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If delivering by express mail, courier, or other
expedited service: |
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By mail:
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Computershare Trust Company, N.A.
Attn: Voluntary Corporate Actions COY: AGRO 150 Royall Street, Suite V Canton, Massachusetts 02021 |
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Computershare Trust Company, N.A.
Attn: Voluntary Corporate Actions COY: AGRO P.O. Box 43011, Providence, Rhode Island 02940 |
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DESCRIPTION OF SHARES SURRENDERED
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Name(s) and Address(es) of Registered Holder(s) (If blank, please fill in exactly as
name(s) appear(s) on share certificate(s)) |
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Shares Surrendered
(attached additional list if necessary) |
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Certificated Shares**
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Certificate
Number(s)* |
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Total Number of Shares
Represented by Certificate(s)* |
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Total Number of
Shares Represented by Book Entry (electronic form) Tendered |
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Total
Shares Tendered** |
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Total Shares
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*
Need not be completed by book-entry shareholders.
**
Unless otherwise indicated, it will be assumed that all Shares
described above are being tendered.
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If delivering by express mail, courier, or other
expedited service: |
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By mail:
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Computershare Trust Company, N.A.
Attn: Voluntary Corporate Actions COY: AGRO 150 Royall Street, Suite V Canton, Massachusetts 02021 |
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Computershare Trust Company, N.A.
Attn: Voluntary Corporate Actions COY: AGRO P.O. Box 43011, Providence, Rhode Island 02940 |
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(Please Print)
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(Include Zip Code)
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Tax Identification or
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(Include Zip Code)
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(Please Type or Print)
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| | Dated: , 2025 | |
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For this type of account:
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Give the SOCIAL
SECURITY number of – |
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For this type of account:
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Give the EMPLOYER
IDENTIFICATION number of – |
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1.
An individual’s account
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| | The individual | | |
8.
Sole proprietorship account
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| | The owner(4) | |
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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) | | |
9.
A valid trust, estate or pension trust
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| | The legal entity(5) | |
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3.
Husband and wife (joint account)
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| | The actual owner of the account or, if joint funds, the first individual on the account(1) | | |
10.
Corporate account
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| | The corporation | |
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4.
Custodian account of a minor (Uniform Gift to Minors Act)
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| | The minor(2) | | |
11.
Religious, charitable, or educational organization account
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| | The organization | |
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5.
Adult and minor (joint account)
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| | The adult or, if the minor is the only contributor, the minor(1) | | |
12.
Partnership account held in the name of the business
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| | The partnership | |
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6.
Account in the name of guardian or committee for a designated ward, minor, or incompetent person
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| | The ward, minor, or incompetent person(3) | | |
13.
Association, club, or other tax-exempt organization
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| | The organization | |
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7. a.
The usual revocable savings trust account (grantor is also trustee)
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| | The grantor-trustee(1) | | |
14.
A broker or registered nominee
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| | The broker or nominee | |
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b.
So-called trust account that is not a legal or valid trust under state law
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| | The actual owner(1) | | |
15.
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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If delivering by express mail, courier, or other expedited service:
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By mail:
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Computershare Trust Company, N.A.
Attn: Voluntary Corporate Actions COY: AGRO 150 Royall Street, Suite V Canton, Massachusetts 02021 |
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Computershare Trust Company, N.A.
Attn: Voluntary Corporate Actions COY: AGRO P.O. Box 43011, Providence, Rhode Island 02940 |
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