Carlson Investments Se

Proxy Solicitation & Information Statement • Jun 2, 2022

POWER OF ATTORNEY

I, ..................................., PESEL ........................... domiciled in ............................., hereby grant to Mr./Ms. ................., holding a ...... series ID card no. ......, domiciled in ......................, the power of attorney to attend and exercise the voting rights attached to the shares in CARLSON INVESTMENTS SE held by me as a shareholder ....................... at the Annual General Meeting convened for June 29, 2022.

Within the scope of the subject matter of this power of attorney, the attorney-in-fact is authorized to perform all acts related to the purpose of this power of attorney, including, but not limited to:

1) making motions;

2) exercise of voting rights;

3) to raise objections.

This power of attorney is exempt from stamp duty as this type of power of attorney is not covered by the scope of the Act on Stamp Duty of 16 July 2006 (Journal of Laws of 2021, item 1923).

Caption : ...................................................................

..................................., ........................ r. [Locality].