Please wait
Exhibit
(a) (1) (ii)
FERRO CORPORATION
LETTER OF TRANSMITTAL
to Tender 6.50% Convertible Senior Notes due 2013
CUSIP No. 315405AL4
(the “Convertible Notes”)
Pursuant to the Offer to Purchase dated July 27, 2010
The Depositary for the Tender Offer is:
Global Bondholder Services Corporation
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| By Mail:
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By Overnight Courier:
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By Hand: |
65 Broadway – Suite 404
New York, NY 10006
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65 Broadway – Suite 404
New York, NY 10006
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65 Broadway – Suite 404
New York, NY 10006 |
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| By Facsimile Transmission:
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For Confirmation By Telephone: |
(for eligible Institutions only)
(212) 430-3775
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(212) 430-3774 |
The Tender Offer will expire at midnight, New York City time, on August 23, 2010, unless
extended or earlier terminated by Ferro Corporation in its sole discretion (such time and date, as
the same may be extended or earlier terminated, the “Expiration Date”). Tendered Convertible Notes
may be withdrawn at any time prior to the Expiration Date, but not thereafter.
Delivery of this Letter of Transmittal (this “Letter of Transmittal”) to an address other than
as set forth above, or transmission of instructions via a fax number other than as listed above,
will not constitute a valid delivery.
Capitalized terms used herein and not defined herein shall have the meanings ascribed to them
in the Offer to Purchase dated July 27, 2010 (as the same may be amended or supplemented from time
to time, the “Offer to Purchase”) of Ferro Corporation, an Ohio corporation (“Ferro” or the
“Company”).
This Letter of Transmittal is to be completed by a Holder desiring to tender Convertible Notes
unless such Holder is executing the tender through DTC’s Automated Tender Offer Program (“ATOP”).
This Letter of Transmittal need not be completed by a Holder tendering Convertible Notes through
ATOP.
For a description of certain procedures to be followed in order to tender Convertible Notes
(through ATOP or otherwise), see “Procedures for Tendering Convertible Notes” in the Offer to
Purchase and the instructions to this Letter of Transmittal.
TENDER OF CONVERTIBLE NOTES
o CHECK HERE IF CERTIFICATES REPRESENTING TENDERED CONVERTIBLE NOTES ARE
ENCLOSED HEREWITH.
o CHECK HERE IF TENDERED CONVERTIBLE NOTES ARE BEING DELIVERED BY
BOOK-ENTRY TRANSFER MADE TO THE ACCOUNT
MAINTAINED BY THE DEPOSITARY WITH
DTC AND COMPLETE THE FOLLOWING:
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| Name of Tendering Institution: |
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DTC Account Number: |
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Transaction Code Number: |
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Date Tendered: |
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List below the Convertible Notes to which this Letter of Transmittal relates. If the space
provided is inadequate, list the certificate numbers and principal amounts on a separately executed
schedule and affix the schedule to this Letter of Transmittal. Tenders of Convertible Notes will be
accepted only in principal amounts equal to $1,000 or integral multiples thereof. No alternative,
conditional or contingent tenders will be accepted.
DESCRIPTION OF CONVERTIBLE NOTES
6.50% Convertible Senior Notes due 2013
CUSIP No. 315405AL4
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Name(s) and Address(es) of Record Holder(s) |
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or Name of DTC Participant and Participant’s |
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DTC Account Number in which |
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Aggregate |
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Convertible Notes are Held |
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Principal Amount |
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Principal Amount |
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(Please fill in, if blank) |
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Certificate Number(s)* |
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Represented |
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Tendered** |
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Total Principal Amount: |
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* Need not be completed by Holders tendering by book-entry transfer or in accordance with DTC’s ATOP procedure for
transfer (see below). |
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** Unless otherwise specified, it will be assumed that the entire aggregate principal amount represented by the
Convertible Notes described above is being tendered. Only Holders may validly tender their Convertible
Notes pursuant to the Tender Offer. |
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If not already printed above, the name(s) and address(es) of the registered holder(s)
should be printed exactly as they appear on the certificate(s) representing Convertible Notes
tendered hereby or, if tendered by a participant in DTC, exactly as such participant’s name appears
on a security position listing as the owner of the Convertible Notes.
The Tender Offer is not being made to, and tenders of Convertible Notes will not be accepted
from or on behalf of, Holders in any jurisdiction in which the making or the acceptance of the
Tender Offer would not be in compliance with the laws of such jurisdiction.
NOTE: SIGNATURES MUST BE PROVIDED BELOW.
PLEASE READ THE ACCOMPANYING INSTRUCTIONS CAREFULLY.
Ladies and Gentlemen:
The undersigned hereby tenders to Ferro Corporation, an Ohio corporation (the “Company”), upon
the terms and subject to the conditions set forth in this Letter of Transmittal and the Offer to
Purchase (collectively, the “Offer Documents”), receipt of which is hereby acknowledged, the
principal amount or amounts of Convertible Notes indicated in the table above under the caption
heading “Description of Convertible Notes” under the column heading “Principal Amount Tendered”
within such table (or, if nothing is indicated therein, with respect to the entire aggregate
principal amount represented by the Convertible Notes described in such table). The undersigned
represents and warrants that the undersigned has read the Offer Documents and agrees to all of the
terms and conditions herein and therein.
The undersigned acknowledges and agrees that the tender of Convertible Notes made hereby may
not be withdrawn, except in accordance with the procedures and conditions for withdrawal set forth
in the Offer to Purchase.
