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Evome Medical Technologies Inc. — Proxy Solicitation & Information Statement 2021
Feb 18, 2021
47180_rns_2021-02-18_afae7c71-20b8-4516-afc9-0fac40e7ed4d.pdf
Proxy Solicitation & Information Statement
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Security Class
Holder Account Number
Voting Instruction Form ("VIF") - Annual General and Special Meeting to be held on March 11, 2021
NON-REGISTERED (BENEFICIAL) SECURITYHOLDERS
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We are sending to you the enclosed proxy-related materials that relate to a meeting of the holders of the series or class of securities that are held on your behalf by the intermediary identified above. Unless you attend the meeting and vote in person, your securities can be voted only by management, as proxy holder of the registered holder, in accordance with your instructions.
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We are prohibited from voting these securities on any of the matters to be acted upon at the meeting without your specific voting instructions. In order for these securities to be voted at the meeting, it will be necessary for us to have your specific voting instructions. Please complete and return the information requested in this VIF to provide your voting instructions to us promptly.
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If you want to attend the meeting and vote in person, please write your name in the place provided for that purpose in this form. You can also write the name of someone else whom you wish to attend the meeting and vote on your behalf. Unless prohibited by law, the person whose name is written in the space provided will have full authority to present matters to the meeting and vote on all matters that are presented at the meeting, even if those matters are not set out in this form or the information circular. Consult a legal advisor if you wish to modify the authority of that person in any way. If you require help, please contact the Registered Representative who services your account.
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This VIF should be signed by you in the exact manner as your name appears on the VIF. If these voting instructions are given on behalf of a body corporate set out the full legal name of the body corporate, the name and position of the person giving voting instructions on behalf of the body corporate and the address for service of the body corporate.
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If this VIF is not dated, it will be deemed to bear the date on which it is mailed by management to you.
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When properly signed and delivered, securities represented by this VIF will be voted as directed by you, however, if such a direction is not made in respect of any matter, the VIF will direct the voting of the securities to be made as recommended in the documentation provided by Management for the meeting.
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This VIF confers discretionary authority on the appointee to vote as the appointee sees fit in respect of amendments or variations to matters identified in the notice of meeting or other matters as may properly come before the meeting or any adjournment thereof.
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Your voting instructions will be recorded on receipt of the VIF.
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By providing voting instructions as requested, you are acknowledging that you are the beneficial owner of, and are entitled to instruct us with respect to the voting of, these securities.
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If you have any questions regarding the enclosed documents, please contact the Registered Representative who services your account.
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This VIF should be read in conjunction with the information circular and other proxy materials provided by Management.
VIFs submitted must be received by 4:00 p.m. (PST) on Tuesday, March 9, 2021.
VOTE USING THE TELEPHONE OR INTERNET 24 HOURS A DAY 7 DAYS A WEEK!
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To Vote Using the Telephone
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To Vote Using the Internet
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Call the number listed BELOW from a touch tone telephone.
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Go to the following web site:
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www.investorvote.com
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Smartphone?
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1-866-734-VOTE (8683) Toll Free Scan the QR code to vote now.
If you vote by telephone or the Internet, DO NOT mail back this VIF.
Voting by mail may be the only method for securities held in the name of a corporation or securities being voted on behalf of another individual.
Voting by mail or by Internet are the only methods by which a holder may choose an appointee other than the Management appointees named on the reverse of this VIF. Instead of mailing this VIF, you may choose one of the two voting methods outlined above to vote this VIF.
To vote by telephone or the Internet, you will need to provide your CONTROL NUMBER listed below.
CONTROL NUMBER
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Appointee(s) Management Appointees are: Leslie Cross, Chairman of the Board OR If you wish to attend in person or appoint and Interim Chief Executive Officer, or failing him, Jane Kiernan, Vice someone else to attend on your behalf, Chairwoman of the Board print your name or the name of your appointee in this space (see Note #3 on reverse).
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as my/our appointee to attend, act and to vote in accordance with the following direction (or if no directions have been given, as the appointee sees fit) and to vote at the discretion of the proxyholder with respect to amendments or variations to matters identified in the Notice of Meeting or other matters that may properly come before the Annual General and Special Meeting of Securityholders of Salona Global Medical Device Corporation (the " Corporation ") to be held at 3330 Caminito Daniella, Del Mar, California 92014 on Thursday, March 11, 2021 at 4:00 p.m. (PST) and at any adjournment or postponement thereof.
VOTING RECOMMENDATIONS ARE INDICATED BY HIGHLIGHTED TEXT OVER THE BOXES.
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| 1.Election of Directors | For Withhold |
For | Withhold | For | Withhold | |
|---|---|---|---|---|---|---|
| 01. Leslie Cross | 02. Jane Kiernan | 03. Dr. Ken Kashkin | ||||
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| Fold | ||||||
| 04. Kyle Wilks | ||||||
| For | Withhold | |||||
| 2.Appointment of Auditors | ||||||
| Appointment of SRCO Professional Corporation, as Auditors of the Corporation for the ensuing year and authorizing the Directors to fix their | ||||||
| remuneration. | ||||||
| 3.Change of Business | For | Against | ||||
| To consider, and if thought appropriate, to pass, with or without variation, an ordinary resolution | (the text of which is disclosed in Section 4 under | |||||
| the heading “Matters to be Acted Upon” of the Information Circular) approving the Acquisition, as more particularly described in the Information | ||||||
| Circular. | ||||||
| 4.Amendment of Notice of Articles | For | Against | ||||
| To consider, and if thought appropriate, to pass, with or without variation, a special resolution (the text of which is disclosed in Section 5 under the | ||||||
| heading “Matters to be Acted Upon” of | the Information Circular) authorizing an amendment of the Corporation’s Notice of Articles, as more | |||||
| particularly described in the Information Circular. | ||||||
| 5.2021 Option Plan | For | Against | ||||
| To consider and, if thought appropriate, pass, with or without variation, an ordinary resolution (the text of which is disclosed in Section 6 under the | ||||||
| heading “Matters to be Acted Upon” of | the Information Circular) approving the 2021 Option Plan, as more particularly described in the Circular. | |||||
| ------- | ||||||
| For | Against | Fold |
6. Shares for Debt
To consider and, if thought appropriate, pass, with or without variation, an ordinary resolution (the text of which is disclosed in Section 7 under the heading “Matters to be Acted Upon” of the Information Circular) to approve the issuance of common shares of the Corporation in settlement of certain outstanding debt of the Corporation.
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Authorized Signature(s) - This section must be completed for your instructions to be executed.
If you are voting on behalf of a corporation or another individual you may be required to provide documentation evidencing your power to sign this VIF with signing capacity stated.
Signature(s) Date
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Interim Financial Statements - Mark this box if you would Annual Financial Statements - Mark this box if you would like to receive Interim Financial Statements and like to receive the Annual Financial Statements and accompanying Management’s Discussion and Analysis by accompanying Management’s Discussion and Analysis by mail. mail.
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If you are not mailing back your VIF, you may register online to receive the above financial report(s) by mail at www.computershare.com/mailinglist.
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