| | |
THE OFFER AND WITHDRAWAL RIGHTS WILL EXPIRE AT ONE MINUTE FOLLOWING 11:59 P.M. (12:00 MIDNIGHT), NEW YORK CITY TIME, ON TUESDAY, NOVEMBER 15, 2022, UNLESS THE OFFER IS EXTENDED OR EARLIER TERMINATED.
|
| |
| |
By Mail:
Computershare c/o Voluntary Corporate Actions P.O. Box 43011 Providence, RI 02940-3011 |
| |
By Overnight Courier:
Computershare c/o Voluntary Corporate Actions 150 Royall Street, Suite V Canton, MA 02021 |
|
|
Name(s) and Address(es) of Registered Holder(s)
(Please fill in, if blank, exactly as name(s) appear(s) on certificate(s)) (Attach additional signed list if necessary) |
| |
Shares Tendered
|
| |
Total Number
of Shares Tendered* |
| |||||||||
| |
Certificate
Number(s) |
| |
Total Number of Shares
Represented by Certificate(s) |
| |
Book Entry
Shares Tendered |
| ||||||||
| | | | | |
Total Shares |
| | | | | | | | | | |
| Name(s) of Tendering Stockholder(s): |
|
| Window Ticket Number (if any): |
|
| Date of Execution of Notice of Guaranteed Delivery: |
|
| Name of Eligible Institution that Guaranteed Delivery: |
|
| | |
SPECIAL PAYMENT INSTRUCTIONS
(See Instructions 1, 5, 6 and 7) |
| | |||
| | | To be completed ONLY if the check for the purchase price of Shares accepted for payment and/or Certificates not tendered or not accepted for payment are to be issued in the name of someone other than the undersigned. | | | |||
| | | Issue check and/or Certificates to: | | | |||
| | |
(Please Print)
|
| | |||
| | |
(Include Zip Code)
|
| | |||
| | |
(Taxpayer Identification No. (e.g., Social Security No.)) (Also complete, as appropriate, the IRS Form W-9 included below)
|
| | |||
| | |
SPECIAL DELIVERY INSTRUCTIONS
(See Instructions 1, 5, 6 and 7) |
| | |||
| | | To be completed ONLY if the check for the purchase price of Shares accepted for payment and/or Certificates evidencing Shares not tendered or not accepted are to be mailed to someone other than the undersigned or to the undersigned at an address other than that shown above. | | | |||
| | | Mail check and/or Certificates to: | | | |||
| | |
(Please Print)
|
| | |||
| | |
(Include Zip Code)
|
| | |||
| | |
IMPORTANT
STOCKHOLDER: YOU MUST SIGN BELOW (U.S. Holders: Please complete and return the IRS Form W-9 included below) (Non-U.S. Holders: Please obtain, complete and return the appropriate IRS Form W-8)
|
| |
| | |
(Signature(s) of Holder(s) of Shares)
|
| |
| | | Dated: | | |
| | |
(Please Print)
|
| |
| | |
(Please Print)
|
| |
| | |
|
| |
| | |
(Include Zip Code)
|
| |
| | |
|
| |
| | | Tax Identification No. (e.g., Social Security No.) (See IRS Form W-9 included below): | | |
| | | (Must be signed by registered holder(s) exactly as name(s) appear(s) on Certificate(s) or on a security position listing or by person(s) authorized to become registered holder(s) by Certificates and documents transmitted herewith. If signature is by a trustee, executor, administrator, guardian, attorney-in-fact, agent, officer of a corporation or other person acting in a fiduciary or representative capacity, please set forth full title and see Instruction 5.) | | |
| |
By Mail:
Computershare c/o Voluntary Corporate Actions P.O. Box 43011 Providence, RI 02940-3011 |
| |
By Overnight Courier:
Computershare c/o Voluntary Corporate Actions 150 Royall Street, Suite V Canton, MA 02021 |
|