Subject to, and effective upon, the acceptance for purchase of, and payment for, the principal
amount of Convertible Notes tendered herewith in accordance with the terms and subject to the
conditions of the Tender Offer, the undersigned hereby:
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sells, assigns and transfers to, or upon the order of, the Company, all right, title
and interest in and to all of the Convertible Notes tendered hereby; |
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waives any and all other rights with respect to such Convertible Notes; and |
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irrevocably constitutes and appoints the Depositary the true and lawful agent and
attorney-in-fact of the undersigned (with full knowledge that the Depositary also acts
as the agent of the Company) with respect to such Convertible Notes, with full powers
of substitution and revocation (such power of attorney being deemed to be an
irrevocable power coupled with an interest), to: |
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present such Convertible Notes and all evidences of transfer and authenticity
to, or transfer ownership of such Convertible Notes on the account books maintained
by DTC to, or upon the order of, the Company; |
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present such Convertible Notes for transfer of ownership on the books of the
Company; and |
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receive all benefits and otherwise exercise all rights of beneficial ownership
of such Convertible Notes; |
all in accordance with the terms and conditions of the Tender Offer as described in the Offer to
Purchase.
Tenders of Convertible Notes may be withdrawn only by written notice of withdrawal received by
the Depositary prior to the Expiration Date pursuant to the terms of the Offer to Purchase.
The undersigned acknowledges and agrees that a tender of Convertible Notes pursuant to any of
the procedures described in the Offer to Purchase and in the instructions hereto and an acceptance
of such Convertible Notes by the Company will constitute a binding agreement between the
undersigned and the Company upon the terms and subject to the conditions of the Offer to Purchase
and this Letter of Transmittal.
The undersigned understands that, under certain circumstances and subject to the certain
conditions specified in the Offer Documents (each of which the Company may waive), the Company may
not be required to accept for payment any of the Convertible Notes tendered. Any Convertible Notes
not accepted for payment will be returned promptly to the undersigned at the address set forth
above unless otherwise listed in the box below labeled “A. Special Issuance/Delivery Instructions.”
The undersigned hereby represents and warrants and covenants that:
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the undersigned has full power and authority to tender, sell, assign and transfer
the Convertible Notes tendered hereby; |
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when such tendered Convertible Notes are accepted for payment and paid for by the
Company pursuant to the Tender Offer, the Company will acquire good title thereto, free
and clear of all liens, restrictions, charges and encumbrances and not subject to any
adverse claim or right; and |
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the undersigned will, upon request, execute and deliver any additional documents
deemed by the Depositary or by the Company to be necessary or desirable to complete the
sale, assignment and transfer of the Convertible Notes tendered hereby. |
No authority conferred or agreed to be conferred by this Letter of Transmittal shall be
affected by, and all such authority shall survive, the death or incapacity of the undersigned, and
any obligation of the undersigned hereunder shall be binding upon the heirs, executors,
administrators, trustees in bankruptcy, personal and legal representatives, successors and assigns
of the undersigned and any subsequent transferees of the Convertible Notes.
In consideration for the purchase of the Convertible Notes pursuant to the Tender Offer, the
undersigned hereby waives, releases, forever discharges and agrees not to sue the Company or their
former, current or future directors, officers, employees, agents, subsidiaries, affiliates,
stockholders, predecessors, successors, assigns or other representatives as to any and all claims,
demands, causes of action and liabilities of any kind and under any theory whatsoever, whether
known or unknown (excluding any liability arising under U.S. federal securities laws in connection
with the Tender Offer), by reason of any act, omission, transaction or occurrence, that the
undersigned ever had, now has or hereafter may have against the Company as a result of or in any
manner related to:
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the undersigned’s purchase, ownership or disposition of the Convertible Notes
pursuant to the Tender Offer; or |
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any decline in the value thereof up to and including the Expiration Date. |
Without limiting the generality or effect of the foregoing, upon the purchase of Convertible Notes
pursuant to the Tender Offer, the Company shall obtain all rights relating to the undersigned’s
ownership of Convertible Notes (including, without limitation, the right to all interest payable on
the Convertible Notes) and any and all claims relating thereto.
Unless otherwise indicated herein under “A. Special Issuance/Delivery Instructions,” the
undersigned hereby requests that any Convertible Notes representing principal amounts not tendered
or not accepted for purchase be issued in the name(s) of, and be delivered to, the undersigned
(and, in the case of Convertible Notes tendered by book-entry transfer, by credit to the account of
DTC). Unless otherwise indicated herein under “B. Special Payment Instructions,” the undersigned
hereby request(s) that any checks for payment to be made in respect of the Convertible Notes
tendered hereby be issued to the order of, and delivered to, the undersigned.
In the event that the “A. Special Issuance/Delivery Instructions” box is completed, the
undersigned hereby request(s) that any Convertible Notes representing principal amounts not
tendered or not accepted for purchase be issued in the name(s) of, and be delivered to, the
person(s) at the address(es) therein indicated. The undersigned recognizes that the Company has no
obligation pursuant to the “A. Special Issuance/Delivery Instructions” box to transfer any
Convertible Notes from the names of the registered holder(s) thereof if the Company does not accept
for purchase any of the principal amount of such Convertible Notes so tendered or if provision for
payment of any applicable transfer taxes is not made. In the event that the “B. Special Payment
Instructions” box is completed, the undersigned hereby request(s) that checks for payment to be
made in respect of the Convertible Notes tendered hereby be issued to the order of, and be
delivered to, the person(s) at the address(es) therein indicated, subject to provision for payment
of any applicable taxes being made.
