Proxy Solicitation & Information Statement • Apr 14, 2023
Proxy Solicitation & Information Statement
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The undersigned:
| Natural person | ||||
|---|---|---|---|---|
| Surname and first name: | ||||
| Address: | ||||
| owner of share(s) in the National Bank of Belgium, hereby give power of attorney to: |
||||
| Surname and first name: | ||||
| Address: | ||||
| Legal person: | ||||
| Name and legal form: | ||||
| Registered office: | ||||
| Company number: | ||||
| Lawful representative: | ||||
| Mr/Mrs position: and |
||||
| Mr/Mrs position: |
||||
| owner of share(s) in the National Bank of Belgium, hereby give power of attorney to: |
||||
| Mr/Mrs position: |
to
Pursuant to Article 7:143, §4 of the Companies and Associations Code, in the event of any potential conflict of interests between a shareholder and his appointed representative, the representative is not authorised to exercise the voting right on behalf of the shareholder unless he has specific voting instructions for each item on the agenda. Without that, proxies will not be valid.
Conflicts of interest exist in particular if the representative:
1° is the Bank, is a shareholder who controls the Bank or is another entity controlled by such a shareholder;
2° is a member of the Bank's Board of Directors, or a member of the management bodies of a shareholder who controls the Bank or a controlled entity referred to in 1°;
3° is an employee or external auditor of the Bank or of the Bank's controlling shareholder or of a controlled entity referred to in 1°;
4° is related to a natural person referred to in 1° to 3° or is the spouse or legal partner of such a person, or of a relation of such a person.
Proxies returned to the Bank without indicating a representative will be deemed to be addressed to the chairman of the Board of Directors and consequently fall within the scope of potential conflicts of interest. They will not be valid unless voting instructions are indicated for each item on the agenda.
(tick the appropriate box if you are in the situation of a potential conflict of interests - see box above)
Election of Mr Danny Van Assche
For Mr Danny Van Assche
Election of Mrs Claire Tillekaerts
Election of Mrs Griet Smaers
Election of Mr Eric Mathay
Election of Mrs Géraldine Van der Stichele
Proposed decision, based on a proposal by the audit committee: appointment of KPMG Résviseurs d'entreprises/Bedrijfsrevisoren SRL/BV, represented by Mr Olivier Macq, with annual indexed remuneration of € 189,000 for the statutory audit.
(tick the appropriate box if you are in the situation of a potential conflict of interests - see box above)
In the case of extra items added to the agenda and proposals for decisions relating to them in accordance with Article 7:130 of the Companies and Associations Code or Article 65 of the Statutes of the National Bank after notification of this proxy, the representative:
(tick the appropriate box)
| Done at | (date) | |
|---|---|---|
THE SHAREHOLDER
(Signature)
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