Pre-Annual General Meeting Information • Aug 9, 2017
Pre-Annual General Meeting Information
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Limited Liability Company ("naamloze vennootschap") Registered Office: Generaal de Wittelaan 11B, 2800 Mechelen, Belgium Company Number VAT BE 0505.640.808 RLP Antwerp, division Mechelen
EXTRAORDINARY SHAREHOLDERS' MEETING
to be held on Monday 11 September 2017 at 10:00 a.m. CEST
This is an unofficial English translation, for information purposes only. Please only sign and return the original Dutch version.
This attendance form should be used by holders of securities of Biocartis Group NV (the "Company") who want to attend the extraordinary shareholders' meeting in person.
The signed and completed form must either be submitted at the counters of KBC Bank, or reach the Company, in both cases at the latest on the sixth calendar day prior to the extraordinary shareholders' meeting, i.e. on or before Tuesday 5 September 2017 at the latest. Forms sent to the Company must be sent by mail to:
Biocartis Group NV Attention: Tim Vandorpe Corporate Counsel Generaal de Wittelaan 11B 2800 Mechelen Belgium
or by e-mail to:
Prior to or at the latest on Tuesday 5 September 2017, holders of securities can also register for the extraordinary shareholders' meeting via the counters of KBC Bank. Holders of dematerialized securities must attach to the present form a certificate issued by the applicable settlement institution for the securities concerned, or by a certified account holder, confirming the number of securities that have been registered in their name on the registration date, (i.e. Monday 28 August 2017, at midnight (12:00 a.m. Central European Summer Time)) with which they want to participate in the extraordinary shareholders' meeting.
The undersigned
| First Name: | ………………………………………………………………… |
|---|---|
| Family Name: | ………………………………………………………………… |
| Address: | ………………………………………………………………… |
| or | |
|---|---|
| Corporate name: | ………………………………………………………………… |
| Corporate form: | ………………………………………………………………… |
| Registered office: | ………………………………………………………………… |
| ………………………………………………………………… | |
| Represented by (first name, family | ………………………………………………………………… |
| name and capacity): | ………………………………………………………………… |
| ………………………………………………………………… | |
| ………………………………………………………………… |
owner of the following number(s) of securities issued by Biocartis Group NV, with registered office at Generaal de Wittelaan 11B, 2800 Mechelen, Belgium:
| Number of shares | ……………… |
|---|---|
| Number of warrants | ……………… |
Hereby notifies his/her/its intent to attend the extraordinary shareholders' meeting of Biocartis Group NV that will be held on Monday 11 September 2017 at 10:00 a.m. CEST, at the offices of the Company at Generaal de Wittelaan 11B, 2800 Mechelen, Belgium, or at such other place as will be indicated at that place at that time.
Done at ……………………………………., on ………………………………2017
Signature……………………………
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