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THE OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE AT 12:00 MIDNIGHT, EASTERN TIME, AT THE END OF JANUARY 15, 2025, UNLESS THE OFFER IS EXTENDED OR WITHDRAWN (SUCH DATE, AS IT MAY BE EXTENDED, THE “EXPIRATION DATE”).
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By Mail:
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By Facsimile Transmission:
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By Hand or Overnight Courier:
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Continental Stock Transfer & Trust Company
Attn: Corporate Actions (ATI) 1 State Street, 30th Floor New York, New York 10004 |
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Continental Stock Transfer &
Trust Company (212) 616-7610 (phone) |
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Continental Stock Transfer &
Trust Company Attn: Corporate Actions (ATI) 1 State Street, 30th Floor New York, New York 10004 |
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By Electronic Upload (Citrix):
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ACCOUNT NUMBER CERT SHARES BOOK SHARES TOTAL SHARES ISSUE NUMBER
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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). Attach separate schedule if needed. |
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Name(s) and Address(es) of Registered
Holder(s) (Please fill in exactly as name(s) appear(s) on certificate(s)) |
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Shares Tendered
(Attach additional signed list, if necessary) |
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Certificate
Number(s) |
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Number of
Shares Represented by Certificate(s)(1) |
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Number of
Shares Represented by Book Entry (electronic form)(2) |
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Total
Number of Shares Tendered |
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Total Shares
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(1)
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 Agent will be deemed to have been tendered. See Instruction 4.
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(2)
If Shares are held in Book-Entry form or in a Reinvestment Plan, you must indicate the number of Shares you are tendering.
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| | | Indicate below the order (by certificate number) in which Shares are to be purchased in the event of proration (attach additional signed list, if necessary). If you do not designate an order and if less than all Shares tendered are purchased due to proration, Shares will be selected for purchase by the Depositary. See Instruction 14. | | | ||||||
| | | 1st: | | | 2nd: | | | 3rd: | | |
| | | 4th: | | | 5th: | | | | | |
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NOTE: SIGNATURES MUST BE PROVIDED BELOW. PLEASE READ ACCOMPANYING INSTRUCTIONS CAREFULLY.
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| | Name: | | |
(PLEASE PRINT)
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(INCLUDE ZIP CODE)
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(RECIPIENT MUST COMPLETE THE IRS FORM W-9 INCLUDED HEREIN OR
AN APPLICABLE IRS FORM W-8) |
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(PLEASE PRINT)
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(INCLUDE ZIP CODE)
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| Signature(s) of Owner(s) |
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| Capacity (full title) |
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| Address: |
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| Area Code and Telephone Number |
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GUARANTEE OF SIGNATURE(S)
(If required — See Instructions 1 and 5)
APPLY MEDALLION GUARANTEE STAMP BELOW
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By Mail:
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By Facsimile Transmission:
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By Hand or Overnight Courier:
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Continental Stock Transfer &
Trust Company Attn: Corporate Actions (ATI) 1 State Street, 30th Floor New York, New York 10004 |
| |
Continental Stock Transfer &
Trust Company (212) 616-7610 (phone) |
| |
Continental Stock Transfer &
Trust Company Attn: Corporate Actions (ATI) 1 State Street, 30th Floor New York, New York 10004 |
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By Electronic Upload (Citrix):
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