Annex II FORM FOR ACKNOWLEDGEMENT OF RECEIPT

Acknowledgement of receipt

1. Reference number: Date: FROM Member State: Competent Authoritymeans one or more authorities:designated by each Member State in accordance with Article 93 concerning offerors, persons seeking admission to trading of crypto-assets other than asset-referenced tokens and e-money tokens, issuers of asset-referenced tokens, or crypto-asset service providers;designated by each Member State for the application of Directive 2009/110/EC concerning issuers of e-money tokens;: Address: (Contact details of the contact point) Name: Telephone: Email: TO Member State: Competent Authoritymeans one or more authorities:designated by each Member State in accordance with Article 93 concerning offerors, persons seeking admission to trading of crypto-assets other than asset-referenced tokens and e-money tokens, issuers of asset-referenced tokens, or crypto-asset service providers;designated by each Member State for the application of Directive 2009/110/EC concerning issuers of e-money tokens;: Address: (Contact details of the contact point) Name: Telephone: Email: Dear [insert appropriate name], We hereby acknowledge receipt of your request for cooperation or exchange of information [insert reference to the request] on [insert date]. The [requested authority] will not be capable of responding within the deadline indicated in the request for the following reasons [please specify which exception(s) is/are applicable in your situation]: … … … [In case the requested authority is not capable of responding within the deadline indicated in the request, please provide reasons and the estimated date of response] The [requested authority] considers that the request received from the [requesting authority] on [insert date] is not urgent for the following reasons: … … … [In case the requested authority disagrees with the urgency of the request, please provide reasons within the deadline set out in Article 6(3)] Any personal datameans personal data as defined in Article 4, point (1), of Regulation (EU) 2016/679; provided shall be processed by the relevant competent authoritiesmeans one or more authorities:designated by each Member State in accordance with Article 93 concerning offerors, persons seeking admission to trading of crypto-assets other than asset-referenced tokens and e-money tokens, issuers of asset-referenced tokens, or crypto-asset service providers;designated by each Member State for the application of Directive 2009/110/EC concerning issuers of e-money tokens; in accordance with Regulation (EU) 2016/679 of the European Parliament and of the Council(1)Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation) (OJ L 119, 4.5.2016, p. 1, ELI: http://data.europa.eu/eli/reg/2016/679/oj). In particular, the relevant competent authoritiesmeans one or more authorities:designated by each Member State in accordance with Article 93 concerning offerors, persons seeking admission to trading of crypto-assets other than asset-referenced tokens and e-money tokens, issuers of asset-referenced tokens, or crypto-asset service providers;designated by each Member State for the application of Directive 2009/110/EC concerning issuers of e-money tokens; shall ensure that all relevant information on the processing of personal datameans personal data as defined in Article 4, point (1), of Regulation (EU) 2016/679; is provided to data subjects in accordance with Section 2 ‘Information and access to personal datameans personal data as defined in Article 4, point (1), of Regulation (EU) 2016/679;’ of Chapter III ‘Rights of the data subject’ of that Regulation. Yours sincerely, [signature]