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A. SPECIAL ISSUANCE/DELIVERY
INSTRUCTIONS
(See Instructions 1 and 2)
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B. SPECIAL PAYMENT
INSTRUCTIONS
(See Instructions 1, 2 and 3)
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| To be completed ONLY if Convertible
Notes in a principal amount not tendered
or not accepted for purchase are to be issued
in the name of someone other than the
person(s) whose signature(s) appear within
this Letter of Transmittal or sent to an
address different from that show in the box
entitled “Description of Convertible
Notes” within this Letter of Transmittal. |
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To be completed ONLY if
checks are issued payable to
someone other than the
person(s) whose signature(s)
appear(s) within this Letter
of Transmittal or sent to an
address different from that
shown in the box entitled
“Description of
Convertible Notes”
within this Letter of
Transmittal. |
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Name:
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Name: |
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(Please Print)
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(Please Print) |
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Address:
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Address: |
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(Zip Code)
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(Zip Code) |
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(Tax Identification or
Social Security Number)
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(Tax Identification or
Social Security Number) (See
Form W-9 herein or IRS Form
W-8, as applicable) |
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| o Check here to direct a credit of
Convertible Notes not tendered or
not accepted for purchase delivered by
book-entry transfer to an account at DTC.
book-entry transfer to an account at DTC. |
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| DTC Account No. |
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| Number of Account Party: |
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PLEASE COMPLETE AND SIGN BELOW
(This page is to be completed and signed by all tendering Holders
except Holders executing the tender through DTC’s ATOP system.)
By completing, executing and delivering this Letter of Transmittal, the undersigned hereby
tenders the principal amount of the Convertible Notes of the series listed in the box above labeled
“Description of Convertible Notes” under the column heading “Principal Amount Tendered” (or, if
nothing is indicated therein, with respect to the entire aggregate principal amount represented by
the Convertible Notes described in such box).
(Must be signed by the registered Holder(s) exactly as the name(s) appear(s) on certificate(s)
representing the tendered Convertible Notes or, if the Convertible Notes are tendered by a
participant in DTC, exactly as such participant’s name appears on a security position listing as
the owner of such Convertible Notes. If signature is by trustees, executors, administrators,
guardians, attorneys-in-fact, officers of corporations or others acting in a fiduciary or
representative capacity, please set forth the full title and see Instruction 1.)
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Dated: |
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Name(s): |
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(Please Print)
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Capacity (Full Title): |
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Address: |
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(Including Zip Code)
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Area Code and Telephone Number: |
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Tax Identification or Social Security Number:
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(REMEMBER TO COMPLETE ACCOMPANYING FORM W-9 OR IRS FORM W-8, AS APPLICABLE)
MEDALLION SIGNATURE GUARANTEE
(ONLY IF REQUIRED—SEE INSTRUCTIONS 1 AND 2)
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Authorized Signature of Guarantor: |
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Name of Firm: |
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Address: |
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Area Code and Telephone Number: |
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[Place Seal Here] |
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INSTRUCTIONS
Forming Part of the Terms and Conditions of the Tender Offer
1. Signatures on Letter of Transmittal, Instruments of Transfer and Endorsements. If this
Letter of Transmittal is signed by the registered Holder(s) of the Convertible Notes tendered
hereby, the signatures must correspond with the name(s) as written on the face of the certificates,
without alteration, enlargement or any change whatsoever. If this Letter of Transmittal is signed
by a participant in DTC whose name is shown on a security position listing as the owner of the
Convertible Notes tendered hereby, the signature must correspond with the name shown on the
security position listing as the owner of such Convertible Notes.
If any of the Convertible Notes tendered hereby are registered in the name of two or more
Holders, all such Holders must sign this Letter of Transmittal. If any of the Convertible Notes
tendered hereby are registered in different names on several certificates, it will be necessary to
complete, sign and submit as many separate Letters of Transmittal as there are different
registrations of certificates.
If this Letter of Transmittal or any Convertible Notes or instrument of transfer is signed by
a trustee, executor, administrator, guardian, attorney-in-fact, agent, officer of a corporation or
other person acting in a fiduciary or representative capacity, such person should so indicate when
signing, and proper evidence satisfactory to the Company of such person’s authority to so act must
be submitted.
When this Letter of Transmittal is signed by the registered Holders of the Convertible Notes
tendered hereby, no endorsements of Convertible Notes or separate instruments of transfer are
required unless payment is to be made, or Convertible Notes not tendered or purchased are to be
issued, to a person other than the registered Holders, in which case signatures on such Convertible
Notes or instruments of transfer must be guaranteed by a Medallion Signature Guarantor.
Unless this Letter of Transmittal is signed by the Record Holder(s) of the Convertible Notes
tendered hereby (or by a participant in DTC whose name appears on a security position listing as
the owner of such Convertible Notes), such Convertible Notes must be endorsed or accompanied by
appropriate instruments of transfer, and each such endorsement or instrument of transfer must be
signed exactly as the name or names of the Record Holder(s) appear on the Convertible Notes (or as
the name of such participant appears on a security position listing as the owner of such
Convertible Notes); signatures on each such endorsement or instrument of transfer must be
guaranteed by a Medallion Signature Guarantor, unless the signature is that of an Eligible
Institution.
2. Signature Guarantees. Signatures on this Letter of Transmittal must be guaranteed by a
Medallion Signature Guarantor, unless the Convertible Notes tendered hereby are tendered by a
Record Holder (or by a participant in DTC whose name appears on a security position listing as the
owner of such Convertible Notes) that has not completed the box entitled “A. Special
Issuance/Delivery Instructions” or the box entitled “B. Special Payment Instructions” on this
Letter of Transmittal. See Instruction 1.
