Notice of Dividend Amount • Aug 12, 2024
Notice of Dividend Amount
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11 August 2024

Further to the Company's announcement made on August 11, 2024, with respect to the contemplated payment of an interim dividend for the year 2024, we would like to elaborate about the new procedure which shall apply the deduction of taxes from such dividend payment subject to the new instructions issued by the Israeli tax authorities (the "ITA Instructions"):


You are receiving this "Declaration of Status for Israeli Income Tax Purposes" form as a holder of ordinary shares of no par value (the "Shares") of Sarine Technologies Ltd. Ltd., in connection with the payment of dividends to the shareholders of Sarine Technologies Ltd.
By completing this form in a manner that would substantiate your eligibility for a reduced rate of Israeli withholding tax with respect to this dividend distribution, you will allow Shrine Technologies Ltd. and its Israeli tax agent, to withhold tax in Israel from the dividend distribution made to you at a reduced tax rate.
This form should be completed and signed by the recipient of the dividend or by an authorized officer or representative of the recipient.
This claim is made pursuant to the Double Tax Convention between Israel and the country of residence of the recipient of the dividend.
| Full name of the recipient: | For Individuals: Identity Number, Social Security No., or Passport No./ For Legal Entities: Registration No. /Corporation No. |
Type of Investor: Legal Entity Individual Trust Beneficiary |
||
|---|---|---|---|---|
| With respect to an individual | With respect to a legal entity | |||
| Date of birth: | The country in which it was incorporated: |
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| Country of residence: | ||||
| Country of citizenship: | The country in which control and | |||
| Country issuing passport: | management are conducted: | |||
| Income Tax File number of recipient in place of residence: ________ |

| Address of local income tax assessing office in recipient's place of residence: _______ | ||||
|---|---|---|---|---|
| The recipient is a fiscal resident of (insert country) ___ since (insert date)._ . |
||||
| Permanent Address (country, city, street, house or apartment number): | ||||
| Mailing Address: | Investor's Telephone number: | |||
| Telephone number of authorized signatory: |
I declare that I am not an Israeli resident because (please mark all applicable boxes):
| | 1. | The State of Israel is not my permanent place of residence. | ||
|---|---|---|---|---|
| | 2. | The State of Israel is neither my place of residence nor my family's place of residence. | ||
| | 3. | My ordinary or permanent place of activity is not within the State of Israel, and I do not have a permanent establishment in the State of Israel. |
||
| | 4. | I do not engage in any occupation within the State of Israel. | ||
| | 5. | I do not own a business or part of a business within the State of Israel. | ||
| | 6. | This year, I did not stay and I do not intend to stay in Israel for 183 days or more. | ||
| | 7. | This year, I did not stay in Israel and I also do not intend to stay in Israel for 30 days or more and my total stay in Israel this year and in the two preceding years will not reach 425 days. |
||
| | 8. | I am not insured with the National Insurance Institute in the State of Israel. | ||
| | 9. | I am the sole beneficial owner of the dividend income. |
boxes):
| | 1. | Over 75% of the shareholders are individuals with the same residency as the Legal Entity (attached declaration of shareholders) |
|
|---|---|---|---|
| | 2. | It is not registered /incorporated with the Registrar of Companies in Israel. | |
| | 3. | It is not registered with the Registrar of non profit organizations in Israel. (Amutot) | |
| | 4. | The control of the legal entity is not in Israel. | |
| | 5. | The management of the legal entity is not in Israel. | |
| | 6. | The legal entity does not have a permanent enterprise in Israel and the entity does not have |

| a permanent establishment in the State of Israel | |||
|---|---|---|---|
| | 7. | No Israeli resident holds, directly or indirectly via shares or through a trust or in any other manner, alone or with another who is an Israeli resident, one or more of the means of control of the legal entity, as specified below, at a rate exceeding 25%. The term "means of control" refers to the following: (a) the right to participate in profits; (b) the right to appoint a director; (c) the right to vote; (d) the right to share in the assets of the entity at the time of its liquidation; (e) the right to direct the manner of exercising one of the rights specified above. |
|
| | 8. | The legal entity is the sole beneficial owner of the dividend income. |
Place of receipt (country, city, bank account number, Amount)
| Country | City | Bank name and account number |
Amount |
|---|---|---|---|
The recipient declares that all the information provided above is accurate and complete.
Date of Signature Signature of Recipient

This part shall be completed and signed by the income tax authorities of the recipient's place of residence
____________;
Date of Signature Signature Official
Stamp
2.Address of certifying official:_______________________
3.Position or Title of certifying official: ____________________
4.Name of Income Tax Authority official making this certification: ______________

SARINE TECHNOLOGIES LTD.
SARINE TECHNOLOGIES LTD - IL0010927254 - U77
Mandatory Cash Dividend/ Distribution
12-Aug-2024 23:07:21
New
Corporate Action Reference SG240812DVCAWK23
Submitted By (Co./ Ind. Name)
Amir J. Zolty
Company Secretary
Not Applicable
Interim
31/12/2024
Declared Dividend/ Distribution Rate (Per Share/ Unit)
| Narrative | Narrative |
|---|---|
| Type | Text |
| Additional Text |
1. Please see attached an explanation with regard to the submission of an application for a reduced tax rate/exemption for dividend payments. 2, In line with prior practice, the dividend payment shall be made in SGD (and once the dividend amount is converted into SGD we will issue an update to this announcement). |
| Record Date |
|||
|---|---|---|---|
| 27/08/2024 | |||
| Ex Date |
|||
| 24/08/2024 | |||
| Dividend Details |
|||
| Payment Type |
|||
| Payment Rate in Gross |
|||
| Taxable | |||
| Yes | |||
| Tax Rate (%) |
|||
| 20 | |||
| Gross Rate (Per Share) |
|||
| USD 0.0075 |
|||
| Net Rate (Per Share) |
|||
| USD 0.006 |
|||
| Pay Date |
|||
| 29/08/2024 | |||
Gross Rate Status
Israel
Announcement\_re\_Dividend\_Taxation\_11\_August\_2024.pdf
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