Annexes to COM(2017)482 - European citizens’ initiative

Please note

This page contains a limited version of this dossier in the EU Monitor.

dossier COM(2017)482 - European citizens’ initiative.
document COM(2017)482 EN
date April 17, 2019
ANNEX I

MINIMUM NUMBER OF SIGNATORIES PER MEMBER STATE

Belgium15 771
Bulgaria12 767
Czechia15 771
Denmark9 763
Germany72 096
Estonia4 506
Ireland8 261
Greece15 771
Spain40 554
France55 574
Croatia8 261
Italy54 823
Cyprus4 506
Latvia6 008
Lithuania8 261
Luxembourg4 506
Hungary15 771
Malta4 506
Netherlands19 526
Austria13 518
Poland38 301
Portugal15 771
Romania24 032
Slovenia6 008
Slovakia9 763
Finland9 763
Sweden15 020
United Kingdom54 823


ANNEX II

REQUIRED INFORMATION FOR REGISTERING AN INITIATIVE

1.The title of the initiative, in no more than 100 characters; (*1);

2.The objectives of the initiative on which the Commission is invited to act, in no more than 1 100 characters without spaces; (adjusted mean per language (*1));

The group of organisers may provide an annex on the subject, objectives and background to the initiative, in no more than 5 000 characters without spaces (adjusted mean per language (*1));

The group of organisers may provide additional information on the subject, objectives and background to the initiative. It may also, if it wishes, submit a draft legal act;

3.The provisions of the Treaties considered relevant by the group of organisers for the proposed action;

4.The full names, postal addresses, nationalities and dates of birth of seven members of the group of organisers residing in seven different Member States indicating specifically the representative and the substitute as well as their email addresses and telephone numbers (1);

If the representative and/or the substitute are not among the seven members referred to in the first subparagraph, their full names, postal addresses, nationalities, dates of birth, email addresses and telephone numbers;

5.Documents that prove the full names, postal addresses, nationalities and dates of birth of each of the seven members referred to in point 4 and of the representative and the substitute if they are not among those seven members;

6.The names of the other members of the group of organisers;

7.In the situation referred to in Article 5(7) of Regulation (EU) 2019/788, where appropriate, documents that prove the creation of a legal entity in accordance with the national law of a Member State specifically for the purpose of managing a given initiative and that the member of the group of organisers designated as the representative thereof is mandated to act on behalf of the legal entity;

8.All sources of support and funding for the initiative at the time of registration.


(*1)  The Commission provides the translation into all the official languages of the institutions of the Union of these elements, for all the registered initiatives.

(1) Only the full names of the members of the group of organisers, the country of residence of the representative or, where appropriate, the name and the country of the seat of the legal entity, the email addresses of the contact persons and information relating to the sources of support and funding will be made available to the public in the Commission's online register. Data subjects are entitled to object to the publication of their personal data on compelling legitimate grounds relating to their particular situation.


ANNEX III

STATEMENT OF SUPPORT FORM — Part A (1)

(for Member States that do not require the provision of a personal identification number/personal identification document number)

All fields on this form are mandatory.

TO BE PRE-COMPLETED BY THE GROUP OF ORGANISERS:

1.All signatories on this form are citizens of:

Please mark only one Member State per list.

2.European Commission registration number:

3.Dates of start and end of the collection period:

4.Web address of this initiative in the European Commission's register:

5.Title of this initiative:

6.Objectives of the initiative:

7.Names and email addresses of registered contact persons:

[In the situation referred to in Article 5(7) of Regulation (EU) 2019/788, where appropriate, additionally: the name and the country of the seat of the legal entity]:

8.Website of this initiative (if any):

TO BE COMPLETED BY THE SIGNATORIES IN CAPITAL LETTERS:

‘I hereby certify that the information that I have provided in this form is correct and that I have not already supported this initiative.’

