Proxy Solicitation & Information Statement • Apr 26, 2017
Proxy Solicitation & Information Statement
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The undersigned
| First name …………………………………………………………………………………………………………………………………………………… | |
|---|---|
| Family name ………………………………………………………………………………………………………………………….……………………… | |
| Address ………………………………………………………………………………………………………………………………………………………… | |
| or |
| Corporate name………………………………………………………….………………………………………………………………………………… | ||
|---|---|---|
| Legal form…………………….……………………………………………………………………………………………………………………………. | ||
| Registered office ……………………………………………………………………………………………………………………………………… | ||
| hereby represented by …………………….…………………………………………………………………………………………………………… |
(family name, first name, title of the proxy holder) whom declares and certifies to the SA D'Ieteren NV to have the necessary power of attorney to sign this form on behalf of the shareholder
owner on the record date of Thursday May 18 th , 2017, at midnight (Belgian time), of………………….………… registered/dematerialised shares (*) held with …………………………………………………… (name of the financial institution), of SA D'Ieteren NV with registered office located at rue du Mail 50, 1050 Brussels, Company Register 0403448140, and with which he/she hereby declares to vote,
hereby grants special powers, with power to substitute, to:
……………………………………………………………………………………………………………
in order to be represented at the Ordinary and Extraordinary General Meetings of the company that will take place on Thursday June 1st, 2017, at 3 p.m., at the registered office of the company, in order to discuss the agenda herewith attached and to vote on his/her/its behalf in the way indicated hereafter:
(*) Delete where applicable
VOTING INSTRUCTIONS (**)
| Point 1 [This item does not require a vote] |
Point 2 vote in favour vote against abstain |
Point 3 vote in favour vote against abstain |
Point 4 (directors) vote in favour vote against abstain |
|---|---|---|---|
| Point 4 (statutory auditor) vote in favour vote against abstain |
Point 5 vote in favour vote against abstain |
Point 6 vote in favour vote against abstain |
| Point 1.1 | Point 1.2 | Point 2 | Point 3 |
|---|---|---|---|
| vote in favour | vote in favour | vote in favour | vote in favour |
| vote against | vote against | vote against | vote against |
| abstain | abstain | abstain | abstain |
(**) Please indicate your vote by ticking the appropriate box
In the absence of clear voting instructions with respect to the proposed resolutions, the proxy holder shall be deemed to vote in favour of these resolutions.
In addition the proxy holder has the right to:
(i) participate to the discussion and vote, change or reject any proposition on the agenda on behalf of the shareholder AND
(ii) on the basis of the above, sign all acts, resumes, attendance lists and in general, do what is necessary for this General Meeting and any other General Meeting with the same agenda and which would be convened again because of a report or adjournment.
The present proxy, duly filled in and signed by the shareholder or his representative, must be sent to Euroclear Belgium, Issuer Services, at the following address: 1, Bd du Roi Albert II, 1210 Brussels (Belgium), or
by e-mail to the address [email protected] or
by fax to the number + 32 2 337 54 46
on Friday May 26 th , 2017, at 4 pm (Belgian time) at the latest. Please note, however, that Thursday 25 May is a bank holiday in Belgium and that it is therefore advisable for shareholders to ensure that the current form (if sent by post) reaches Euroclear Belgium on Wednesday, May 24, 2017 by the latest.
For proxies sent by mail or by fax, the originals should be remitted to the Chairman of the General Meeting at the latest at the beginning of this Meeting. If this formality is not fulfilled, the company will not recognize the power of attorney of the proxy holder.
In addition, the owners of dematerialised shares must send to Euroclear Belgium, at the addresses mentioned above and within the same timeframe, a certificate set out by their agreed account holder or clearing institution, attesting the number of dematerialised shares held in the shareholder's name in their books at the registration date with which he/she/it has here above declared to vote.
If in accordance with article 533ter of the Company Code, new items and/or new proposed resolutions are added to the agenda after the date of this proxy and an amended agenda is published on May 17 th , 2017, at the latest, the proxy holder shall (please tick the appropriate box):
abstain from voting on the new items and/or the new proposed resolutions; vote or abstain from voting on the new items and/or the new proposed resolutions as he/she deems
If the shareholder does not select any of the abovementioned options, the proxy holder shall abstain from voting on the new items of the agenda and/or the new proposed resolutions. In case of conflict of interest,
fit, taking into consideration the interests of the shareholder.
the proxy holder will always abstain from voting on the new items of the agenda and/or the new proposed resolutions.
This proxy is irrevocable. It remains valid (a) for the following General Meetings which would be held with the same agenda and (b) for the items on this agenda, if this agenda is completed in accordance with Article 533ter of the Company Code and published after the date at which the shareholder has sent the present form to the abovementioned address. Shareholders who vote by proxy may attend the Meeting but will not be permitted to vote in person.
In order to participate to the General Meeting, proxy holders will have to prove their identity and power, and the representatives of legal persons will have to provide documents proving their power of attorney or special mandates, to Euroclear Belgium, at the addresses mentioned above and within the same timeframe as required for the proxy. The company does not deliver access cards.
The company reserves the right to refuse proxies which are not filled out properly or which are not complete.
Made in ……………..………………, on …………………………..………. 2017.
Family name: First name:
Signature (to be preceded by the handwritten words "Good for proxy"):
Enclosed: Agenda of the Ordinary and Extraordinary General Meetings of June 1st, 2017
Proposal to approve the annual financial statements and the appropriation of the result as at 31 December 2016.
Proposal to approve the Remuneration Report included in the Corporate Governance Statement of the Annual Report 2016.
Proposal to give discharge through separate voting:
for carrying out their functions in 2016.
Proposal to renew the mandate of Mrs Christine Blondel as independent director in the meaning of article 526ter of the Company Code, for a period of 4 years expiring at the end of the Ordinary General Meeting of 2021.
Proposal, upon the recommendation of the Audit committee and in accordance with article 156 of the Company Code, to renew the mandate as statutory auditor of KPMG Réviseurs d'Entreprises SCRL civile (B00001), Avenue du Bourget 40 à 1130 Evere (Belgium), represented by Mr Alexis PALM (IRE Nr. A01433), for the control of the statutory and consolidated accounts for the fiscal years 2017, 2018 and 2019, and to set its annual fees for the control of the statutory and the consolidated accounts at EUR 223,300 excl. VAT.
Proposal to grant a co-worker of the company, "Berquin Notaires", all powers to draft the coordinated text of the Articles of Association, sign and file it at the clerk's office at the competent Commercial Court, in accordance with the corresponding legal provisions.
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