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Amber Grid — Proxy Solicitation & Information Statement 2021
Sep 2, 2021
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date: 2021-08-30 07:04:00+00:00
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| AB “Amber grid” Code 303090867 Registered seat address Savanorių pr. 28, Vilnius Data on the company are collected and stored in the Register of Legal Entities (hereinafter referred to as the ‘Company’) |
GENERAL BALLOT PAPER OF THE extraORDINARY GENERAL MEETING OF SHAREHOLDERS OF 27 september 2021
SHAREHOLDER’S DETAILS
Please provide data about the voting shareholder in the table below:
| Shareholder’s name, surname (legal entity name): Name, surname/Legal entity name | Shareholder’s personal number (legal entity code): Personal number/Legal entity code |
| Number of shares held by the shareholder: Number of shares |
VOTING ON PROCEDURAL ITEMS
Please tick your vote in the table below: “FOR” or “AGAINST”.
| Seq. No. | Procedural item | Voting | |
| To elect the following person as the chair of the General Meeting of Shareholders: Name, surname | FOR | AGAINST | |
| To elect the following person as the secretary of the General Meeting of Shareholders: Name, surname | FOR | AGAINST | |
| To elect the following person as a person responsible for carrying out of actions specified in Article 22(2) and (3) of the Republic of Lithuania Law on Companies: Name, surname | FOR | AGAINST |
VOTING ON AGENDA ITEMS
Please tick your vote in the table below: “FOR” or “AGAINST”. When electing the members of the Board, please enter the number of votes cast in the row of the candidate whom you vote for, in the right column of the table.
| Seq. No. | Agenda item | Proposed draft decisions | Voting | |
| Regarding the change of the registered office of AB Amber Grid | To change the registered office address of AB Amber Grid (legal entity code 303090867) from Savanorių pr. 28, Vilnius LT- 03116, to Laisvės pr. 10, Vilnius LT-04215. | FOR | AGAINST |
| Regarding any other new draft decisions that have not been indicated above, we cast all votes we hold: | FOR | AGAINST |
By signing this ballot paper, the shareholder also confirms proper and timely provision of information on the convened General Meeting of Shareholders of the Company, and that the shareholder has no claims as to the convocation of the General Meeting of Shareholders; the shareholder also confirms that he has been furnished with all information/documents required for voting on each agenda item.
Name, surname/Legal entity name,
representative’s name, surname, position: ___________________________________________
Signature and date of signing: ___________________________________________
Title, date and number of the document
granting the right to vote
(if the ballot paper is signed by person
other than the shareholder’s manager): ____________________________________________
_______________ Name, surname