Proxy Solicitation & Information Statement • Mar 27, 2018
Proxy Solicitation & Information Statement
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| I, the undersigned (name) _________ (surname) | _______ |
|---|---|
| born in (place) ___ on (date) //, resident in (town or city) __ | |
| (address) _____ street no. __ (1), Tax Identification Number ______ |
| [if applicable] legal representative of (company name) | ____________, |
|---|---|
| with registered office in (town or city) ___ (address) _____ | |
| street no. __, Tax Identification Number _____ (2) | |
| as (check whichever applies): |
Proxy holder
Substitute of the Proxy holder
to participate to the Ordinary General Meeting of Aquafil S.p.A., to be held on 27th April 2018, in single call, at 3.30 pm., in Milan, Via Mercanti no. 2, at Palazzo Giureconsulti, under my responsibility, to the effects and purposes of Art. 135-novies, subsection 5, of Legislative Decree No. 58/1998, hereby
(i) that the copy of the proxy for participation in the aforesaid meeting, delivered / transmitted to the Company, is a true copy of the original, and
(ii) confirm the identity of the delegating party ___________________________________________________ (3) and
(iii) that the signatory to the proxy has full and valid signatory powers.
I acknowledge that pursuant to Art. 135-novies, subsection 5, of Legislative Decree no. 58/1998, the proxy holder must keep the original proxy and keep records of any voting instructions received for one year after the conclusion of the meeting.
[●], 27th April 2018
____________________________________________________ Signature of proxy holder/substitute of proxy holder
() Obligatory.
(1) Enter the data of the proxy holder/substitute of the proxy holder/Appointed Representative/substitute of the Appointed Representative.
(2) Complete this section if the proxy holder/substitute of the proxy holder/Appointed Representative/substitute of the Appointed Representative is a legal person.
(3) Enter the data of the delegating party (if a natural person: name, surname, place and date of birth, Tax Identification Number; if legal person: company name, full address of the registered office, Tax Identification Number), as they appear on the notice for participation in the meeting as per Art. 83-sexies, Legislative Decree No. 58/1998.
that the enclosed proxy does not give the proxy holder the right to vote at their discretion; the proxy holder is obliged to follow the written voting instructions.
[●], 27th April 2018
Signature of proxy holder/substitute of proxy holder
____________________________________________________
The data on this statement will be processed by Aquafil S.p.A. (the "Company") – Data Controller – for the purposes of managing the meeting operations, in compliance with the applicable personal data protection code.
Such data may be disclosed to collaborators of the Company who, as Managers or Persons in charge, are duly authorised to process the data for the purposes indicated above: such data may be disseminated or communicated to specific persons in compliance with community directives, regulations and laws, or as ordered by Authorities vested with the legal power for this or by supervisory and control bodies.
Pursuant to Art. 7 of Legislative Decree no. 196/2003, at any time, the party concerned is entitled to obtain confirmation of what personal data of theirs is held at the Company, its source and how it is used; the party concerned is also entitled to update, correct, integrate or cancel the data, request that it be blocked and object to the processing of their data by contacting Aquafil S.p.A.
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