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ENERGY TECHNOLOGIES LIMITED — Proxy Solicitation & Information Statement 2013
Oct 31, 2013
64831_rns_2013-10-31_349a0a15-7819-46b4-a7e1-c1b53ae92052.pdf
Proxy Solicitation & Information Statement
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Proxy Form
Energy Technologies Limited ("the Company") ABN 38 002 679 469
I/We being a member/s of of the Company and entitled to attend and vote Hereby appoint of
or failing him/her, or if no person is named, the Chairman of the Meeting, as my/our proxy to attend and to vote on my/our behalf at the Annual General Meeting of the Company to be held at 102 Old Pittwater Road, Brookvale NSW 2100 on Thursday 05 December 2013 at 10.30am, and at any adjournment thereof.
If this appointment of proxy appoints the Chairman of the meeting, then I/we authorise the Chairman to exercise the proxy even if the resolution is connected directly or indirectly with the remuneration of a member of the Key Management Personnel of the Company or the consolidated entity.
If two proxies are appointed, the proportion of the member’s voting rights which this proxy is appointed to represent is set out below.
% or shares
Instructions on Voting
If you wish to direct your proxy how to vote in respect of the proposed resolutions, please indicate the manner in which your proxy is to vote by ticking the appropriate box below, otherwise your proxy may vote as he/she thinks fit.
Should you choose to appoint a proxy, you are encouraged to direct that proxy as to how to vote by marking either For , Against or Abstain on the proxy form for each item of business.
If you mark the abstain box for a particular item you are directing your proxy not to vote on a show of hands or on a poll and your votes will not be counted in computing the required majority on a poll on that item.
The Chairman of the Meeting intends to vote undirected proxies by shareholders who are not Excluded Shareholders in favour of Resolution 1 and all undirected proxies in favour of resolutions 2 and 3.
Any undirected proxies held by any other member of the Company's Key Management Personnel or any of their Closely Related Parties, or a Director of the Company or an associate of that Director (other than a Director who is ineligible to participate in any employee incentive scheme in relation to the Company) will not be voted on Resolution 1.
" Key Management Personnel " of the Company are those persons having authority and responsibility for planning, directing and controlling the activities of the Company, directly or indirectly, including any Director (whether executive or non-executive) of the Company. A " Closely Related Party " of Key Management Personnel is a term defined in the Corporations Act and includes close family members, such as the children or spouse of the relevant Key Management Personnel, companies that person controls and other members of that person's family who may be expected to influence, or be influenced by, that person in that person's dealings with the Company.
| For | Against | Abstain | |
|---|---|---|---|
| ORDINARY BUSINESS | |||
| RESOLUTION 1 | |||
| Adoption of Remuneration Report | � | � | � |
| RESOLUTION 2 | |||
| Re-election of Director – Alfred J. Chown | � | � | � |
| SPECIAL BUSINESS | |||
| RESOLUTION 3 | |||
| The issue of new shares in the company | � | � | � |
| RESOLUTION 4 | |||
| The issue of shares to interests associated with a director of the company | � | � | � |
| RESOLUTION 5 | |||
| The issue of convertible notes under a secured convertible note facility | � | � | � |
| RESOLUTION 6 | |||
| The issue of convertible notes under a secured convertible note facility to interests associated with directors of the company |
� | � | � |
| RESOLUTION 7 | |||
| The issue of convertible notes under an unsecured convertible note facility | � | � | � |
| RESOLUTION 8 | |||
| The issue of convertible notes under an unsecured convertible note facility to interests associated with directors of the company |
� | � | � |
| Dated this _ day of ___ 2013 |
| INDIVIDUAL SECURITY HOLDER Signature |
SECURITY HOLDER Signature DIRECTOR / COMPANY SECRETARY Signature |
SECURITY HOLDER Signature |
|---|---|---|
| SOLE DIRECTOR / SOLE COMPANY SECRETARY Signature |
Address for return of proxies : 102 Old Pittwater Road, Brookvale NSW 2100 or fax to +61 (2) 9939 9812 Attention: Gregory Knoke.
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This form must be signed by the security holder. If a joint holding, all security holders must sign. If signed by the security holder’s attorney, the power of attorney must have been previously noted by the Company or a certified copy attached to this form. If executed by a company, the form must be executed in accordance with the security holder’s constitution and the Corporations Act 2001 (Cth).
The Company advises that Chapter 2C of the Corporations Act 2001 (Cth) requires information about you as a security holder (including your name, address and details of securities you hold) to be included in the public register of the entity in which you hold securities. This information must continue to be included in the Company's register of members even if you cease to be a security holder. Information is collected to administer your security holding and if some or all of the information is not collected then it might not be possible to administer your security holding. The Company may disclose this information for purposes related to your shareholding, including in circumstances permitted under the Chapter 2C of the Corporations Act 2001. You can obtain access to your personal information in the Company's register of members in accordance with Chapter 2C of the Corporations Act 2001.
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