3. Transfer Taxes. Except as set forth in this Instruction 3, the Company will pay or cause to
be paid any transfer taxes with respect to the transfer and sale of Convertible Notes to it, or to
its order, pursuant to the Tender Offer. If payment is to be made to, or if Convertible Notes not
tendered or purchased are to be registered in the name of, any persons other than the Record
Holders, or if tendered Convertible Notes are registered in the name of any persons other than the
persons signing this Letter of Transmittal, the amount of any transfer taxes (whether imposed on
the Record Holder or such other person) payable on account of the transfer to such other person
will be deducted from the payment unless satisfactory evidence of the payment of such taxes or
exemption therefrom is submitted.
4. Requests for Assistance or Additional Copies. Any questions or requests for assistance or
additional copies of the Offer to Purchase or this Letter of Transmittal may be directed to the
Information Agent at its telephone number set forth on the back cover of the Offer to Purchase. A
Holder may also contact the Dealer Manager at telephone number set forth on the back cover of the
Offer to Purchase or such Holder’s broker, dealer, commercial bank, trust company or other nominee
for assistance concerning the Tender Offer.
5. Partial Tenders. Tenders of Convertible Notes will be accepted only in integral multiples
of $1,000 principal amount. If less than the entire principal amount of any Note is tendered, the
tendering Holder should fill in the principal amount tendered in the fourth column of the box
entitled “Description of Convertible Notes” above.
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The entire principal amount of Convertible Notes delivered to the Depositary will be deemed to
have been tendered unless otherwise indicated. If the entire principal amount of all Convertible
Notes is not tendered, then substitute Convertible Notes for the principal amount of Convertible
Notes not tendered and purchased pursuant to the Tender Offer will be sent to the Holder at his or
her registered address, unless a different address is provided in the appropriate box on this
Letter of Transmittal promptly after the delivered Convertible Notes are accepted for partial
tender.
6. Special Payment and Special Delivery Instructions. Tendering Holders should indicate in the
applicable box or boxes the name and address to which Convertible Notes for principal amounts not
tendered or not accepted for purchase or checks for payment of the Tender Offer Consideration and
accrued interest are to be sent or issued, if different from the name and address of the Holder
signing this Letter of Transmittal. In the case of payment to a different name, the taxpayer
identification or social security number of the person named must also be indicated. If no
instructions are given, Convertible Notes not tendered or not accepted for purchase will be
returned, and checks for payment of the Tender Offer Consideration and accrued interest will be
sent, to the Holder of the Convertible Notes tendered.
7. Waiver of Conditions. The Company reserves the right, in its sole discretion, to amend or
waive any of the conditions to the Tender Offer.
8. Form W-9; Form W-8. Each tendering U.S. Holder (as defined in the Offer to Purchase under
the caption “Certain U.S. Federal Income Tax Considerations”) (or other payee) is required to
provide the Depositary with a correct taxpayer identification number (“TIN”), generally the U.S.
Holder’s Social Security or federal employer identification number, and with certain other
information, on Form W-9, which is attached hereto, and to certify that the U.S. Holder (or other
payee) is not subject to backup withholding. Failure to provide the correct information on the Form
W-9 may subject the tendering U.S. Holder (or other payee) to a $50 penalty imposed by the Internal
Revenue Service and 28% federal income tax backup withholding on any payment. If a nonexempt U.S.
Holder has not been issued a TIN and has applied for a TIN or intends to apply for a TIN in the
near future, such U.S. Holder should write “Applied For” in the space for the TIN provided on the
attached Form W-9 and must also complete the attached “Certificate of Awaiting Taxpayer
Identification Number” in order to prevent backup withholding. In the event that such U.S. Holder
fails to provide a TIN to the Depositary by the time of payment, the Depositary must backup
withhold 28% of the payments made to such Holder. Non-U.S. Holders (as defined in the Offer to
Purchase under the caption “Certain U.S. Federal Income Tax Considerations”) should not complete
the Form W-9 and instead should provide the appropriate type of IRS Form W-8. See “Important Tax
Information” below.
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IMPORTANT TAX INFORMATION
TO ENSURE COMPLIANCE WITH U.S. TREASURY DEPARTMENT CIRCULAR 230, HOLDERS ARE HEREBY NOTIFIED
THAT: (A) ANY DISCUSSION OF U.S. FEDERAL TAX ISSUES IN THIS LETTER OF TRANSMITTAL IS NOT INTENDED
OR WRITTEN TO BE RELIED UPON, AND CANNOT BE RELIED UPON BY HOLDERS, FOR THE PURPOSE OF AVOIDING
PENALTIES THAT MAY BE IMPOSED ON HOLDERS UNDER THE U.S. INTERNAL REVENUE CODE; (B) SUCH DISCUSSION
IS WRITTEN IN CONNECTION WITH THE PROMOTION OR MARKETING OF THE TRANSACTIONS OR MATTERS ADDRESSED
HEREIN; AND (C) HOLDERS SHOULD SEEK ADVICE BASED ON THEIR PARTICULAR CIRCUMSTANCES FROM THEIR OWN
INDEPENDENT TAX ADVISORS.
Under U.S. federal income tax laws, a Holder whose tendered Convertible Notes are accepted for
payment is required to provide the Depositary (as payer) with such Holder’s correct Taxpayer
Identification Number (“TIN”) on the attached Form W-9 or otherwise establish a basis for exemption
from a 28% backup withholding tax. Certain Holders (including, among others, certain foreign
persons) are exempt from these backup withholding requirements. Exempt Holders should furnish their
TIN, check the “Exempt payee” box on the Form W-9, and sign, date and return the Form W-9 to the
Depositary. A foreign person or entity may qualify as an exempt recipient by submitting to the
Depositary a properly completed Internal Revenue Service Form W-8BEN (or other applicable form),
signed under penalties of perjury, attesting to that Holder’s foreign status. The applicable
Internal Revenue Service Form W-8 can be obtained from the Depositary. See the instructions in the
attached Form W-9 for additional instructions. If such Holder is an individual, the TIN is
generally his social security number. If the Depositary is not provided with the correct TIN, a $50
penalty may be imposed by the Internal Revenue Service, and payments made with respect to
Convertible Notes purchased pursuant to the Tender Offer will be subject to a 28% backup
withholding tax. Failure to comply truthfully with the backup withholding requirements also may
result in the imposition of severe criminal and/or civil fines and penalties.
