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KN Energies AB

AGM Information Jun 30, 2016

2252_dva_2016-06-30_221fe151-a338-470c-a006-d604c17c856c.pdf

AGM Information

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BALLOT PAPER FOR VOTING IN WRITING IN THE EXTRAORDINARY GENERAL MEETING OF SHAREHOLDERS OF AB KLAIPEDOS NAFTA, TO BE HELD ON 21 JULY 2016

Shareholder's first name, surname (legal entity name)

,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

.......................................

.......................................

Shareholder's personal ID number (legal entity code)

Number of shares held

. . . . . . . . . . . . . . . . . . . .

Number of votes held

Please cross out what does not apply ("FOR" or "AGAINST") and leave the selected version of the resolution not crossed:

Organisational issues of the meeting

To propose to elect the following person as the Chairman of the meeting and to vote "for" the proposed candidate:

. . . . . . . . . . . . . . . . . . . .

To propose to elect the following person as the Secretary of the meeting and to vote "for" the proposed candidate:

.......................................

To propose to elect the following person as the person responsible for performance of actions provided for in paragraph 2 of Article 22 of the Law of the Republic of Lithuania on Companies and to vote "for" the proposed candidate:

. . . . . . . . . . . . . . . . . . . .

Matter on the agenda Draft resolution
AB Klaipedos Nafta's Board to approve the
road modernization investment project
1. Regarding the approval of the decision of "To approve the decision of AB Klaipedos Nafta Board:
implementation of oil terminal estacade 3A I. To approve for AB Klaipedos Nafta to implement the oil terminal estacade 3A road
modernization investment project for the total price not exceeding 5,5 mln. EUR (without VAT) and
10% reserve which can be used only in exceptional cases.
2. To establish that the aforementioned decision comes into force only if it is approved by the
general meeting of the shareholders of AB Klaipedos Nafta, as of the day of adoption of such
For Against
decision of the general meeting of the shareholders."

We hereby confirm that we have familiarised in advance with the agenda of the extraordinary general meeting of shareholders of AB Klaipedos Nafta referred to in this Ballot Paper herein, therefore $in$ writing and the draft resolutions contained we may express advance in the will of as a shareholder of AB Klaipedos Nafta in voting on the matters considered at the extraordinary general meeting of shareholders. Having regard to our will expressed in writing on the agenda matters of the extraordinary general meeting of shareholders, it should be considered that ................................... held on 21 July 2016.

First name, surname, position of the shareholder (its representative):

Date and signature of the shareholder (its representative):

Date, title and number of the document entitling to vote (if the ballot paper is signed by anyone other than the head of the shareholder):

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