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THE OFFER AND WITHDRAWAL RIGHTS WILL EXPIRE AT ONE (1) MINUTE PAST 11:59 P.M.,
EASTERN TIME, ON AUGUST 3, 2022, UNLESS THE OFFER IS EXTENDED OR EARLIER TERMINATED. |
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If delivering by mail:
Computershare Trust Company, N.A.
c/o Voluntary Corporate Actions P.O. Box 43011 Providence, Rhode Island 02940-3011 |
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If delivering by express mail, courier
or any other expedited service:
Computershare Trust Company, N.A.
c/o Voluntary Corporate Actions 150 Royall Street, Suite V Canton, Massachusetts 02021 |
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DESCRIPTION OF SHARES TENDERED
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Name(s) and Address(es) of Registered Owner(s)
(If blank, please fill in exactly as name(s) appear(s) on share certificate(s)) |
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Shares Tendered
(attach additional list if necessary) |
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Certificated Shares**
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Book entry
Shares |
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Certificate
Number(s)* |
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Total Number
of Shares Represented by Certificate(s)* |
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Number of
Shares Represented by Certificate(s) Tendered** |
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Book Entry
Shares Tendered |
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If Shares are held in book-entry form, you MUST indicate the number of Shares you are tendering. Unless otherwise indicated, it will be assumed that all Shares represented by book-entry delivered to the Depositary are being tendered hereby.
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Unless otherwise indicated, it will be assumed that all Shares of common stock represented by certificates described above are being tendered hereby. See Instruction 4.
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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 Tendering Stockholder(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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SPECIAL PAYMENT INSTRUCTIONS
(See Instructions 1, 4, 5 and 7) |
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To be completed ONLY if Share Certificate(s) not validly tendered or not accepted for payment and/or the check for the Offer price in consideration of Shares validly tendered and accepted for payment are to be issued in the name of someone other than the undersigned or if Shares validly tendered by book-entry transfer which are not accepted for payment are to be returned by credit to an account maintained at DTC other than that designated above.
Issue:
☐ Check and/or
☐ Share Certificates to:
Name:
(Please Print)
Address:
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(Include Zip Code)
(Tax Identification or Social Security Number)
☐
Credit Shares tendered by book-entry transfer that are not accepted for payment to the DTC account set forth below.
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(DTC Account Number)
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SPECIAL DELIVERY INSTRUCTIONS
(See Instructions 1, 4, 5 and 7) |
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To be completed ONLY if Share Certificate(s) not validly tendered or not accepted for payment and/or the check for the Offer price of Shares validly tendered and accepted for payment are to be sent to someone other than the undersigned or to the undersigned at an address other than that shown in the box titled “Description of Shares Tendered” above.
Issue:
☐ Check and/or
☐ Share Certificates to:
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Name:
(Please Print)
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Address:
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(Include Zip Code)
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IMPORTANT — SIGN HERE
(U.S. Holders Please Also Complete the Enclosed IRS Form W-9) (Non-U.S. Holders Please Obtain and Complete IRS Form W-8BEN or W-8BEN-E or Other Applicable IRS Form W-8)
(Signature(s) of Stockholder(s))
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Dated: , 2022
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| | | (Must be signed by registered owner(s) exactly as name(s) appear(s) on Share Certificate(s) or on a security position listing or by person(s) authorized to become registered owner(s) by certificates and documents transmitted herewith. If signature is by trustees, executors, administrators, guardians, attorneys-in-fact, officers of corporations or others acting in a fiduciary or representative capacity, please set forth full title and see Instruction 5. For information concerning signature guarantees, see Instruction 1.) | | |
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Name(s):
(Please Print)
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Capacity (full title):
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Address:
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(Include Zip Code)
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Area Code and Telephone Number:
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Tax Identification or Social Security No.:
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GUARANTEE OF SIGNATURE(S)
(For use by Eligible Institutions only; see Instructions 1 and 5) |
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(Including Zip Code)
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Authorized Signature:
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Name:
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(Please Type or Print)
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Area Code and Telephone Number:
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| | | Dated: , 2022 | | |
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Place medallion guarantee in space below:
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If delivering by mail:
Computershare Trust Company, N.A.
c/o Voluntary Corporate Actions P.O. Box 43011 Providence, Rhode Island 02940-3011 |
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If delivering by express mail, courier
or any other expedited service:
Computershare Trust Company, N.A.
c/o Voluntary Corporate Actions 150 Royall Street, Suite V Canton, Massachusetts 02021 |
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