If backup withholding applies, the Depositary is required to withhold 28% of any payments made
to the Holder or other payee. Backup withholding is not an additional federal income tax. Rather,
the federal income tax liability of persons subject to backup withholding will be reduced by the
amount of tax withheld. If withholding results in an overpayment of taxes, a refund may be obtained
from the Internal Revenue Service, provided that the required information is timely furnished to
the Internal Revenue Service.
Purpose of Form W-9
To prevent backup withholding on payments made with respect to Convertible Notes purchased
pursuant to the Tender Offer, a U.S. Holder is required to provide the Depositary with either: (i)
the U.S. Holder’s correct TIN by completing the Form W-9, certifying that the TIN provided on Form
W-9 is correct (or that such U.S. Holder is awaiting a TIN), that the U.S. Holder is a U.S. person
and that (a) the U.S. Holder has not been notified by the Internal Revenue Service that it is
subject to backup withholding as a result of failure to report all interest or dividends, (b) the
Internal Revenue Service has notified the U.S. Holder that it is no longer subject to backup
withholding or (c) the U.S. Holder is exempt from backup withholding, or (ii) an adequate basis for
exemption.
If a nonexempt U.S. Holder has not been issued a TIN and has applied for a TIN or intends to
apply for a TIN in the near future, such U.S. Holder should write “Applied For” in the space for
the TIN provided on the attached Form W-9 and must also complete the attached “Certificate of
Awaiting Taxpayer Identification Number” in order to prevent backup withholding. In the event that
such U.S. Holder fails to provide a TIN to the Depositary by the time of payment, the Depositary
must backup withhold 28% of the payments made to such Holder.
What Number to Give the Depositary
A U.S. Holder is required to give the Depositary the TIN (e.g., social security number or
employer identification number) of the registered U.S. Holder of the Convertible Notes. If the
Convertible Notes are held in more than one name or are not held in the name of the actual owner,
consult the instructions in the attached Form W-9 for additional guidance on which number to
report.
Withholding With Respect to Non-U.S. Persons
Each payment in respect of accrued and unpaid interest made to a non-U.S. person generally
will be subject to U.S. tax withholding at a 30% rate unless the non-U.S. person certifies its
non-U.S. status on an Internal Revenue
- 8 -
Service Form W-8BEN and certain other conditions are met. For additional information, see
“Certain U.S. Federal Income Tax Considerations — Consequences to Tendering Non-U.S. Holders” in
the Offer to Purchase.
- 9 -
CERTIFICATE OF AWAITING TAXPAYER IDENTIFICATION NUMBER
I certify, under penalties of perjury, that a taxpayer identification number
has not been issued to me, and either (1) I have mailed or delivered an
application to receive a taxpayer identification number to the appropriate
Internal Revenue Service Center or Social Security Administration Office, or
(2) I intend to mail or deliver such an application in the near future. I
understand that if I do not provide a taxpayer identification number by the
time of payment, 28% of all reportable payments made to me will be withheld.
Signature
Date
, 2010
- 10 -
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Form W-9 (Rev. October 2007) Department of the Treasury Internal Revenue Service |
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Request for Taxpayer Identification Number and Certification |
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Give form to the requester. Do not send to the IRS. |
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Print or type
See Specific Instructions on page 2.
Name (as shown on your income tax return)
Business name, if different from above
Check appropriate box: o Individual/Sole proprietor o Corporation o Partnership
o Limited liability company. Enter the tax classification (D=disregarded entity, C=corporation, P=partnership) 4
o Other ( see instruction)4
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Exempt payee |
Address (number, street, and apt. or suite no.) |
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Requester’s name and address (optional) |
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City, state, and ZIP code |
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List account number(s) here (optional) |
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Taxpayer Identification Number (TIN) |
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Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1
to avoid backup withholding. For individuals, this is your social security number (SSN). However,
for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page
3. For other entities, it is your employer identification number (EIN). If you do not have a
number, see How to get a TIN on page 3.
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Social security number
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or |
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Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose
number to enter.
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Employer identification number
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Under
penalties of perjury, I certify that:
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The number shown on this form is my correct taxpayer identification number (or I am
waiting for a number to be issued to me), and |
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I am not subject to backup withholding because: (a) I am exempt from backup
withholding, or (b) I have not been notified by the Internal Revenue Service (IRS)
that I am subject to backup withholding as a result of a failure to report all
interest or dividends, or (c) the IRS has notified me that I am no longer subject to
backup withholding, and |
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I am a U.S. citizen or other U.S. person (defined below). |
Certification instructions. You must cross out item 2 above if you have been notified by
the IRS that you are currently subject to backup withholding because yon have failed to
report all interest and dividends on your tax return. For real estate transactions, item 2
does not apply. For mortgage interest paid, acquisition or abandonment of secured
property, cancellation of debt, contributions to an individual retirement arrangement
(IRA), and generally, payments other than interest and dividends, you are not required to
sign the Certification, but you must provide your correct TIN. See the instructions on
page 4.
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Sign
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Signature of
U.S. person4 |
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Here
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Date4 |
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General Instructions
Section references are to the Internal Revenue Code unless otherwise noted.
Purpose of Form
A person who is required to file an information return with the IRS must obtain your correct
taxpayer identification number (TIN) to report, for example,
income paid to you, real estate
transactions, mortgage interest you paid, acquisition or abandonment of secured property,
cancellation of debt, or contributions you made to an IRA.
Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your
correct TIN to the person requesting it (the requester) and when applicable, to:
1. Certify
that the TIN you are giving is correct (or you are waiting for a number to be
issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you
are also certifying that as a U.S. person, your allocable share of any partnership income from a
U.S. trade or business is not subject to the withholding tax on foreign partners’ share of
effectively connected income.
Note.
If a requester gives you a form other than Form W-9 to request your TIN, you must use the
requester’s form if it is substantially similar to this
Form W-9.
Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are:
• An individual who is a U.S. citizen or U.S. resident alien,
• A partnership, corporation, company, or association created or organized in the United States or
under the laws of the United States,
• An estate (other than a foreign estate), or
• A domestic trust (as defined in Regulations section 301.7701-7).
Special rules for partnerships. Partnerships that conduct a trade or business in the United States
are generally required to pay a withholding tax on any foreign partners’ share of income from such
business. Further, in certain cases where a Form W-9 has not been received, a partnership is
required to presume that a partner is a foreign person, and pay the withholding tax. Therefore, if
you are a U.S. person that is a partner in a partnership conducting a trade or business in the
United States, provide Form W-9 to the partnership to establish your U.S. status and avoid
withholding on your share of partnership income.
The person who gives Form W-9 to the partnership for purposes of establishing its U.S. status
and avoiding withholding on its allocable share of net income from the partnership conducting a
trade or business in the United States is in the following cases:
• The U.S. owner of a disregarded entity and not the entity,
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Cat. No. 10231X
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Form W-9 (Rev. 10-2007) |
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Page 2 |
• The U.S. grantor or other owner of a grantor trust and not the trust, and
• The U.S. trust (other than a grantor trust) and not the beneficiaries of the trust.
Foreign person. If you are a foreign person, do not use Form W-9. Instead, use the appropriate Form W-8
(see Publication 515, Withholding of Tax on Nonresident Aliens and Foreign Entities).
Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may
use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However,
most tax treaties contain a provision known as a “saving clause.” Exceptions specified in the
saving clause may permit an exemption from tax to continue for certain types of income even after
the payee has otherwise become a U.S. resident alien for tax purposes.
If you are a U.S. resident alien who is relying on an exception contained in the saving clause
of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a
statement to Form W-9 that specifies the following five items:
1. The treaty country. Generally,
this must be the same treaty under which you claimed exemption from tax as a nonresident alien.
2. The treaty article addressing the income.
3. The article number (or location) in the tax treaty that contains the saving clause and its
exceptions.
4. The type and amount of income that qualifies for the exemption from tax.
5. Sufficient facts to justify the exemption from tax under the terms of the treaty article.
Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for
scholarship income received by a Chinese student temporarily present in the United States. Under
U.S. law, this student will become a resident alien for tax purposes if his or her stay in the
United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the
U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply
even after the Chinese student becomes a resident alien of the United States. A Chinese student who
qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this
exception to claim an exemption from tax on his or her scholarship or fellowship income would
attach to Form W-9 a statement that includes the information described above to support that
exemption.
If you are a nonresident alien or a foreign entity not subject to backup withholding, give the
requester the appropriate completed Form W-8.
What is backup withholding? Persons making certain payments to you must under certain conditions
withhold and pay to the IRS 28% of such payments. This is called “backup withholding.” Payments
that may be subject to backup withholding include interest, tax-exempt interest, dividends, broker
and barter exchange transactions, rents, royalties, nonemployee pay, and certain payments from
fishing boat operators. Real estate transactions are not subject to backup withholding.
You will not be subject to backup withholding on payments you receive if you give the
requester your correct TIN, make the proper certifications, and report all your taxable interest
and dividends on your tax return.
Payments you receive will be subject to backup withholding if:
1. You do not furnish your TIN to
the requester,
2. You do not certify your TIN when required (see the Part II instructions on page 3 for details),
3. The IRS tells the requester that you furnished an incorrect TIN,
4. The IRS tells you that you are subject to backup withholding because you did not report all your
interest and dividends on your tax return (for reportable interest and dividends only), or
5. You
do not certify to the requester that you are not subject to backup withholding under 4 above (for
reportable interest and dividend accounts opened after 1983 only).
Certain payees and payments are exempt from backup withholding. See the instructions below and
the separate Instructions for the Requester of Form W-9.
Also see Special rules for partnerships on page 1.
Penalties
Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a
penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect.
Civil penalty for false information with respect to withholding. If you make a false statement with
no reasonable basis that results in no backup withholding, you are subject to a $500 penalty.
Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal
penalties including fines and/or imprisonment.
Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties.
Specific Instructions
Name
If you are an individual, you must generally enter the name shown on your income tax return.
However, if you have changed your last name, for instance, due to marriage without informing the
Social Security Administration of the name change, enter your first name, the last name shown on
your social security card, and your new last name.
If the account is in joint names, list first, and then circle, the name of the person or
entity whose number you entered in Part I of the form.
Sole proprietor. Enter your individual name as shown on your income tax return on the “Name” line.
You may enter your business, trade, or “doing business as (DBA)” name on the “Business name” line.
Limited liability company (LLC). Check the “Limited liability company” box only and enter the
appropriate code for the tax classification (“D” for disregarded entity, “C” for corporation, “P” for partnership) in the space provided.
For a single-member LLC (including a foreign LLC with a domestic owner) that is disregarded as
an entity separate from its owner under Regulations section 301.7701-3, enter the owner’s name on
the “Name” line. Enter the LLC’s name on the “Business name” line.
