HOME FEDERAL SAVINGS AND LOAN ASSOCIATION OF NAMPA REVOCABLE PROXY
Any member giving a proxy may revoke it at any time before it is voted by
delivering to the Secretary of Home Federal either a written revocation of the
proxy, or a duly executed proxy bearing a later date, or by voting in person at
the Special Meeting.
The undersigned hereby acknowledges receipt of a Notice of Special Meeting of
Members to be held on the __th day of ________, 2004 and a Proxy Statement for
the Special Meeting prior to the signing of this proxy.
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Signature Date
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Signature Date
NOTE: Please sign exactly as your
name(s) appear(s) on this Proxy. Only
one signature is required in the case
of a joint account. When signing in a
representative capacity, please give
title.
IMPORTANT: Please Detach, Sign and Return "ALL" proxies from "ALL" packets
received in the enclosed postage paid envelope.
FAILURE TO VOTE HAS THE SAME EFFECT AS A "NO" VOTE.
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Home Federal Bancorp, Inc.
500 12th Avenue South
Nampa, Idaho 83653
(208) xxx-xxxx
Stock Order and Certification Form
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Deadline: The Subscription Offering ends at 12:00 Noon, Mountain time, on ____
xx, 2004. Your original Stock Order and Certification Form, properly executed
and with the correct payment, must be received (not postmarked) at the address
on the top of this form, or at a Home Federal Savings and Loan Association of
Nampa office, by the deadline, or it will be considered void. Faxes or copies of
this form will not be accepted.
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(1) Number of Shares Price Per Share (2) Total Amount Due | (6) [ ] Check here if you are a director, officer or
---------------- ---------------- | employee of Home Federal Savings and Loan
| | x $10.00 = | | | Association of Nampa or a member of such
---------------- ---------------- | person's immediate family (same household).
Minimum - 25 shares Maximum - 25,000 shares |----------------------------------------------------------
| (7) [ ] NASD Affiliation - see description on reverse
- -------------------------------------------------------------------------| side of this form.
Method of Payment |----------------------------------------------------------
(3) [ ] Enclosed is a check, bank draft or money order payable to | (8) Please review the preprinted account information
Home Federal Bancorp, Inc. for $______________. | listed below. The accounts printed below may not be
| all of your qualifying accounts or even your
(4) [ ] I authorize Home Federal Savings and Loan Association | accounts as of the earliest of the three dates if
of Nampa to make withdrawals from my certificate or | you have changed names on the accounts. You should
savings account(s) (not accounts with checking privileges) | list any other accounts that you may have or had
shown below, and understand that the amounts will not | with Home Federal Savings and Loan Association of
otherwise be available for withdrawal: | Nampa in the box below. SEE THE STOCK ORDER FORM
| INSTRUCTIONS SHEET FOR FURTHER INFORMATION. All
Account Number(s) Amount(s) | subscription orders are subject to the provisions of
------------------------------------------------------------ | the Plan of Conversion.
| | | | ----------------------------------------------------
|-------------------------------|----------------------------| | | |
| | | | | |
|-------------------------------|----------------------------| | | |
| | | | | |
|-------------------------------|----------------------------| | | |
| | | | | |
-------------------------------|----------------------------| | | |
Total Withdrawal | | | | |
---------------------------- | ----------------------------------------------------
There is NO penalty for early withdrawal. | Additional Qualifying Accounts
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(5) Purchaser Information (check one) | Account Title (Names on Accounts) Account Number
| ----------------------------------------------------
a. [ ] Eligible Account Holder - Check here if you were a depositor | | | |
with at least $50 on deposit with Home Federal Savings and | |-----------------------------------|----------------|
Loan Association of Nampa as of December 31, 2002. Enter | | | |
information in Section 8 for all deposit accounts that you had | |-----------------------------------|----------------|
at Home Federal Savings and Loan Association of Nampa on | | | |
December 31, 2002. | |-----------------------------------|----------------|
b. [ ] Supplemental Eligible Account Holder - Check here if you were | | | |
a depositor with at least $50 on deposit with Home Federal | ----------------------------------------------------
Savings and Loan Association of Nampa as of March 31, 2004 but |
are not an Eligible Account Holder. Enter information in | Please Note: Failure to list all of your accounts may
Section 8 for all deposit accounts that you had at Home | result in the loss of part or all of your subscription
Federal Savings and Loan Association of Nampa on March 31, | rights. (additional space on back of form)
2004. |
c. [ ] Other Member - Check here if you were a depositor of Home |