FULL FIRST NAMESFAMILY NAMESRESIDENCE (2)

(street, number, postal code, city, country)
DATE OF BIRTHDATESIGNATURE (3)

Privacy statement (4) for the statements of support collected on paper or via individual online collection systems:

In accordance with Regulation (EU) 2016/679 (the General Data Protection Regulation), your personal data provided on this form will only be used for the support of the initiative and made available to the competent national authorities for the purpose of verification and certification. You are entitled to request from the group of organisers of this initiative access to, rectification of, erasure and restriction of processing of your personal data.

Your data will be stored by the group of organisers for a maximum retention period of one month after the submission of the initiative to the European Commission or 21 months after the beginning of the collection period, whichever is the earlier. It might be retained beyond these time limits in the case of administrative or legal proceedings, for a maximum of one month after the date of conclusion of these proceedings.

Without prejudice to any other administrative or judicial remedy, you have the right to lodge at any time a complaint with a data protection authority, in particular in the Member State of your habitual residence, place of work or place of the alleged infringement if you consider that your data is unlawfully processed.

The representative of the group of organisers of the initiative or, where appropriate, the legal entity created by it, is the controller within the meaning of the General Data Protection Regulation and can be contacted using the details provided on this form.

The contact details of the data protection officer (if any) are available at the web address of this initiative in the European Commission's register, as provided in point 4 of this form.

The contact details of the national authority which will receive and process your personal data and the contact details of the national data protection authorities can be consulted at: http://ec.europa.eu/citizens-initiative/public/data-protection.

Privacy statement for the statements of support collected online via the central online collection system:

In accordance with Regulation (EU) 2018/1725 and Regulation (EU) 2016/679 (the General Data Protection Regulation) your personal data provided on this form will only be used for the support of the initiative and made available to the competent national authorities for the purpose of verification and certification. You are entitled to request from the European Commission and from the representative of the group of organisers of the initiative or, where appropriate, the legal entity created by it, access to, rectification of, erasure and restriction of processing of your personal data.

Your data will be stored by the European Commission for a maximum retention period of one month after the submission of the initiative to the European Commission or 21 months after the beginning of the collection period, whichever is the earlier. It might be retained beyond these time limits in the case of administrative or legal proceedings, for a maximum of one month after the date of conclusion of these proceedings.

Without prejudice to any other administrative or judicial remedy, you have the right to lodge at any time a complaint with the European Data Protection Supervisor or with a data protection authority, in particular in the Member State of your habitual residence, place of work or place of the alleged infringement if you consider that your data is unlawfully processed.

The European Commission and the representative of the group of organisers of the initiative or, where appropriate, the legal entity created by it, are joint controllers within the meaning of Regulation (EU) 2018/1725 and the General Data Protection Regulation and can be contacted using the details provided on this form.

The contact details of the data protection officer of the group of organisers (if any) are available at the web address of this initiative in the European Commission's register, as provided in point 4 of this form.

The contact details of the data protection officer of the European Commission, of the national authority which will receive and process your personal data, of the European Data Protection Supervisor and of the national data protection authorities can be consulted at: http://ec.europa.eu/citizens-initiative/public/data-protection.

STATEMENT OF SUPPORT FORM — Part B (5)

(for Member States that require the provision of a personal identification number/personal identification document number)

All fields on this form are mandatory.

TO BE PRE-COMPLETED BY THE GROUP OF ORGANISERS:

1.All signatories on this form are citizens of:

Please mark only one Member State per list.

See the European Commission's website on the European Citizens' Initiative for personal identification numbers/personal identification document numbers, one of which must be provided.

2.European Commission registration number:

3.Dates of start and end of the collection period:

4.Web address of this initiative in the European Commission's register:

5.Title of this initiative:

6.Objectives of the initiative:

7.Names and email addresses of registered contact persons:

[In the situation referred to in Article 5(7) of Regulation (EU) 2019/788, where appropriate, additionally: the name and the country of the seat of the legal entity]:

8.Website of this initiative (if any):

TO BE COMPLETED BY THE SIGNATORIES IN CAPITAL LETTERS:

‘I hereby certify that the information that I have provided in this form is correct and that I have not already supported this initiative.’