For an LLC classified as a partnership or a corporation, enter the LLC’s name on the “Name” line
and any business, trade, or DBA name on the “Business name” line.
Other entities. Enter your business name as shown on required federal tax documents on the “Name”
line. This name should match the name shown on the charter or other legal document creating the
entity. You may enter any business, trade, or DBA name on the “Business name” line.
Note. You are requested to check the appropriate box for your status (individual/sole proprietor,
corporation, etc.).
Exempt Payee
If you are exempt from backup withholding, enter your name as described above and check the
appropriate box for your status, then check the “Exempt payee” box in the line following the
business name, sign and date the form.
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Page 3 |
Generally, individuals (including sole proprietors) are not exempt from backup withholding.
Corporations are exempt from backup withholding for certain payments, such as interest and
dividends.
Note. If you are exempt from backup withholding, you should still complete this form to
avoid possible erroneous backup withholding.
The following payees are exempt from backup withholding:
1. An organization exempt from tax
under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account
satisfies the requirements of section 401(f)(2),
2. The United States or any of its agencies or
instrumentalities,
3. A state, the District of Columbia, a possession of the United States, or any
of their political subdivisions or instrumentalities,
4. A foreign government or any of its
political subdivisions, agencies, or instrumentalities, or
5. An international organization or any
of its agencies or instrumentalities.
Other payees that may be exempt from backup withholding include:
6. A corporation,
7. A
foreign central bank of issue,
8. A dealer in securities or commodities required to register in
the United States, the District of Columbia, or a possession of the United States,
9. A futures
commission merchant registered with the Commodity Futures Trading Commission,
10. A real estate
investment trust,
11. An entity registered at all times during the tax year under the Investment
Company Act of 1940,
12. A common trust fund operated by a bank under
section 584(a),
13. A
financial institution,
14. A middleman known in the investment community as a nominee or
custodian, or
15. A trust exempt from tax under section 664 or described in section 4947.
The chart below shows types of payments that may be exempt from backup withholding. The chart
applies to the exempt payees listed above, 1 through 15.
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the payment is for ... |
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THEN
the payment is exempt for
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Interest and dividend payments
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All exempt payees except
for 9 |
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Broker transactions
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Exempt payees 1 through 13.
Also, a person registered under
the Investment Advisers Act of
1940 who regularly acts as a
broker |
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Barter exchange transactions
and patronage dividends
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Exempt payees 1 through 5 |
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Payments over $600 required
to be reported and direct
sales over $5,000 1
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Generally, exempt payees
1 through 7 2 |
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See Form 1099-MISC, Miscellaneous Income, and its instructions. |
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However, the following payments made to a corporation (including gross proceeds paid to an
attorney under
section 6045(f), even if the attorney is a corporation) and reportable on Form
1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys’
fees, and payments for services paid by a federal executive agency. |
Part I. Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. If you are a resident alien and you do not have and are not
eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN).
Enter it in the social security number box. If you do not have an ITIN, see How to get a TIN below.
If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN. However,
the IRS prefers that you use your SSN.
If you are a single-member LLC that is disregarded as an entity separate from its owner (see
Limited liability company (LLC) on page 2), enter the owner’s SSN (or EIN, if the owner has one).
Do not enter the disregarded entity’s EIN. If the LLC is classified as a corporation or
partnership, enter the entity’s EIN.
Note. See the chart on page 4 for further clarification of
name and TIN combinations.
How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get
Form SS-5, Application for a Social Security Card, from your local Social Security Administration
office or get this form online at www.ssa.gov. You may also get this form by calling
1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to
apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an
EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/businesses and
clicking on Employer Identification Number (EIN) under Starting a Business. You can get Forms W-7
and SS-4 from the IRS by visiting www.irs.gov or by calling 1-800-TAX-FORM (1-800-829-3676).
If you are asked to complete Form W-9 but do not have a TIN, write “Applied For” in the space
for the TIN, sign and date the form, and give it to the requester. For interest and dividend
payments, and certain payments made with respect to readily tradable instruments, generally you
will have 60 days to get a TIN and give it to the requester before you are subject to backup
withholding on payments. The 60-day rule does not apply to other types of payments. You will be
subject to backup withholding on all such payments until you provide your TIN to the requester.
Note. Entering “Applied For” means that you have already applied for a TIN or that you intend to
apply for one soon.
Caution: A disregarded domestic entity that has a foreign owner must use the appropriate Form W-8.
Part II. Certification
To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9.
You may be requested to sign by the withholding agent even if items 1, 4, and 5 below indicate
otherwise.
For a joint account, only the person whose TIN is shown in Part I should sign (when required).
Exempt payees, see Exempt Payee on page 2.
Signature requirements. Complete the certification as indicated in 1 through 5 below.
1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts
considered active during 1983. You must give your correct TIN, but you do not have to sign the
certification.
2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker
accounts considered inactive during 1983. You must sign the certification or backup withholding
will apply. If you are subject to backup withholding and you are merely providing your correct TIN
to the requester, you must cross out item 2 in the certification before signing the form.
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Page 4 |
3. Real estate transactions. You must sign the certification. You may cross out item 2 of the
certification.
4. Other payments. You must give your correct TIN, but you do not have to sign the
certification unless you have been notified that you have previously given an incorrect TIN. “Other
payments” include payments made in the course of the requester’s trade or business for rents,
royalties, goods (other than bills for merchandise), medical and health care services (including
payments to corporations), payments to a nonemployee for services, payments to certain fishing boat
crew members and fishermen, and gross proceeds paid to attorneys (including payments to
corporations).
5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation
of debt, qualified tuition program payments (under section 529), IRA, Coverdell ESA, Archer MSA or
HSA contributions or distributions, and pension distributions. You must give your correct TIN, but
you do not have to sign the certification.
