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THE OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE AT ONE MINUTE AFTER 11:59 P.M., NEW YORK CITY TIME, ON JANUARY 6, 2025, UNLESS THE OFFER IS EXTENDED (SUCH DATE AND TIME, AS THEY MAY BE EXTENDED, THE “EXPIRATION TIME”)
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By Express Mail, Hand or
Overnight Courier: Broadridge, Inc. Attn: BCIS IWS 51 Mercedes Way Edgewood, NY 11717 |
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By Mail:
Broadridge, Inc. Attn: BCIS Re-Organization Dept. P.O. Box 1317 Brentwood, NY 11717-0718 |
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FOR OFFICE USE ONLY Approved W-9 Completed
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DESCRIPTION OF SHARES TENDERED
(SEE INSTRUCTIONS 3 AND 4) |
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NAME(S) AND ADDRESS(ES) OF REGISTERED HOLDER(S)
(PLEASE FILL IN, IF BLANK, EXACTLY AS NAME(S) APPEAR(S) ON SHARE CERTIFICATE(S)) and/or ACCOUNT STATEMENT |
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SHARES TENDERED
(ATTACH ADDITIONAL SIGNED LIST, IF NECESSARY) |
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Certificate
Number(s) and/or indicate Book-Entry |
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Total Number
of Shares Represented by Certificate(s) |
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Number of
Shares Tendered (1)(2)(3) |
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| | | | | | | Total Shares Tendered | | | ||||||||
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(1)
If shares are held in Book-Entry form, you MUST indicate the number of shares you are tendering. Otherwise, all shares represented by Book-Entry delivered to the Depositary and Paying Agent will be deemed to have been tendered. By signing and submitting this Letter of Transmittal you warrant that these shares will not be sold, including through limit order request, unless validly withdrawn from the Offer.
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(2)
If you wish to tender fewer than all shares represented by any certificate listed above, please indicate in this column the number of shares you wish to tender. Otherwise, all shares represented by share certificates delivered to the Depositary and Paying Agent will be deemed to have been tendered. See Instruction 4.
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(3)
Unless otherwise indicated, it will be assumed that all shares described above are being tendered. See Instruction 4.
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| | 1st: | | | 2nd: | | | 3rd: | | | 4th: | |
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Name of Tendering Institution:
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| | Account Number: | | |
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| | Transaction Code Number: | | |
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Name(s) of Registered Owners(s):
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Date of Execution of Notice of Guaranteed Delivery:
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| | Name of Institution that Guaranteed Delivery: | | |
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| | Issue: | | | | |
| | Name | | |
(Please Print)
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| | (Taxpayer Identification or Social Security Number) | | |||
| | Address | | |
(Include Zip Code)
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(See IRS Form W-9 Included Herewith and available on the IRS website)
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| | Issue: | | | | |
| | Name | | |
(Please Print)
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| | Address | | |
(Include Zip Code)
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| | Name: Sign Here: | | |
(Signature(s) of Holder(s) of Shares on the line above
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| | Dated: | | |
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| | Name: | | |
(Please Print on the line above)
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| | Capacity (full title) | | |
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| | Address | | |
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(Include Zip Code)
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By Express Mail, Hand or
Overnight Courier: Broadridge, Inc. Attn: BCIS IWS 51 Mercedes Way Edgewood, NY 11717 |
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By Mail:
Broadridge, Inc. Attn: BCIS Re-Organization Dept. P.O. Box 1317 Brentwood, NY 11717-0718 |
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