Federal Savings of Nampa and Loan Association as of XXXX xx, |
2004, or borrower as of March 16, 2004 whose loans continue to |
be outstanding as of XXX xx, 2004 but are not an Eligible |
Account Holder or a Supplemental Eligible Account Holder. |
Enter information in Section 8 for all accounts that you had |
at Home Federal Savings and Loan Association of Nampa on XXX |
xx, 2004. |
d. [ ] Local Community - Residents of Ada, Canyon, Elmore and Gem |
Counties, Idaho |
e. [ ] General Public |
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(9) Stock Registration - Please Print Legibly and Fill Out Completely
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(Note: The written statement indicating number of shares of stock held and all
correspondence related to this stock order will be mailed to the address
provided below)
[ ] Individual [ ] Uniform Transfer to Minors Act [ ] Partnership
[ ] Joint Tenants [ ] Uniform Gift to Minors Act [ ] Individual Retirement Account
[ ] Tenants in Common [ ] Corporation [ ] Fiduciary/Trust (Under Agreement Dated _________________)
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| | |
| Name | Social Security or Tax I.D. |
|----------------------------------|-------------------------------------------|
| | |
| Name | Social Security or Tax I.D. |
|------------------------------------------------------------------------------|
| Mailing | Daytime |
| Address | Telephone |
|---------------------------------------------------|--------------------------|
| Zip | Evening |
| City State Code County | Telephone |
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Acknowledgment By signing below, I acknowledge receipt of the prospectus dated
XXXX xx, 2004 and understand I may not change or revoke my order once it is
received by Home Federal Bancorp, Inc. I also certify that this stock order is
for my account and there is no agreement or understanding regarding any further
sale or transfer of these shares. Applicable regulations prohibit any persons
from transferring, or entering into any agreement directly or indirectly to
transfer, the legal or beneficial ownership of subscription rights or the
underlying securities to the account of another person. Home Federal Bancorp,
Inc. will pursue any and all legal and equitable remedies in the event it
becomes aware of the transfer of subscription rights and will not honor orders
known by it to involve such transfer. Under penalties of perjury, I further
certify that: (1) the social security number or taxpayer identification number
given above is correct and; (2) I am not subject to backup withholding. You must
cross out this item (2) in this acknowledgement if you have been notified by the
Internal Revenue Service that you are subject to backup withholding because of
under-reporting interest or dividends on your tax return. By signing below, I
also acknowledge that I have not waived any rights under the Securities Act of
1933 and the Securities Exchange Act of 1934, both as amended.
Signature: THIS FORM MUST BE SIGNED AND DATED BELOW AND ON THE BACK OF THIS
FORM. This order is not valid if the Stock Order and Certification Form are not
both signed and properly completed. Your order will be filled in accordance with
the provisions of the Plan of Conversion as described in the prospectus. An
additional signature is required only if payment is by withdrawal from an
account that requires more than one signature to withdraw funds.
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| Signature Date | | Office Use Only Check # __________ ___________ |
| | | |
|-----------------------------------| | Date Rec'd _____/_____ Ck. Amt. __________ ___________ |
| Signature Date | | |
| | | Batch # ______-Order #__________ Category _____________ |
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HOME FEDERAL SAVINGS AND LOAN ASSOCIATION OF NAMPA REVOCABLE PROXY
THIS PROXY IS SOLICITED BY THE BOARD OF DIRECTORS OF HOME FEDERAL SAVINGS AND
LOAN ASSOCIATION OF NAMPA FOR USE AT A SPECIAL MEETING OF MEMBERS TO BE HELD ON
_________ __, 2004, AND ANY ADJOURNMENTS OF THAT MEETING, FOR THE PURPOSES SET
FORTH IN THE FOREGOING NOTICE OF SPECIAL MEETING. YOUR BOARD OF DIRECTORS
UNANIMOUSLY RECOMMENDS YOU TO VOTE FOR THE APPROVAL OF THE PLAN OF CONVERSION.
The undersigned, being a member of Home Federal, hereby authorizes the Board of
Directors of Home Federal or any successors in their respective positions, as
proxy, with full powers of substitution, to represent the undersigned at the
Special Meeting of Members of Home Federal to be held at the _____________,
_________, Nampa, Idaho, on _____ __, 2004 at _:00 _.m., local time, and at any
adjournment of said meeting, to act with respect to all votes that the
undersigned would be entitled to cast, if then personally present, as set forth
below:
(1) To consider and vote upon a plan to convert Home Federal from a
federally-chartered mutual savings and loan association to a federally
chartered stock savings bank to be known as "Home Federal Bank,"
including the adoption of a federal stock charter and bylaws, pursuant
to laws of the United States and the rules and regulations of the
Office of Thrift Supervision, with the concurrent sale of all of its
capital stock to Home Federal Bancorp, Inc., a Delaware corporation,
and the sale by Home Federal Bancorp, Inc. of its shares of common
stock.
