In this act Annex III of 5

ANNEX III

Financial servicesLevel 2ITSMiCAIn forceOfficial source

REPORTING FOR CRYPTO-ASSET SERVICE PROVIDERS

CRYPTO-ASSET SERVICE PROVIDER TEMPLATES
Template number	Template code	Adressees	Name of the template /group of templates
INFORMATION ON HOLDERS
6	S 06.00	Crypto-asset service providers	INFORMATION ON HOLDERS
INFORMATION ON TRANSACTIONS
7	S 07.01	Crypto-asset service providers	TRANSACTIONS DURING REPORTING PERIOD - TOTAL
7	S 07.02	Crypto-asset service providers	TRANSACTIONS DURING REPORTING PERIOD - TOTAL_EU
7	S 07.03	Crypto-asset service providers	TRANSACTIONS THAT ARE ASSOCIATED TO ITS USES AS A MEANS OF EXCHANGE WITHIN A SINGLE CURRENCY AREA - TOTAL
7	S 07.04	Crypto-asset service providers	DISTRIBUTED LEDGER ADDRESSES FOR MAKING TRANSFERS ON BEHALF OF CLIENTS
INFORMATION ON TOKEN
8	S 08.00	Crypto-asset service providers	TOKEN HELD BY CASP

S 06.00 - INFORMATION ON HOLDERS

S 07.01 - TRANSACTIONS DURING REPORTING PERIOD - TOTAL

Country:


		Number	Amount
		0010	0020
Transactions during reporting period - total	0010
of which made within the country	0020
of which received transaction to the country	0030
of which sent transaction from the country	0040

S 07.02 - TRANSACTIONS DURING REPORTING PERIOD - TOTAL_EU


		Number	Amount
		0010	0020
Transactions during reporting period - total	0010
of which made within the EU	0020
of which received transaction to the EU	0030
of which sent transaction from the EU	0040

S 07.03 - TRANSACTIONS THAT ARE ASSOCIATED TO ITS USES AS A MEANS OF EXCHANGE WITHIN A SINGLE CURRENCY AREA - TOTAL

Single currency area:


		Number	Amount
		0010	0020
Transactions during reporting period - total	0010

S 07.04 - DISTRIBUTED LEDGER ADDRESSES FOR MAKING TRANSFERS ON BEHALF OF CLIENTS

Distributed ledger address

0010

S 08.00 - TOKEN HELD BY CASP


		Number	Amount
		0010	0020
Token held by CASP	0010
of which held via EU clients of the CASP	0020