Proxy Solicitation & Information Statement • Jun 1, 2025
Proxy Solicitation & Information Statement
Open in ViewerOpens in native device viewer
POWER OF PROXY
Shareholder's name/ name and surname*: Shareholder's address: KRS number/ NIP/ Other registry number of the shareholder*: Shareholder's PESEL*: Contact email: Contact phone number: ("Shareholder")
(proxy details, in particular name and surname/ name, PESEL number or other identification number/ address for notices, number of the identity document)
____________________________________________________________________________________________
as a proxy to represent the Shareholder by participating in and exercising voting rights attached to (number of shares) _____________of shares of XTPL S.A. with its registered office in Wrocław, held by the Shareholder, at the Annual General Meeting of XTPL S.A. with its registered office in Wrocław (KRS No. 0000619674), to be held on June 27, 2025 ("General Meeting").
The Shareholder authorises the proxy to act independently and represent the Shareholder with the right to exercise voting rights attached to the above shares held by the Shareholder and recorded in the Shareholder's securities account or omnibus account, in accordance with the attached form of proxy/ at the discretion of the proxy*.
The proxy shall have right to perform any other acts in law and acts in fact as may be necessary to carry out the power of proxy.
The proxy has the right to represent other shareholders at the General Meeting.
The proxy is authorized to represent the Shareholder also in the event of a break in the General Meeting proceedings.
The proxy shall have/ shall not have* a power of substitution.
This power of proxy is accompanied by a proxy vote form.*
………………………………………….. (signature of the Shareholder or their representative)
* delete if not applicable
(place, date)
_____________________
1
Building tools?
Free accounts include 100 API calls/year for testing.
Have a question? We'll get back to you promptly.