Amber Grid — Proxy Solicitation & Information Statement 2014

Jun 6, 2014

Translation from the Lithuanian

AB Amber Grid

GENERAL BALLOT PAPER

GENERAL MEETING OF SHAREHOLDERS OF 30 JUNE 2014

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.	Confirmation of the resignation of the members of the Board of Directors of AB Amber Grid.	To confirm the resignation of Dr. Rainer Link, Member and Chairman of the Board of Directors, and Mario Nullmeier, Member of the Board of Directors.	“FOR”	“AGAINST”

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| 2. | Revocation and election of the members of the Board of Directors of AB Amber Grid. | For the remaining term of office of the Board of Directors of AB Amber Grid (i.e. until the Ordinary General Meeting of Shareholders of AB Amber Grid to be held in 2016), in replacing the resigned members Dr. Rainer Link and Mario Nullmeier, to elect as the members of the Board of Directors of AB Amber Grid the nominees of UAB EPSO-G:
1. /first name and surname/;
2. /first name and surname /." | “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)
his shares)

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