Invalda INVL — Proxy Solicitation & Information Statement 2013

May 6, 2013

1

GENERAL VOTING BULLETIN

of the public joint - stock company Invalda Privatus Kapitalas

Shareholders Meeting

to be held on May 28, 2013

Shareholder’s name, surname (title) – ……………………

Shareholder’s personal code (legal person’s code) - ……………………

Number of the shares held – ……………………

Number of votes owned – …………………… (voting for an election of the Board members, multiply number of votes owned by 3 times and the total number of votes owned is……………….)

Agenda includes:

1. On the election Board of the public joint – stock company Invalda Privatus Kapitalas.

Please circle the chosen version: „FOR“, „AGAINST“, whereas voting for an election of the Board members, please write the chosen number of votes imposing for the specific Board member.

Draft resolutions
5. On the election of the Board of the public joint – stock company Invalda Privatus Kapitalas
5.1. To elect to the Board of the public joint – stock company Invalda Privatus Kapitalas for the new four-years term the following members:	Dedicate votes for:
1.	1.
2.	2.
3.	3.

(Name, surname or title of shareholder or it’s representative) (signature)

Date __ [day] __ [month] 2013