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THE OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE AT MIDNIGHT, NEW YORK CITY TIME, AT THE END OF THE DAY ON NOVEMBER 10, 2022, UNLESS THE OFFER IS EXTENDED (SUCH TIME, AS IT MAY BE EXTENDED, THE “EXPIRATION TIME”).
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By First Class, Registered or
Certified Mail: Computershare Trust Company, N.A. Depositary c/o Voluntary Corporate Actions PO Box 43011 Providence, Rhode Island 02940-3011 |
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By Express or Overnight Delivery:
Computershare Trust Company, N.A. Depositary c/o Voluntary Corporate Actions 150 Royall Street, Suite V Canton, Massachusetts 02021 |
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DESCRIPTION OF SHARES TENDERED
(See Instructions 3 and 4) |
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Shares Tendered
(Attach additional list if necessary) |
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Name(s) and Address(es) of Registered Holder(s)
(Please fill in exactly as name (s) appear(s) on account statement(s)) |
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Number of Shares Tendered*
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Total Shares
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* If Shares are held in book-entry form, you must indicate the number of Shares or ADSs you are
tendering.
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☐
CHECK HERE IF TENDERED SHARES ARE BEING DELIVERED BY BOOK-ENTRY TRANSFER MADE TO AN ACCOUNT MAINTAINED BY THE DEPOSITARY WITH DTC AND COMPLETE THE FOLLOWING (ONLY PARTICIPANTS IN DTC MAY DELIVER ORDINARY SHARES BY BOOK-ENTRY TRANSFER):
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Name of Tendering Institution:
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DTC Participant Number:
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Account Number:
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Transaction Code Number:
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Delivered by book-entry transfer:
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| ☐ $9.75 | | | ☐ $9.80 | | | ☐ $9.85 | | | ☐ $9.90 | | | ☐ $9.95 | |
| ☐ $10.00 | | | ☐ $10.05 | | | ☐ $10.10 | | | ☐ $10.15 | | | ☐ $10.20 | |
| ☐ $10.25 | | | ☐ $10.30 | | | ☐ $10.35 | | | ☐ $10.40 | | | ☐ $10.45 | |
| ☐ $10.50 | | | | | | | | | | | | | |
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SPECIAL DELIVERY INSTRUCTIONS
(See Instructions 4 and 9) |
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| | To be completed ONLY if the check for the aggregate Purchase Price of Shares purchased is to be mailed to someone other than the undersigned or to the undersigned at an address other than that shown below the undersigned’s signature. | | | ||||
| | Mail check to: | | | ||||
| | Name | | | |
(Please Print)
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| | Address | | | |
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SPECIAL PAYMENT INSTRUCTIONS
(See Instructions 1, 4, 5, 6, 8 and 9) |
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| | To be completed ONLY if the check for the aggregate Purchase Price of Shares purchased is to be issued in the name of someone other than the undersigned. | | | ||||
| | Issue any check to: | | | ||||
| | Name | | | |
(Please Print)
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| | Address | | | |
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(Please Include Zip Code)
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(Taxpayer Identification Number)
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SIGN HERE
(See Instructions 1 and 5) (Please complete Substitute Form W-9 below or appropriate W-8, as applicable) By signing below, the undersigned expressly agrees to the terms and conditions set forth above. |
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| | Signature(s) of Owner(s) | | |
| | Name(s) | | |
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(Please Print)
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| | Capacity (full title) | | |
| | Address | | |
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| | (Include Zip Code) | | |
| | Area Code and Telephone Number | | |
| | Taxpayer Identification or Social Security Number | | |
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(See Instruction 11)
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| | Dated | | |
| | (Must be signed by registered holder(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 holder(s) by certificates and documents transmitted herewith. If signature is by a trustee, executor, administrator, guardian, attorney-in-fact, agent, officer of a corporation or other person acting in a fiduciary or representative capacity, please set forth full title. See Instruction 5.) | | |
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SIGN HERE
(See Instructions 1 and 5) (Please complete Substitute Form W-9 below or appropriate W-8, as applicable) By signing below, the undersigned expressly agrees to the terms and conditions set forth above. |
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| | Signature(s) of Owner(s) | | |
| | Name(s) | | |
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(Please Print)
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| | Capacity (full title) | | |
| | Address | | |
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| | (Include Zip Code) | | |
| | Area Code and Telephone Number | | |
| | Taxpayer Identification or Social Security Number | | |
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(See Instruction 11)
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| | Dated | | |
| | (Must be signed by registered holder(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 holder(s) by certificates and documents transmitted herewith. If signature is by a trustee, executor, administrator, guardian, attorney-in-fact, agent, officer of a corporation or other person acting in a fiduciary or representative capacity, please set forth full title. See Instruction 5.) | | |
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GUARANTEE OF SIGNATURE(S)
(See Instructions 1 and 5) |
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| | Authorized Signature | | |
| | Name(s) | | |
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(Please Print)
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| | Title | | |
| | Name of Firm | | |
| | Address | | |
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| | (Include Zip Code) | | |
| | Area Code and Telephone Number | | |
| | Dated | | |
| | PAYER’S NAME: Computershare Trust Company, N.A. | | | ||||||||
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SUBSTITUTE
FORM W-9 |
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Part 1 — PLEASE PROVIDE YOUR TIN IN THE BOX AT RIGHT AND CERTIFY BY SIGNING AND DATING BELOW
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Social Security Number(s)
OR
Employer Identification Number(s)
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Department of the Treasury Internal
Revenue Service |
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Part 2 — Certification — Under penalties of perjury, I certify that:
(1)
the number shown on this form is my correct Taxpayer Identification Number (or I am waiting for a number to be issued to me);
(2)
I am not subject to backup withholding because (a) I am exempt from backup withholding or (b) I have not been notified by the Internal Revenue Service (the “IRS”) that I am subject to backup withholding as a result of a failure to report all interest or dividends or (c) the IRS has notified me that I am no longer subject to backup withholding; and
(3)
I am a U.S. citizen or other U.S. person for U.S. federal income tax purposes; and
(4)
The FACTA code(s) entered on this form (if any) indicating that I am exempt from FACTA reporting is correct.
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Part 3 — Awaiting TIN ☐
Part 4 — Exempt payee code
(if any)
Part 5 — Exemption from FATCA reporting code
(if any) |
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Payer’s Request for Taxpayer Identification Number (TIN)
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Certification instructions — You must cross out item (2) in Part 2 above if you have been notified by the IRS that you are subject to backup withholding because of under-reporting interest or dividends on your tax returns. However, if after being notified by the IRS that you were subject to backup withholding you received another notification from the IRS stating that you are no longer subject to backup withholding, do not cross out such item (2). If you are exempt from backup withholding, check the box in Part 4 above.
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SIGN SIGNATURE OF U.S. PERSON HERE
DATE |
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| | CERTIFICATE OF AWAITING TAXPAYER IDENTIFICATION NUMBER | | |
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I certify under penalties of perjury that a taxpayer identification number has not been issued to me, and either (a) I have mailed or delivered an application to receive a taxpayer identification number to the appropriate Internal Revenue Service Center or Social Security Administration Office or (b) I intend to mail or deliver such an application in the near future. I understand that if I do not provide a taxpayer identification number to Computershare Trust Company, N.A., 24% of all reportable payments made to me will be withheld, but will be refunded to me if I provide a certified taxpayer identification number within 60 days.
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Signature
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Date
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For this type of account |
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Give the name and
SOCIAL SECURITY number of: |
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1.
An individual’s account
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| | | The individual | | |
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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 | | |
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3.
Custodian account of a minor (Uniform Gifts to Minors Act)
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| | | The minor | | |
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4.
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| | | The grantor-trustee(1) | | |
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a.
The usual revocable savings trust (grantor is also trustee)
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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(2) | | |
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5.
Sole proprietorship or disregarded entity owned by an individual
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| | | The owner(3) | | |
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6.
Grantor trust filing under Optional Form 1099 Filing Method 1 (see Regulation section 1.671-4(b)(2)(i)(A))
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| | | The grantor* | | |
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Disregarded entity not owned by an individual
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| | | The owner | | |
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8.
A valid trust, estate, or pension trust
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| | | Legal entity(4) | | |
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9.
Corporation or LLC electing corporate status on Form 8832 or Form 2553
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| | | The corporation | | |
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10.
Association, club, religious, charitable, educational, or other tax- exempt organization
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| | | The organization | | |
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11.
Partnership or multi-member LLC
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| | | The partnership | | |
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12.
A broker or registered nominee
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| | | The broker or nominee | | |
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13.
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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14.
Grantor trust filing under the Form 1041 Filing Method or the Optional Form 1099 Filing Method 2 (see Regulation section 1.671-4(b)(2)(i)(B))
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| | | The trust | | |
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By First Class, Registered or
Certified Mail: Computershare Trust Company, N.A., Depositary c/o Voluntary Corporate Actions PO Box 43011 Providence, Rhode Island 02940-3011 |
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By Express or Overnight Delivery:
Computershare Trust Company, N.A., Depositary c/o Voluntary Corporate Actions 150 Royall Street, Suite V Canton, Massachusetts 02021 |
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