 08053410 ………………………………………………………… Page 7 (of 10) ………………………………………………………… Title Authorisation capacity
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Name Date of birth and place of birth Date in function Title Authorisation capacity
Tenniglo, Felix Bernardus Maria 08-06-1962, Enschede 16-12-2008 Director Inshared Complete authority
Name Date of birth and place of birth Date in function Title Authorisation capacity
Veldt, Otto 22-12-1961, Dordrecht 01-09-2009 Director Group Balance Sheet Management Complete authority
Name Date of birth and place of birth Date in function Title Authorisation capacity
Hendriks, Johannes Marinus 08-12-1965, Utrecht 01-09-2009 Financial Director Achmea Zorg Complete authority
Name Date of birth and place of birth Date in function Title Authorisation capacity
Hupkens-Sipma, Nynke Marjan 18-06-1973, het Bildt 01-10-2009 Deputy Company Secretary Authorised to doing reports for the trade register
Name Date of birth and place of birth Date in function Title Authorisation capacity
Bakker, Margretha Geertruida 24-05-1970, Barneveld 01-02-2010 Director Complete authority
Name Date of birth and place of birth Date in function Title Authorisation capacity
Becker, Robert 13-08-1965, Groningen 01-12-2010 (date of registration: 01-12-2010) Chairman Direct Distribution Division Complete authority
Name Date of birth and place of birth Date in function Title
Coolen, Robert André Antoine Marie 29-07-1966, Hoensbroek 01-02-2011 (date of registration: 28-02-2011) Director Interpolis
…………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… Financial Director Direct Distribution Division Complete authority
A certified extract is an official proof of registration in the Trade Register. A certified extract on paper is signed, provided with a micro text and uv logo printed on security paper. A digitally certified extract is signed with a verifiable electronic signature. Stamp Chamber of Commerce
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Trade Register Extract Chamber of Commerce
………………………………………………………… Chamber of Commerce number 08053410 ………………………………………………………… Page 8 (of 10) ………………………………………………………… Authorisation capacity
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Name Date of birth and place of birth Date in function Title Authorisation capacity
van Laarhoven, Gerardus Wilhelmina Nicolaas Maria 28-08-1955, Goirle 01-02-2011 (date of registration: 28-02-2011) Director Interpolis Claims Complete authority
Name Date of birth and place of birth Date in function Title Authorisation capacity
Keim, Roland Joost 20-07-1964, Enschede 01-01-2012 (date of registration: 02-04-2012) Director CBA Corporate Complete authority
Name Date of birth and place of birth Date in function Title Authorisation capacity
Spek, Sandra 04-06-1971, Leiden 01-01-2012 (date of registration: 19-04-2012) Director Finance & Risk, Direct Distribution Division Complete authority
Name Date of birth and place of birth Date in function Title Authorisation capacity
Scholte, Gerhardus Jacobus 22-02-1961, Zwolle 01-03-2012 (date of registration: 13-04-2012) Senior Manager Treasury Joint authority to sign with regard to transactions in the monetary and currency market and derivatives
Name Date of birth and place of birth Date in function Title Authorisation capacity
Vos, Hendrik Jan 20-01-1952, Nieuwenhoorn 01-03-2012 (date of registration: 13-04-2012) Manager Treasury Joint authority to sign with regard to transactions in the monetary and currency market and derivatives
Name Date of birth and place of birth Date in function Title Authorisation capacity
Hölzken, Ernst Aart Bernardus 04-07-1979, lJsselstein 01-03-2012 (date of registration: 13-04-2012) Manager Treasury Joint authority to sign with regard to transactions in the monetary and currency market and derivatives
Name Date of birth and place of birth Date in function Title Authorisation capacity
Broekhof, Jan Willem 16-04-1981, Amerongen 01-03-2012 (date of registration: 13-04-2012) Manager Treasury Joint authority to sign with regard to transactions in the monetary and currency market and derivatives
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…………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… Complete authority
A certified extract is an official proof of registration in the Trade Register. A certified extract on paper is signed, provided with a micro text and uv logo printed on security paper. A digitally certified extract is signed with a verifiable electronic signature.
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Trade Register Extract Chamber of Commerce
………………………………………………………… Chamber of Commerce number 08053410 ………………………………………………………… Page 9 (of 10) ………………………………………………………… Name Date of birth and place of birth Date in function Title Authorisation capacity
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Name Date of birth and place of birth Date in function Title Authorisation capacity
van Eesteren, Andrew Martin 14-12-1959, ‘s-Gravenhage 01-03-2012 (date of registration: 13-04-2012) Manager Treasury Joint authority to sign with regard to transactions in the monetary and currency market and derivatives
Name Date of birth and place of birth Date in function Title Authorisation capacity
Kruijswijk, Robert Paul 24-01-1961, Alphen aan den Rijn 01-03-2012 (date of registration: 13-04-2012) Manager Treasury Joint authority to sign with regard to transactions in the monetary and currency market and derivatives
Name Date of birth and place of birth Date in function Title Authorisation capacity …………………………………………………………
van der Zant, Michiel 29-04-1978, Velsen 01-04-2012 (date of registration: 06-06-2012) Director Corporate Sales Damage & Income Authorised to sign proposals, policies & agreements with regard to insurances …………………………………………………………………………………………………………………………………… There can be officials who have an authority limited exclusively to branches; they will then be stated on the extract for the relevant branch(es). ……………………………………………………………………………………………………………………………………
………………………………………………………… Branch(es) Branch number Legal names
Visitor Address Branch number Legal names Visitor Address
…………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… Kleyweg, Victor Joannes Franciscus 15-02-1966, Voorburg 01-03-2012 (date of registration: 13-04-2012) Manager Treasury Joint authority to sign with regard to transactions in the monetary and currency market and derivatives
000020000812 Avéro Achmea Interpolis Achmea Claims Organisatie Achmea Zorgverzekeringen Lange Marktstraat 26, 8911AD Leeuwarden 000022382844 Interpolis Achmea Claims Organisatie Achmea Zorgverzekeringen Spoorlaan 298, 5017JZ Tilburg A certified extract is an official proof of registration in the Trade Register. A certified extract on paper is signed, provided with a micro text and uv logo printed on security paper. A digitally certified extract is signed with a verifiable electronic signature.
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Trade Register Extract Chamber of Commerce
………………………………………………………… Chamber of Commerce number 08053410 ………………………………………………………… Page 10 (of 10) …………………………………………………………
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Branch number Legal names Visitor Address
000025531956 InShared HEMA I. Services Dodeweg 6, 3832RC Leusden
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Enschede, 04-09-2012. Extract was created at 11:57 hours. For extract
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R.M.A. Gregorowitsch, Director of Information & Legal Implementation
A certified extract is an official proof of registration in the Trade Register. A certified extract on paper is signed, provided with a micro text and uv logo printed on security paper. A digitally certified extract is signed with a verifiable electronic signature.
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