Amber Grid — Proxy Solicitation & Information Statement 2013

Oct 31, 2013

Translation from the Lithuanian

AB Amber Grid

GENERAL BALLOT PAPER

GENERAL MEETING OF SHAREHOLDERS OF 11 DECEMBER 2013

INFORMATION ABOUT SHAREHOLDER

Name of the shareholder:

Code of the shareholder:

Number of shares:

VOTING

Please circle the voting option elected: "FOR" or "AGAINST"

No	Issue on the agenda	Draft resolution proposed	Expression of shareholder's volition
1.	Election of the Company's External Auditor and setting terms of payment for the audit services.	To elect UAB Ernst & Young Baltic as the External Auditor to audit AB Amber Grid's financial statements as of 31 December 2013 drawn up in accordance with International Financial Reporting Standards, and the Annual Report and the regulated activity statements prepared in accordance with the applicable provisions of the Law on Natural Gas of the Republic of Lithuania and subordinate legislation; and for the audit of the aforesaid financial statements and statements related thereto, to set payment in the amount of LTL 58 thousand (exclusive of VAT).	“FOR”	“AGAINST”

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2.	Regarding the Audit Committee.	1. To set up an Audit Committee of AB Amber Grid.	“FOR”	“AGAINST”
		2. To adopt the Regulations for the Formation and Operation of the Audit Committee of AB Amber Grid (enclosed).	“FOR”	“AGAINST”
		3. To elect the membership of the Audit Committee of AB Amber Grid: - Vaida Kačergienė (as an independent member); - Valdemaras Bagdonas.	“FOR”	“AGAINST”
		4. To authorize the General Manager Saulius Bilys to sign service contracts with the members of the Audit Committee.	“FOR”	“AGAINST”
3.	Regarding the transfer of the seat of AB Amber Grid.	To transfer the company seat of AB Amber Grid from Gudelių 49, LT-04224, Vilnius to Savanorių pr. 28, LT- 03116, Vilnius.	“FOR”	“AGAINST”

Note:
1. As provided by the law, all draft resolution proposals, if any, received before the date of posting off of the General Ballot Paper will be included in the General Ballot Paper.

(Date)

Name, surname, position, signature of a shareholder (or any other person, authorized to vote

his shares)