What Name and Number To Give the Requester
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Give name and SSN of: |
1. Individual
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The individual |
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2. Two or more individuals (joint
account)
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The actual owner of the account or,
if combined funds, the first
individual on the account 1 |
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3. Custodian account of a minor
(Uniform Gift to Minors Act)
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The minor 2 |
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4. a. The usual revocable savings
trust (grantor is also trustee)
b. So-called trust account that is
not a legal or valid trust under
state law
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The grantor-trustee 1
The actual owner 1 |
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5. Sole proprietorship or disregarded
entity owned by an individual
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The owner 3 |
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For this type of account:
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Give name and EIN of: |
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6. Disregarded entity not owned by an
individual
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The owner |
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7. A valid trust, estate, or pension trust
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Legal entity 4 |
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8. Corporate or LLC electing
corporate status on Form 8832
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The corporation |
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9. Association, club, religious,
charitable, educational, or other
tax-exempt organization
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The organization |
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10. Partnership or multi-member LLC
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The partnership |
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11. A broker or registered nominee
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The broker or nominee |
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12. Account with the Department of
Agriculture in the name of a public
entity (such as a state or local
government, school district, or
prison) that receives agricultural
program payments
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The public entity |
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List first and circle the name of the person whose number you furnish. If only one person on a
joint account has an SSN, that person’s number must be furnished. |
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Circle the minor’s name and furnish the minor’s SSN. |
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You must show your individual name and you may also enter your business or “DBA” name on the
second name line. You may use either your SSN or EIN (if you have one), but the IRS encourages you
to use your SSN. |
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List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of
the personal representative or trustee unless the legal entity itself is not designated in the
account title.) Also see Special rules for partnerships on page 1. |
Note. If no name is circled when more than one name is listed, the number will be considered to be
that of the first name listed.
Secure Your Tax Records from Identity Theft
Identity theft occurs when someone uses your personal information such as your name, social
security number (SSN), or other identifying information, without your permission, to commit fraud
or other crimes. An identity thief may use your SSN to get a job or may file a tax return using
your SSN to receive a refund.
To reduce your risk:
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Protect your SSN, |
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Ensure your employer is protecting your SSN, and |
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Be careful when choosing a tax preparer. |
Call the IRS at 1-800-829-1040 if you think your identity has been used inappropriately for tax
purposes.
Victims of identity theft who are experiencing economic harm or a system problem, or are
seeking help in resolving tax problems that have not been resolved through normal channels, may be
eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS
toll-free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059.
Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of
email and websites designed to mimic legitimate business emails and websites. The most common act
is sending an email to a user falsely claiming to be an established legitimate enterprise in an
attempt to scam the user into surrendering private information that will be used for identity
theft.
The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request
personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or
similar secret access information for their credit card, bank, or other financial accounts.
If you receive an unsolicited email claiming to be from the IRS, forward this message to
phishing@irs.gov. You may also report misuse of the IRS name, logo, or other IRS personal property
to the Treasury Inspector General for Tax Administration at 1-800-366-4484. You can forward
suspicious emails to the Federal Trade Commission at: spam@uce.gov or contact them at
www.consumer.gov/idtheft or 1-877-IDTHEFT(438-4338).
Visit the IRS website at www.irs.gov to learn more about identity theft and how to reduce your
risk.
Privacy Act Notice
Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons who
must file information returns with the IRS to report interest, dividends, and certain other income
paid to you, mortgage interest you paid, the acquisition or abandonment of secured property,
cancellation of debt, or contributions you made to an IRA, or Archer MSA or HSA. The IRS uses the
numbers for identification purposes and to help verify the accuracy of your tax return. The IRS may
also provide this information to the Department of Justice for civil and criminal litigation, and
to cities, states, the District of Columbia, and U.S. possessions to carry out their tax laws. We
may also disclose this information to other countries under a tax treaty, to federal and state
agencies to enforce federal nontax criminal laws, or to federal law enforcement and intelligence
agencies to combat terrorism.
You must provide your TIN whether or not you are required to file a tax return. Payers must
generally withhold 28% of taxable interest, dividend, and certain other payments to a payee who
does not give a TIN to a payer. Certain penalties may also apply.
In order to tender, a Holder should send or deliver a properly completed and signed Letter of
Transmittal, certificates for Convertible Notes and any other required documents to the Depositary
at the address set forth below or tender pursuant to DTC’s Automated Tender Offer Program.
The Information Agent for the Tender Offer is:
Global Bondholder Services Corporation
65 Broadway – Suite 404
New York, New York 10006
Attn: Corporate Actions
Banks and Brokers call: (212) 430-3774
Toll free (866) 873-7700
The Depositary for the Tender Offer is:
Global Bondholder Services Corporation
By facsimile:
(For Eligible Institutions only):
(212) 430-3775
Confirmation:
(212) 430-3774
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By Overnight Courier:
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By Hand: |
| 65 Broadway – Suite 404
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65 Broadway – Suite 404
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65 Broadway – Suite 404 |
| New York, NY 10006
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New York, NY 10006
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New York, NY 10006 |
Any questions or requests for assistance or for additional copies of this Offer to Purchase, the
Letter of Transmittal or the other offer documents may be directed to the Information Agent at its
telephone number above. A Holder may also contact the Dealer Manager at its telephone number set
forth below or such Holder’s custodian for assistance concerning the Tender Offer.
The Dealer Manager for the Tender Offer is:
Credit Suisse
Credit Suisse Securities (USA) LLC
Attn: Liability Management Group
Eleven Madison Avenue
New York, New York 10010
Collect: (212) 538-2147
U.S. Toll free: (800) 820-1653