FOR [ ] AGAINST [ ]
(2) To consider and vote upon any other matters that may lawfully come
before the special meeting
FOR [ ] AGAINST [ ]
This proxy, if executed, will be voted "FOR" adoption of the plan of conversion
and for adjournment of the Special Meeting, if necessary, if no choice is made
herein. Please date and sign this proxy on the reverse side and return it in the
enclosed envelope.
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Home Federal Bancorp, Inc.
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Item (7) continued - NASD Affiliation |Item (8) continued; Purchaser Information
(this section only applies to those |
individuals who meet the delineated | Account Title (Names on Accounts) Account Number
criteria) | ----------------------------------------------------------
| | | |
Check the box if you are a member of the | |-----------------------------------|----------------------|
National Association of Securities Dealers,| | | |
Inc. ("NASD"), a person associated with | |-----------------------------------|----------------------|
an NASD member, a member of the immediate | | | |
family of any such person to whose support | |-----------------------------------|----------------------|
such person contributes, directly or | | | |
indirectly, or the holder of an account in | |-----------------------------------|----------------------|
which an NASD member or person associated | | | |
with an NASD member has a beneficial | |-----------------------------------|----------------------|
interest. To comply with conditions under | | | |
which an exemption from the NASD's | ----------------------------------------------------------
Interpretation With Respect to Free-Riding |
and Withholding is available, you agree, |
if you have checked the NASD affiliation |
box: (1) not to sell, transfer or |
hypothecate the stock for a period of three|
months following the issuance and (2) to |
report this subscription in writing to the |
applicable NASD member within one day of |
the payment therefor. |
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CERTIFICATION FORM
(This Certification Form Must Be Signed In Addition to the Stock Order Form)
I ACKNOWLEDGE THAT THE SHARES OF COMMON STOCK OF HOME FEDERAL BANCORP, INC. ARE
NOT DEPOSITS OR ACCOUNTS AND ARE NOT INSURED OR GUARANTEED BY THE FEDERAL
DEPOSIT INSURANCE CORPORATION OR ANY OTHER GOVERNMENTAL AGENCY.
If anyone asserts that the shares of common stock are federally insured or
guaranteed, or are as safe as an insured deposit, I should call the Office of
Thrift Supervision Regional Director, Charles A. Deardorff at (650) 746-7000.
I further certify that, before purchasing the common stock of Home Federal
Bancorp, Inc., I received a copy of the prospectus dated ___ xx, 2004 which
discloses the nature of the common stock being offered and describes the
following risks involved in an investment in the common stock under the heading
"Risk Factors" beginning on page 1 of the prospectus:
1. A significant decline or rise in interest rates may hurt our profits and
net portfolio value.
2. Our loan portfolio possesses increased risk due to our substantial
outstanding balances of construction and development, commercial real
estate and consumer loans, which could increase the level of our provision
for loan losses.
3. The value of our mortgage servicing rights declines during periods of
falling interest rates.
4. After this offering, our return on equity will be low compared to other
companies and our compensation expenses will increase. This could
negatively impact the price of our stock.
5. Strong competition within our market area may limit our growth and
profitability.
6. Holders of Home Federal Bancorp common stock may not be able to sell their
shares when desired if a liquid trading market does not develop, or for
$10.00 or more per share even if a liquid trading market develops.
7. We intend to grant stock options and restricted stock to the Board of
Directors and certain employees following the conversion which will likely
reduce your ownership interest.
8. Implementation of new benefit plans will increase our future compensation
expense, which will reduce our profitability and stockholders' equity.
9. The amount of common stock we will control, our certificate of
incorporation and bylaws, and state and federal law could discourage
hostile acquisitions of control of Home Federal Bancorp.
10. The economy in our local market area may adversely affect our operations.
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| Signature Date | | Signature Date |
| | | |
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(Note: If shares are to be held jointly, both parties must sign)
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EXECUTION OF THIS CERTIFICATION FORM WILL NOT CONSTITUTE A WAIVER OF ANY RIGHTS
THAT A PURCHASER MAY HAVE UNDER THE SECURITIES ACT OF 1933 AND THE SECURITIES
EXCHANGE ACT OF 1934, BOTH AS AMENDED. THE SHARES OF COMMON STOCK BEING OFFERED
ARE NOT DEPOSITS OR ACCOUNTS AND ARE NOT INSURED OR GUARANTEED BY THE FEDERAL
DEPOSIT INSURANCE CORPORATION OR ANY OTHER GOVERNMENTAL AGENCY.
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Home Federal Bancorp, Inc. Stock Order Form Instructions
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All subscription orders are subject to the provisions of the Plan of Conversion.
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Items 1 and 2 - Fill in the number of shares that you wish to purchase and the
total payment due. The amount due is determined by multiplying the number of
shares ordered by the subscription price of $10.00 per share. The minimum
purchase is 25 shares. No person may purchase more than 25,000 shares, and no
person together with his or her associates or group of persons acting in concert
may purchase more than 120,000 shares. For additional information, please see
"Home Federal's Conversion - Limitations on Stock Purchases" in the Prospectus,
which is incorporated herein by reference. Home Federal Bancorp, Inc. reserves
the right to reject the subscription of any order received in the Community
Offering, if any, in whole or in part.
Item 3 - Payment for shares may be made in cash (only if delivered by you in
person), by check, bank draft or money order payable to Home Federal Bancorp,
Inc. DO NOT MAIL CASH. Your funds will earn interest at Home Federal Savings and
Loan Association of Nampa's current passbook savings rate.
Item 4 - To pay by withdrawal from a savings account or certificate at Home
Federal Savings and Loan Association, insert the account number(s) and the
amount(s) you wish to withdraw from each account. If more than one signature is
required to withdraw, each must sign in the signature box on the front of this
form. To withdraw from an account with checking privileges, please write a
check. Home Federal Savings and Loan Association of Nampa will waive any
applicable penalties for early withdrawal from certificate accounts. A hold will
be placed on the account(s) for the amount(s) you show. Payments will remain in
account(s) until the stock offering closes. If the remaining balance in a
certificate account is reduced below the applicable minimum balance requirement
at the time that the funds actually are transferred under the authorization, the
certificate will be canceled at the time of the withdrawal, without penalty, and
the remaining balance will earn interest at the passbook savings rate subsequent
to the withdrawal.
Item 5 - Please check the appropriate box if you were:
a) A depositor with $50.00 or more on deposit at Home Federal Savings and
Loan Association of Nampa as of December 31, 2002 ("Eligible Account
Holder"). Enter information in Section 8 for all deposit accounts that
you had at Home Federal Savings and Loan Association of Nampa on
December 31, 2002.
b) A depositor with $50.00 or more on deposit at Home Federal Savings and
Loan Association Nampa as of March 31, 2004, but are not an Eligible
Account Holder ("Supplemental Eligible Account Holder"). Enter
information in Section 8 for all deposit accounts that you had at Home
Federal Savings and Loan Association of Nampa on March 31, 2004.
c) A depositor at Home Federal Savings and Loan Association of Nampa as
of xxxxx xx, 2004 or a borrower whose loan was outstanding at March
16,2004 which continued to be outstanding at xxxxx xx, 2004 but are
not an Eligible Account Holder or Supplemental Eligible Account Holder
("Other Member"). Enter information in Section 8 for all accounts that
you had at Home Federal Savings and Loan Association of Nampa on xxxxx
xx, 2004.
d) Local Community - natural persons residing in Ada, Canyon, Elmore and
Gem Counties, Idaho.
e) General Community.
Item 6 - Please check this box to indicate whether you are a director, officer
or employee of Home Federal Savings and Loan Association of Nampa or a member of
such person's immediate family.
Item 7 - Please check this box if you have a National Association of Securities
Dealers, Inc. ("NASD") affiliation (as defined on the reverse side of the Stock
Order Form.)
Item 8 - Please review the preprinted qualifying account number(s) information.
The account number(s) listed may not be all of your account number(s). You
should list any other qualifying accounts that you may have or had with Home
Federal Savings and Loan Association of Nampa in the box located under the
heading "Additional Qualifying Accounts." These may appear on other Stock Order
Forms you have received. For example, if you are ordering stock in just your
name, you should list all of your deposit accounts as of the earliest of the
three dates that you were a depositor. Similarly, if you are ordering stock
jointly with another depositor, you should list all deposit accounts under which
either of you are owners, i.e. individual accounts, joint accounts, etc. If you
are ordering stock in your minor child's or grandchild's name under the Uniform
Transfer to Minors Act, to qualify in the Subscription Offering the minor must
have had a deposit account on one of the three dates and you should list only
their account number(s). If you are ordering stock corporately, you need to list
just that corporation's deposit accounts, as your individual account(s) do not
qualify. Failure to list all of your qualifying accounts may result in the loss
of part or all of your subscription rights.
Item 9 - The stock transfer industry has developed a uniform system of
shareholder registrations that we will use in the issuance of Home Federal
Bancorp, Inc. common stock. Please complete this section as fully and accurately
as possible, and be certain to supply your social security or Tax I.D. number(s)
and your daytime and evening phone numbers. We will need to call you if we
cannot execute your order as given. If you have any questions regarding the
registration of your stock, please consult your legal advisor. Subscription
rights are not transferable. If you are an Eligible or Supplemental Eligible
Account Holder or Other Member, to protect your priority over other purchasers
as described in the Prospectus, you must take ownership in at least one of the
account holder's names.
(See Reverse Side for Stock Ownership Guide)
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Home Federal Bancorp, Inc. Stock Ownership Guide
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Individual - The stock is to be registered in an individual's name only. You may
not list beneficiaries for this ownership.
Joint Tenants - Joint tenants with rights of survivorship identifies two or more
owners. When stock is held by joint tenants with rights of survivorship,
ownership automatically passes to the surviving joint tenant(s) upon the death
of any joint tenant. You may not list beneficiaries for this ownership.
Tenants in Common - Tenants in common may also identify two or more owners. When
stock is to be held by tenants in common, upon the death of one co-tenant,
ownership of the stock will be held by the surviving co-tenant(s) and by the
heirs of the deceased co-tenant. All parties must agree to the transfer or sale
of shares held by tenants in common. You may not list beneficiaries for this
ownership.
Uniform Gift To Minors - For residents of many states, including Idaho, stock
may be held in the name of a custodian for the benefit of a minor under the
Uniform Transfer to Minors Act. For residents in other states, stock may be held
in a similar type of ownership under the Uniform Gift to Minors Act of the
individual state. For either ownership, the minor is the actual owner of the
stock with the adult custodian being responsible for the investment until the
child reaches legal age. Only one custodian and one minor may be designated.
Instructions: On the first name line, print the first name, middle initial and
last name of the custodian, with the abbreviation "CUST" after the name. Print
the first name, middle initial and last name of the minor on the second name
line followed by the notation UTMA-ID or UGMA-Other State. List only the minor's
social security number.
Corporation/Partnership - Corporations/Partnerships may purchase stock. Please
provide the Corporation/Partnership's legal name and Tax I.D. number. To have
depositor rights, the Corporation/Partnership must have an account in its legal
name. Please contact the Stock Information Center to verify depositor rights and
purchase limitations.
Individual Retirement Account - Individual Retirement Account ("IRA") holders
may make stock purchases from their deposits through a prearranged
"trustee-to-trustee" transfer. Stock may only be held in a self-directed IRA.
Home Federal Savings and Loan Association of Nampa does not offer a
self-directed IRA. Please contact an outside broker if you have any questions
about your IRA account and please do not delay in exploring this option.
Registration for IRA's: On Name Line 1 - list the name of the broker or trust
department followed by CUST or TRUSTEE.
On Name Line 2 - FBO (for benefit of) YOUR NAME IRA
a/c #______.
Address will be that of the broker / trust department
to where the stock certificate will be sent.
The Social Security / Tax I.D. number(s) will be
either yours or your trustees, as they direct.
Please list your phone numbers.
Fiduciary/Trust - Generally, fiduciary relationships (such as trusts, estates,
guardianships, etc.) are established under a form of trust agreement or pursuant
to a court order. Without a legal document establishing a fiduciary
relationship, your stock may not be registered in a fiduciary capacity.
Instructions: On the first name line, print the first name, middle initial and
last name of the fiduciary if the fiduciary is an individual. If the fiduciary
is a corporation, list the corporate title on the first name line. Following the
name, print the fiduciary title such as trustee, executor, personal
representative, etc. On the second name line, print the name of the maker, donor
or testator or the name of the beneficiary. Following the name, indicate the
type of legal document establishing the fiduciary relationship (agreement, court
order, etc.). In the blank after "Under Agreement Dated," fill in the date of
the document governing the relationship. The date of the document need not be
provided for a trust created by a will.
(See Reverse Side for Stock Order Form Instructions)