Proxy Solicitation & Information Statement • Apr 30, 2013
Proxy Solicitation & Information Statement
Open in ViewerOpens in native device viewer
Rue du Mail 50 B - 1050 Brussels, Belgium VAT BE 0403448140 – Company Register Brussels www.dieteren.com
The undersigned
| First name ……………………………………………………………………………………………… | |
|---|---|
| Family name …………………………………………………………………………………………… | |
| Address ………………………………………………………………………………………………… |
or
| Corporate name………………………………………………………………………………………… | ||
|---|---|---|
| Form of corporation……………………………………………………………………………………. | ||
| Registered office ……………………………………………………………………………………… | ||
| hereby represented by |
…………………………………………………………………………………………………………… (family name, first name, title of the proxy holder) whom declares and certifies to the S.A. D'Ieteren N.V. to have the necessary power of attorney to sign this form on behalf of the shareholder
owner on the record date of Thursday 16 May 2013 at midnight (Belgian time), of………………….………… ordinary shares,
in registered form / held with ……………………………………………………(name of the financial institution) (*), of S.A. D'Ieteren N.V., with registered office located at 1050 Brussels, rue du Mail 50, Company Register Brussels 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 General Meeting of the company that will take place on Thursday May 30, 2013 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 hereinafter :
| Point 1 | Point 2 |
|---|---|
| [This item does not require a vote] | vote in favour |
| vote against | |
| abstain | |
| Point 3 | Point 4.1 |
| vote in favour | vote in favour |
| vote against | vote against |
| abstain | abstain |
| Point 4.2 | Point 5.1 |
| vote in favour | vote in favour |
| vote against | vote against |
| abstain | abstain |
| Point 5.2. | |
| vote in favour | |
| vote against | |
| abstain |
(*) Please delete the unnecessary (**) 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 vote in favour of these resolutions.
In addition the proxy holder shall have the right to
(i) participate to the discussion and vote, change or reject any proposition on the agenda on behalf of the ……………….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, dully filled in and signed by the shareholder or his representative, must be sent to Euroclear Belgium, Issuer Services,
by post, 1, Bd du Roi Albert II, 1210 Brussels, (Belgium) or
by e-mail to the address [email protected] or
by fax to the number + 322 337 54 46
on Friday 24th May at 4:00 pm at 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 dematerialized shares must send to Euroclear Belgium, at the same addresses as 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 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 15 May 2013 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 if he/she will deem fit, taking into consideration the interests of the shareholder.
If the shareholder does not select any of the above mentioned 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, 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 above mentioned 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 reserves the right to refuse proxies which are not filled out properly or which are not complete.
Made in …………………………, on ………………………………. 2013
Signature (to be preceded by the handwritten words "Good for proxy")
Enclosure : Agenda of the Ordinary General Meeting of May 30, 2013
Proposal to approve the Remuneration Report included in the Corporate Governance Statement of the Annual Report 2012.
4.1. to the Directors and
4.2. to the statutory auditor
for carrying out their functions in 2012.
Building tools?
Free accounts include 100 API calls/year for testing.
Have a question? We'll get back to you promptly.