Proxy Solicitation & Information Statement • May 28, 2025
Proxy Solicitation & Information Statement
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I, the undersigned,
| _______________ |
|---|
| (first name and surname) |
| holder of passport/identity card series __ no. _, residing at: ul. __, _; Personal Identification Number (PESEL): _____ (the "Shareholder") |
| or* |
| I, the undersigned/ We, the undersigned* |
| _______________ (first name and surname) |
| holder of passport/identity card series __ no. _, residing at: ul. __, _; Personal Identification Number (PESEL): _____ |
| _______________ (first name and surname) |
| holder of passport/identity card series __ no. _, residing at: ul. __, _; Personal Identification Number (PESEL): _____ |
| acting on behalf of: _______________ |
| (name of entity) |
| with its registered office in __, entered in the Business Register of the National Court Register under no. KRS __ / registered under no. _____ (the "Shareholder") |
| hereby grant power of attorney to |
| Mr/Ms _____, holder of passport/identity card series __, no. __; Personal Identification Number (PESEL): _____ |
| or* |
| __, with its registered office at: ul. _, __, registered under no. _ |
authorising him/her/it* to represent the Shareholder at the Annual General Meeting of PCF Group S.A. convened for 4.00 p.m. on June 23rd, 2025, in particular to attend the General Meeting, exercise voting rights attached to the PCF Group S.A. shares held by the Shareholder at that General Meeting, and perform such other actions, including making representations, providing explanations or submitting requests, as may be necessary to perform this power of attorney.
(Shareholder's signature/signature on behalf of the Shareholder)
______________________________________________________
______________________________________________________
(place, date)
* Delete as appropriate.
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