| |
要约和退出权将在当天结束时到期,
ONE MINUTE FOLLOWING 11:59 P.M., EASTERN TIME, ON MARCH 18, 2022, 除非延长或提前终止优惠。 |
| |
|
If delivering by mail:
美国证券转让信托公司有限责任公司运营中心 联系人:重组部 P.O. Box 2042 New York, New York 10272-2042 |
| |
如果通过特快专递、快递或任何其他加急服务投递:
美国股票转让信托公司有限责任公司 Operations Center 联系人:重组部 6201 15th Avenue Brooklyn, New York 11219 |
|
| |
投标股份说明
|
| | ||||||||||||||||
| | | | | |
Shares Tendered
(如有必要,请附加其他列表) |
| | ||||||||||||
| |
注册车主姓名和地址
(如果为空,请准确填写出现在 上的姓名 share certificate(s)) |
| | |
Certificated Shares**
|
| | |
Book Entry
Shares |
| | ||||||||
| | | | | |
Certificate
Number(s)* |
| | |
Total
Number of Shares Represented by Certificate(s)* |
| | |
Number of
Shares Represented by Certificate(s) Tendered** |
| | |
Number of
Book Entry Shares Tendered*** |
| |
| | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
| | | | | |
Total
Shares |
| | | | | | | | | | | | | |
| |
*
如果股票是以簿记形式持有的,您必须标明您投标的股票数量。除非另有说明,否则将假定所有交付给存托和付款代理人的账簿所代表的股票均在此进行投标。
|
| | ||||||||||||||||
| |
**
除非另有说明,否则将假定上述证书所代表的所有普通股均在此进行投标。请参阅说明4。
|
| | ||||||||||||||||
| |
***
除非另有说明,否则将假定上述记账股票所代表的所有普通股都将在此交出。
|
| |
| |
特殊付款说明
(See Instructions 1, 4, 5 and 7) |
| |
| | 仅在未有效投标或未接受付款的股票和/或以有效投标和接受付款的股票为代价的现金金额支票将以以下签字人以外的其他人的名义发行的情况下填写: | | |
| |
Issue: ☐ Check and/or
☐ Share Certificates to: |
| |
| |
Name:
(Please Print)
|
| |
| |
Address:
(Include Zip Code)
|
| |
| |
(税号或社保号)
|
| |
| |
特殊送货说明
(See Instructions 1, 4, 5 and 7) |
| |
| | 仅当未有效投标或不可接受付款的股票和/或有效投标和接受付款的股票现金金额支票将寄给下文签名人以外的人或下文签名人以外的地址时才填写: ,地址不是上面标题为“已投标股份说明”中所示的地址: | | |
| |
Issue: ☐ Check and/or
☐ Share Certificates to: |
| |
| |
Name:
(Please Print)
|
| |
| |
Address:
(Include Zip Code)
|
| |
| |
IMPORTANT - SIGN HERE
(美国持有者请同时填写所附的美国国税局表格W-9) (非美国持有者请获取并填写IRS表W-8BEN或W-8BEN-E或其他适用的IRS表W-8) |
| |
| |
(Signature(s) of Stockholder(s))
Dated: , 22 |
| |
| | (必须按股票或证券头寸名单上的姓名,或由随函发送的证书和文件授权成为登记车主的人)签署(必须由登记车主准确签署),或由登记车主签署(必须与股票或证券头寸清单上的名称完全相同),或由随函发送的证书和文件授权成为登记车主的人签署。如果签名由受托人、遗嘱执行人、管理人、监护人、事实律师、公司管理人员或其他以受托人或代表身份行事的人员签署,请说明全称并参见说明5。有关签名担保的信息,请参阅说明1。) | | |
| |
Name(s):
(Please Print)
|
| |
| |
Capacity (full title):
|
| |
| |
Address:
(Include Zip Code)
|
| |
| |
区号和电话:
|
| |
| |
税号或社保号:
|
| |
| |
GUARANTEE OF SIGNATURE(S)
(仅供符合条件的机构使用; see Instructions 1 and 5) |
| |
| |
Name of Firm:
(Include Zip Code)
|
| |
| |
Authorized Signature:
(Please Type or Print)
|
| |
| |
Name:
|
| |
| |
区号和电话:
|
| |
| |
Dated: , 22
在下面的空白处放置奖牌保证书:
|
| |