Kredyt Inkaso S.A. — AGM Information 2021

Apr 28, 2021

EXTRAORDINARY GENERAL ASSEMBLY

THE FORM TO EXERCISE VOTING RIGHTS BY A PROXY

Concerns exercising voting rights through a proxy during the Extraordinary General Assembly of Kredyt Inkaso S.A. with the registered office in Warsaw, ul. Domaniewska 39, 02-672 Warsaw, convened to be held on 24 May 2021, 09:00 a.m. in Warsaw at ul. Żwirki i Wigury 18, (Sound Garden Hotel), 02 – 092 Warsaw.

I. INFORMATION ON A SHAREHOLDER:

___________________________________ (surname and last name of Shareholder)

address: ______________________________

PESEL/REGON/KRS: ______

II. INFORMATION ON A PROXY:

A. ___________________________________

(surname and last name of Proxy)

address: ______________________________

PESEL/REGON/KRS: __________________

B. ___________________________________

(surname and last name of a person representing Proxy)

address: ______________________________

PESEL: __________________

__________________, ___________ 2021

______________________________

(place) (date)

(Shareholder's signature)

III. CASTING A VOTE ON RESOLUTIONS:

RESOLUTION No. …/2021 of the Extraordinary General Assembly of the company under the business name Kredyt Inkaso Spółka Akcyjna with its registered office in Warsaw dated 24 May 2021

on: election of the Chairman of the General Assembly

Pursuant to Art. 409 § 1 and Art. 420 § 2 of the Commercial Companies Code as well as § 4 sec. 3 of the Regulations of the General Assembly, the Extraordinary General Assembly resolves as follows:

§ 1

The Extraordinary General Assembly of Kredyt Inkaso S.A. decides to elect ............... as the Chairman of the Extraordinary General Assembly of the Company.

§ 2

The resolution shall enter into force upon its adoption.

o In favour	o Against	o Abstain
	o Making an objection
Number of shares:	Number of shares:	Number of shares:

___________________, __________ 2021

(place ) (date)

___________________________________

(Proxy's signature)

SHAREHOLDER'S INSTRUCTION FOR A PROXY:

....................................................................................................................................................... ....................................................................................................................................................... ....................................................................................................................................................... .......................................................................................................................................................

(Shareholder's signature)

___________________________________

RESOLUTION No. …/2021 of the Extraordinary General Assembly of the company under the business name Kredyt Inkaso Spółka Akcyjna with its registered office in Warsaw dated 24 May 2021

on: approval of the agenda

Pursuant to § 9 sec. 1 of the Regulations of the General Assembly, it is resolved as follows:

§ 1

The Extraordinary General Assembly decides to adopt the following agenda:

• 1. Opening of the General Assembly.
• 1. Election of the Chairman of the Assembly.
• 1. Acknowledgement of correctness of convening the Assembly and its capacity to adopt resolutions.
• 1. Approval of the agenda.
• 1. Election of the Returning Committee.
• 1. Adoption of resolution on determination of the number of the members of the Supervisory Board of Kredyt Inkaso S.A.
• 1. Adoption of resolution on the dismissal of members of the Supervisory Board of Kredyt Inkaso S.A.
• 1. Adoption of resolutions on the appointment of members of the Supervisory Board of Kredyt Inkaso S.A.
• 1. Adoption of a resolution on the costs relating to convening and holding the General Assembly.
• 1. Closing of the General Assembly.

§ 2

o	o	o
In favour	Against	Abstain
	o Making an objection

Number of shares:	Number of shares:	Number of shares:
		___, __ 2021 (place ) (date)
		_____ (Proxy's signature)
SHAREHOLDER'S INSTRUCTION FOR A PROXY:

___________________________________

(Shareholder's signature)

RESOLUTION No. …/2021 of the Extraordinary General Assembly of the company under the business name Kredyt Inkaso Spółka Akcyjna with its registered office in Warsaw dated 24 May 2021

on: election of members of the Returning Committee

Acting pursuant to § 7 sec. 1 of the Regulations of the General Assembly, the Extraordinary General Assembly resolves as follows:

§ 1

The Extraordinary General Assembly of Kredyt Inkaso S.A. hereby elects the following persons as members of the Returning Committee:

• …………………….. , - ……………………. , - …………………….. .

