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THE OFFER AND WITHDRAWAL RIGHTS WILL EXPIRE AT ONE MINUTE PAST 11:59 P.M.,
NEW YORK CITY TIME, ON JUNE 24, 2025, UNLESS THE OFFER IS EXTENDED OR EARLIER TERMINATED. |
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If delivering by mail:
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If delivering by express mail
or other expedited mail service: |
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Computershare Trust Company, N.A.
c/o Voluntary Corporate Actions P.O. Box 43011 Providence, Rhode Island 02940-3011 |
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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 Certificates |
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Number of
Shares Represented by Certificate(s) Tendered |
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Number of
Shares Held in Book- Entry Form Tendered |
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Total Shares
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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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**
Unless otherwise indicated, it will be assumed that all shares of common stock held in book-entry form are being tendered hereby.
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| Name of Tendering Stockholder: | | |
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| Window Ticket Number (if any) or DTC Participant Number: | | |
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| Date of Execution of Notice of Guaranteed Delivery | | |
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| Name of Institution which Guaranteed Delivery | | |
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| Name of Tendering Institution: | | |
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| DTC Participant Number: | | |
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| Transaction Code Number: | | |
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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. | | | |||
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Issue:
☐ Check and/or
☐ Shares to:
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| | Name | | |
(Please Print)
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| | Address | | |
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(Include Zip Code)
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(Tax Identification or Social Security Number)
(Please additionally complete IRS Form W-9 (attached) or the applicable IRS Form W-8, available at irs.gov)
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☐
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. | | | |||
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Deliver:
☐ Check and/or
☐ Shares to:
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| | Name | | |
(Please Print)
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| | Address | | |
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(Include Zip Code)
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| Name(s): | | |
(Please Print)
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| Capacity (Full Title): | | |
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| Address: | | |
(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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| Name of Firm: | | |
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| Address: | | |
(Include Zip Code)
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| Authorized Signature: | | |
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| Name: | | |
(Please Print)
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Area Code and Telephone Number
Dated: , 2025 |
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If delivering by mail:
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If delivering by express mail
or other expedited mail service: |
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Computershare Trust Company, N.A.
c/o Voluntary Corporate Actions P.O. Box 43011 Providence, Rhode Island 02940-3011 |
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Computershare Trust Company, N.A.
c/o Voluntary Corporate Actions 150 Royall Street, Suite V Canton, Massachusetts 02021 |
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