FULL FIRST NAMESFAMILY NAMESPERSONAL IDENTIFICATION NUMBER/PERSONAL IDENTIFICATION DOCUMENT NUMBERTYPE OF PERSONAL IDENTIFICATION NUMBER OR DOCUMENTDATESIGNATURE (6)

Privacy statement (7) for the statements of support collected on paper or via individual online collection systems:

In accordance with Regulation (EU) 2016/679 (the General Data Protection Regulation), your personal data provided on this form will only be used for the support of the initiative and made available to the competent national authorities for the purpose of verification and certification. You are entitled to request from the group of organisers of this initiative access to, rectification of, erasure and restriction of processing of your personal data.

Your data will be stored by the group of organisers for a maximum retention period of one month after the submission of the initiative to the European Commission or 21 months after the beginning of the collection period, whichever is the earlier. It might be retained beyond these time limits in the case of administrative or legal proceedings, for a maximum of one month after the date of conclusion of these proceedings.

Without prejudice to any other administrative or judicial remedy, you have the right to lodge at any time a complaint with a data protection authority, in particular in the Member State of your habitual residence, place of work or place of the alleged infringement if you consider that your data is unlawfully processed.

The representative of the group of organisers of the initiative or, where appropriate, the legal entity created by it, is the controller within the meaning of the General Data Protection Regulation and can be contacted using the details provided on this form.

The contact details of the data protection officer (if any) are available at the web address of this initiative in the European Commission's register, as provided in point 4 of this form.

The contact details of the national authority which will receive and process your personal data and the contact details of the national data protection authorities can be consulted at: http://ec.europa.eu/citizens-initiative/public/data-protection.

Privacy statement for the statements of support collected online via the central online collection system:

In accordance with Regulation (EU) 2018/1725 and Regulation (EU) 2016/679 (the General Data Protection Regulation) your personal data provided on this form will only be used for the support of the initiative and made available to the competent national authorities for the purpose of verification and certification. You are entitled to request from the European Commission and from the representative of the group of organisers of the initiative or, where appropriate, the legal entity created by it, access to, rectification of, erasure and restriction of processing of your personal data.

Your data will be stored by the European Commission for a maximum retention period of one month after the submission of the initiative to the European Commission or 21 months after the beginning of the collection period, whichever is the earlier. It might be retained beyond these time limits in the case of administrative or legal proceedings, for a maximum of one month after the date of conclusion of these proceedings.

Without prejudice to any other administrative or judicial remedy, you have the right to lodge at any time a complaint with the European Data Protection Supervisor or with a data protection authority, in particular in the Member State of your habitual residence, place of work or place of the alleged infringement if you consider that your data is unlawfully processed.

The European Commission and the representative of the group of organisers of the initiative or, where appropriate, the legal entity created by it, are joint controllers within the meaning of Regulation (EU) 2018/1725 and the General Data Protection Regulation and can be contacted using the details provided on this form.

The contact details of the data protection officer of the group of organisers (if any) are available at the web address of this initiative in the European Commission's register, as provided in point 4 of this form.

The contact details of the data protection officer of the European Commission, of the national authority which will receive and process your personal data, of the European Data Protection Supervisor and of the national data protection authorities can be consulted at: http://ec.europa.eu/citizens-initiative/public/data-protection.


(1) The form shall be printed on one sheet. Group of organisers may use a double-sided sheet. For the purpose of uploading the statements of support collected in paper form to the central online collection system a code made available by the European Commission shall be used.

(2) German nationals residing outside the country only if they have registered their current permanent residence at their responsible German diplomatic representation abroad.

(3) Signature is not mandatory if the form is submitted online via the central online collection system as referred to in Article 10 of Regulation (EU) 2019/788 or an individual online collection system as referred to in Article 11 of the said Regulation.

(4) Only one of the two proposed versions of the privacy statements is to be used, depending on the mode of collection.

(5) The form shall be printed on one sheet. Group of organisers may use a double-sided sheet. For the purpose of uploading the statements of support collected in paper form to the central online collection system a code made available by the European Commission shall be used.