§ 2

o	o	o
In favour	Against	Abstain

	o Making an objection
Number of shares:	Number of shares:	Number of shares:

(Shareholder's signature)

___________________________________

SHAREHOLDER'S INSTRUCTION FOR A PROXY:

___________________, __________ 2021

(place ) (date) ___________________________________

(Shareholder's signature)

RESOLUTION No. …/2021 of the Extraordinary General Assembly of the company under the business name Kredyt Inkaso Spółka Akcyjna with its registered office in Warsaw dated 24 May 2020

on: determination of the number of the members of the Supervisory Board of Kredyt Inkaso S.A.

Pursuant to § 30 sec. 1 of the Regulations of the General Assembly, the Extraordinary General Assembly resolves as follows:

§ 1

The number of members of the Company's Supervisory Board is determined at 5 (five).

§ 2

o In favour	o Against	o Abstain
	o Making an objection

Number of shares:	Number of shares:	Number of shares:

(Shareholder's signature)

___________________________________

SHAREHOLDER'S INSTRUCTION FOR A PROXY:

___________________, __________ 2021

(place ) (date)

___________________________________ (Shareholder's signature)

RESOLUTION No. …/2021 of the Extraordinary General Assembly of the company under the business name Kredyt Inkaso Spółka Akcyjna with its registered office in Warsaw

dated 24 May 2020

on: dismissal of a Member of the Supervisory Board

Pursuant to Article 385 § 1 of the Polish Commercial Companies Code, the Extraordinary General Assembly resolves as follows:

§ 1

The Extraordinary General Meeting decides to dismiss …………….. from the duties of a member of the Supervisory Board of Kredyt Inkaso S.A.

§ 2

o In favour	o Against	o Abstain
	o Making an objection
Number of shares:	Number of shares:	Number of shares:

___________________________________

(Proxy's signature)

SHAREHOLDER'S INSTRUCTION FOR A PROXY:

....................................................................................................................................................... ....................................................................................................................................................... .......................................................................................................................................................

.......................................................................................................................................................

___________________, __________ 2021 (place ) (date)

___________________________________

(Shareholder's signature)

RESOLUTION No. …/2021 of the Extraordinary General Assembly of the company under the business name Kredyt Inkaso Spółka Akcyjna with its registered office in Warsaw dated 24 May 2020

on: appointment of a Member of the Supervisory Board

Pursuant to Article 385 § 1 of the Polish Commercial Companies Code and Article 7, section 7, point 4 of the Articles of Association of the company Kredyt Inkaso S.A., the Extraordinary General Assembly resolves as follows:

§ 1

The Extraordinary General Assembly decides to appoint …………….. as a member of the Supervisory Board of Kredyt Inkaso S.A. with effect from ……………...

§ 2

The resolution shall enter into force upon its adoption.

o In favour	o Against	o Abstain
	o Making an objection
Number of shares:	Number of shares:	Number of shares:

___________________, __________ 2021 (place ) (date)

(Proxy's signature)

___________________________________

SHAREHOLDER'S INSTRUCTION FOR A PROXY:

....................................................................................................................................................... ....................................................................................................................................................... ....................................................................................................................................................... .......................................................................................................................................................

___________________, __________ 2021 (place ) (date)

___________________________________

(Shareholder's signature)

RESOLUTION No. …/2021 of the Extraordinary General Assembly of the company under the business name Kredyt Inkaso Spółka Akcyjna with its registered office in Warsaw dated 24 May 2020

on: costs relating to convening and holding the Extraordinary General Meeting

Pursuant to Article 404 § 4 of the Polish Commercial Companies Code, the Extraordinary General Assembly resolves as follows:

§ 1

The Extraordinary General Assembly decides that the costs relating to the convening and holding of the Extraordinary General Meeting dated 24 May 2021 shall be borne by the Company.

§ 2

o In favour	o Against	o Abstain
	o Making an objection
Number of shares:	Number of shares:	Number of shares: