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FinecoBank — Proxy Solicitation & Information Statement 2019
Mar 8, 2019
4321_iss_2019-03-08_f7b615c6-2a98-4345-be14-8523bfc05e79.pdf
Proxy Solicitation & Information Statement
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to FinecoBank S.p.A. Piazza Durante, 11 20131 Milan
Ordinary and Extraordinary Shareholders' Meeting of FinecoBank S.p.A. of April 10, 2019 Certification of representative (Article 135-novies of the Legislative Decree no. 58 of February 24, 1998)
| The undersigned________ | ||||||
|---|---|---|---|---|---|---|
| Born in______ on _______ | ||||||
| or | ||||||
| Company/business name _______ | ||||||
| Represented by ___________ | ||||||
| Residence or business address: (town/city) _______ (street name) ____________ |
||||||
| Fiscal code / VAT no. ___ | ||||||
| as the representative of __________ |
||||||
| (the | _________ _________ "Delegar(s)"), |
by virtue | of the authority/authorities | given | on | |
| ………………………………………………. copies of which have been provided to you |
CERTIFIES under his/her personal responsibility
in accordance with Article 135-novies of the Legislative Decree no. 58 of February 24, 1998:
- that the above copies conform to the original authority/authorities issued by the Delegant(s);
- that the identity of the Delegant(s) corresponds to the information contained in the authority/authorities.
[place], ………………. [date of the Shareholders' Meeting]
(Signature of Representative)
____________________
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