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The tender offer, the proration period and withdrawal rights expire at 11:59 p.m., New York City time, on February 17, 2023, unless the tender offer is extended or terminated.
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☐ $60.00
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☐ $60.25
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☐ $60.50
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☐ $60.75
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☐ $61.00
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☐ $61.25
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☐ $61.50
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☐ $61.75
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☐ $62.00
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☐ $62.25
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☐ $62.50
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☐ $62.75
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☐ $63.00
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☐ $63.25
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☐ $63.50
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☐ $63.75
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☐ $64.00
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☐ $64.25
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☐ $64.50
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☐ $64.75
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☐ $65.00
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☐ $65.25
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☐ $65.50
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☐ $65.75
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☐ $66.00
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☐ $66.25
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☐ $66.50
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☐ $66.75
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☐ $67.00
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☐ $67.25
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☐ $67.50
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☐ $67.75
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☐ $68.00
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☐ $68.25
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☐ $68.50
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☐ $68.75
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☐ $69.00
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Certificate Nos. (if available):
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| | If shares will be tendered by book-entry transfer: | | | | |
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Name of Tendering Institution:
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| | Account No. | | | | |
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SIGN HERE
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Signature(s)
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Dated: : , 2023
Please type or print:
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(Name(s) of Stockholders)
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(Address(es))
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(Zip Code(s))
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(Area Code(s) and Telephone No(s).)
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(Taxpayer ID No(s). or Social Security No(s).)
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(Name of Firm)
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(Authorized Signature)
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(Name)
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(Address)
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(Area Code and Telephone No.)
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