(6) Signature is not mandatory if the form is submitted online via the central online collection system as referred to in Article 10 of Regulation (EU) 2019/788 or an individual online collection system as referred to in Article 11 of the said Regulation.

(7) Only one of the two proposed versions of the privacy statements is to be used, depending on the mode of collection.


ANNEX IV

CERTIFICATE CONFIRMING THE CONFORMITY OF AN ONLINE COLLECTION SYSTEM WITH REGULATION (EU) 2019/788 OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL OF 17 APRIL 2019 ON THE EUROPEAN CITIZENS' INITIATIVE

… (name of competent authority) of … (name of Member State) hereby certifies that the individual online collection system … (website address) used for the collection of statements of support for … (title of the initiative) having the registration number … (registration number of the initiative) complies with the relevant provisions of Regulation (EU) 2019/788 of the European Parliament and of the Council of 17 April 2019 on the European citizens' initiative.

Date, signature and official stamp of the competent authority:


ANNEX V

FORM FOR THE SUBMISSION OF STATEMENTS OF SUPPORT TO THE MEMBER STATES' COMPETENT AUTHORITIES

1.Full names, postal addresses and email addresses of the contact persons (representative and substitute of the group of organisers) or of the legal entity managing the initiative and its representative:

2.Title of the initiative:

3.Commission registration number:

4.Date of registration:

5.Number of signatories who are nationals of (name of Member State):

6.Total number of collected statements of support:

7.Number of Member States where the threshold has been reached:

8.Annexes:

(Include all statements of support from signatories who are nationals of the relevant Member State.

If applicable, include the relevant certificate of conformity of the individual online collection system with Regulation (EU) 2019/788 of the European Parliament and of the Council of 17 April 2019 on the European citizens' initiative).

9.I hereby declare that the information provided in this form is correct and that the statements of support have been collected in accordance with Article 9 of Regulation (EU) 2019/788 of the European Parliament and of the Council of 17 April 2019 on the European citizens' initiative.

10.Date and signature of one of the contact persons (representative/substitute (1)) or of the representative of the legal entity:


(1) Delete as appropriate.


ANNEX VI

CERTIFICATE CONFIRMING THE NUMBER OF VALID STATEMENTS OF SUPPORT COLLECTED FOR … (NAME OF MEMBER STATE)

… (name of competent authority) of … (name of Member State), having made the necessary verifications required by Article 12 of Regulation (EU) 2019/788 of the European Parliament and of the Council of 17 April 2019 on the European citizens' initiative, hereby certifies that … (number of valid statements of support) statements of support for the initiative having the registration number … (registration number of the initiative) are valid in accordance with the provisions of that Regulation.

Date, signature and official stamp


ANNEX VII

FORM FOR THE SUBMISSION OF AN INITIATIVE TO THE EUROPEAN COMMISSION

1.Title of the initiative:

2.Commission registration number:

3.Date of registration:

4.Number of valid statements of support received (must be at least one million):

5.Number of signatories certified by Member States:
BEBGCZDKDEEEIEELESFRHRITCYLVLTLU
Number of signatories
HUMTNLATPLPTROSISKFISEUKTOTAL
Number of signatories

6.Full names, postal addresses and email addresses of the contact persons (representative and substitute of the group of organisers) (1) or of the legal entity managing the initiative and its representative.

7.Indicate all sources of support and funding received for the initiative, including the amount of financial support at the time of submission.

8.I hereby declare that the information provided in this form is correct and that all relevant procedures and conditions set out in Regulation (EU) 2019/788 of the European Parliament and of the Council of 17 April 2019 on the European citizens' initiative have been complied with.

Date and signature of one of the contact persons (representative/substitute (2)) or of the representative of the legal entity:

9.Annexes: (Include all certificates)


(1) Only the full names of the members of the group of organisers, the country of residence of the representative or, where appropriate, the name and the country of the seat of the legal entity, the email addresses of the contact persons and information relating to the sources of support and funding will be made available to the public on the Commission's online register. Data subjects are entitled to object to the publication of their personal data on compelling legitimate grounds relating to their particular situation.

(2) Delete as appropriate.