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FinecoBank

Proxy Solicitation & Information Statement Mar 2, 2017

4321_def-14a_2017-03-02_b2cc3527-1e40-4c84-b1e0-fc28b90a5774.pdf

Proxy Solicitation & Information Statement

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VOTING AUTHORITY FOR THE ORDINARY AND EXTRAORDINARY SHAREHOLDERS' MEETING OF FINECOBANK S.P.A.1

on April 11, 2017

The undersigned2
_____________
born in
_______ on
__________
or:
Company/trade name3
_______________
Residence or business address: (town/city) __________
(street name) ____________
Tax code/VAT no. ____________
AUTHORISES
4
_______________
to represent him/her at the above Meeting, and to exercise the voting rights for
_____
account5
ordinary
shares
in
FinecoBank
S.p.A.
deposited
in
the
securities
no.
__
held
with____
ABI
__
CAB
______

in
accordance
with
the
communication6
no. __ made by
______
The undersigned7
__________
DECLARES
that he/she holds the voting rights for the above shares, and that this Authority is signed in the following capacity
(mark with an X as appropriate):
X
legal representative (*) -
X secured creditor –
X assignee –
X
beneficial owner – X
manager –
X
custodian –
X
legal representative with power of delegation () –
X
other (
) (specify)
_____________
The registered holder of the shares is8
:
_____________
(*) Attach documents confirming ownership of these rights.
ID document9 _____ issued by _________
no.____
Date ____
Signature
__________
The delegate
X
may be replaced by __________
X
may appoint a deputy (art. 135-novies
of the Legislative Decree no. 58/98).

Signature _________________________________

Notes on completing and submitting this form

1. The original form must be signed and given to the delegate. The delegate must send the original form to the Company, or deliver a copy (also in digital format), with certification of conformity and of the delegate's identity (art. 135-novies of the Legislative Decree no. 58/98). Voting authorities submitted in electronic format with e-signatures (art. 21, paragraph 2, Legislative Decree no. 82/05) may be sent by email, to the following address: [email protected].

2. Indicate the name and surname of the delegate (if an individual).

3. Indicate the business name of the delegate (if a legal entity).

4. Indicate the name, surname and address of the delegate, or the company/business name. Conferring proxy upon a representative in conflict of interest is permitted in accordance with the provisions set forth in art. 135-decies of the Legislative Decree no. 58/98.

5. Indicate the number of the securities account, the name of the depositary and the ABI and CAB codes.

6. Give details (if available on the date this authority is issued) of the communication made by the intermediary, and his/her name, if different from the securities account depositary.

7. Indicate the name, surname or company name and status of the person entitled to vote, only if different from the registered shareholder.

8. Indicate the name, surname or business name of the registered shareholder.

9. Give details of a valid form of ID for the person signing this form.

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