Invalda INVL — Proxy Solicitation & Information Statement 2014

Jan 14, 2014

INVALDA

GENERAL VOTING BULLETIN

of the public company Invalda LT

Extraordinary General Shareholders Meeting

to be held on 5 February 2014

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

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

Number of the shares held – ……………………

Number of votes owned – ……………………

Agenda includes:

1. Regarding approval of preparation of the terms of split-off of Invalda LT, AB.

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
1. Regarding approval of preparation of the terms of split-off of Invalda LT, AB.
1.1. To approve preparation of the terms of split-off of Invalda LT, AB.
1.2. To authorize the Board to draw up the terms of split-off of Invalda LT, AB as well as to sign contracts necessary for the preparation and assessment of the said terms, and conduct other related actions.	FOR	AGAINST

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

(signature)

Date __ [day] __ [month] 2014