Proxy Solicitation & Information Statement • Apr 26, 2017
Proxy Solicitation & Information Statement
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The undersigned
| First name …………………………………………………………………………………………………………………………………………………… | |
|---|---|
| Family name ………………………………………………………………………………………………………………………….……………………… | |
| Address ………………………………………………………………………………………………………………………………………………………… |
or
| Corporate name………………………………………………………….………………………………………………………………………………… | |
|---|---|
| Legal form………………………………………………………………………………………………………………………………………………… | |
| Registered office ……………………………………………………………………………………………………………………………………… | |
hereby represented by …………………….…………………………………………………………………………………………………………… (family name, first name, title of the proxy holder) whom declares and certifies to the SA D'Ieteren NV to have the necessary power of attorney to sign this form on behalf of the shareholder
owner on the record date of Thursday May 18 th, 2017 at midnight (Belgian time), of………………….………… registered/dematerialised shares (*) held with …………………………………………………… (name of the financial institution), of SA D'Ieteren NV with registered office located at rue du Mail 50, 1050 Brussels, Company Register 0403448140, and with which he/she hereby declares to vote
votes as indicated below with respect to the items on the agenda of the Ordinary and Extraordinary General Meetings of the company which will take place on Thursday June 1st , 2017, at 3:00 pm at the company's registered office.
(*) Delete where applicable
| Point 1 [This item does not require a vote] |
Point 2 vote in favour vote against abstain |
Point 3 vote in favour vote against abstain |
Point 4 (directors) vote in favour vote against abstain |
|---|---|---|---|
| Point 4 (statutory auditor) vote in favour vote against abstain |
Point 5 vote in favour vote against abstain |
Point 6 vote in favour vote against abstain |
(**) Please indicate your vote by ticking the appropriate box
| Point 1.1 | Point 1.2 | Point 2 | Point 3 |
|---|---|---|---|
| vote in favour | vote in favour | vote in favour | vote in favour |
| vote against | vote against | vote against | vote against |
| abstain | abstain | abstain | abstain |
(**) Please indicate your vote by ticking the appropriate box
This original form of vote by correspondence, duly filled in and signed, must be addressed to Euroclear Belgium, Issuer Services, at the following address: 1, Bd du Roi Albert II, 1210 (Belgium), on Friday May 26 th , 2017, at 4:00 pm (Belgian time) at the latest. Please note, however, that Thursday 25 May is a bank holiday in Belgium and that it is therefore advisable for shareholders to ensure that the current form (if sent by post) reaches Euroclear Belgium on Wednesday, May 24, 2017 by the latest.
In addition, the owners of dematerialized shares must send to Euroclear Belgium, at the addresses mentioned above and within the same timeframe, a certificate set out by their agreed account holder or clearing institution, attesting the number of dematerialised shares held in the shareholder's name in their books at the registration date with which he/she/it has here above declared to vote.
This vote by correspondence is irrevocable. It remains valid (a) for the following General Meetings which would be held with the same agenda and (b) for the items on this agenda, if this agenda is completed in accordance with Article 533ter of the Company Code and published after the date at which the shareholder has sent the present form to the above mentioned address. Shareholders who vote by correspondence may attend the Meetings but will not be permitted to vote in person or by proxy.
The company reserves the right to refuse documents which are not filled out properly or which are not complete.
Made in ………………..……………, on ………………………..…………. 2017.
Family name: First name:
Signature:
Enclosed: Agenda of the Ordinary and Extraordinary General Meetings of June 1st, 2017
Proposal to approve the annual financial statements and the appropriation of the result as at 31 December 2016.
Proposal to approve the Remuneration Report included in the Corporate Governance Statement of the Annual Report 2016.
Proposal to give discharge through separate voting:
for carrying out their functions in 2016.
Proposal to renew the mandate of Mrs Christine Blondel as independent director in the meaning of article 526ter of the Company Code, for a period of 4 years expiring at the end of the Ordinary General Meeting of 2021.
Proposal, upon the recommendation of the Audit committee and in accordance with article 156 of the Company Code, to renew the mandate as statutory auditor of KPMG Réviseurs d'Entreprises SCRL civile (B00001), Avenue du Bourget 40 à 1130 Evere (Belgium), represented by Mr Alexis PALM (IRE Nr. A01433), for the control of the statutory and consolidated accounts for the fiscal years 2017, 2018 and 2019, and to set its annual fees for the control of the statutory and the consolidated accounts at EUR 223,300 excl. VAT.
Proposal to grant a co-worker of the company, "Berquin Notaires", all powers to draft the coordinated text of the Articles of Association, sign and file it at the clerk's office at the competent Commercial Court, in accordance with the corresponding legal provisions.
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