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Viohalco S.A. — Proxy Solicitation & Information Statement 2016
Jan 15, 2016
4023_rns_2016-01-15_efb7cd59-18d6-4890-bc71-5c5ed45d5dbe.PDF
Proxy Solicitation & Information Statement
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VIOHALCO SA 30 Avenue Marnix, 1000 Brussels, Belgium 0534.941.439 RPM (Brussels)
CONFIRMATION OF PARTICIPATION
Extraordinary shareholders' meeting of Viohalco SA (the Company) of Wednesday 17 February 2016 at 2.30 pm (CET) at the registered office of the Company, 30 Avenue Marnix, 1000 Brussels.
This signed original paper form must be returned by Thursday 11 February 2016 at 5.00 pm (CET) at the latest to:
(1) by mail
The signed original paper form must be sent to: Viohalco SA Catherine Massion, deputy manager 30 Avenue Marnix 1000 Brussels (Belgium)
OR
(2) by electronic mail A copy of the signed original form must be sent to: [email protected] All electronic mail must be signed by electronic signature in accordance with the applicable Belgian legislation
The undersigned (name and first name / name of the company)
Domicile / Registered office
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
Owner of dematerialised shares (*)
of Viohalco SA
number
registered shares (*)
BRU7367257/8 163608-0003
confirms his intention to participate in the extraordinary shareholders' meeting of the Company that will be held in Brussels on Wednesday 17 February 2016 at 2.30 pm (CET) with all above-mentioned shares.
Done at …………………………………………., on …………………….
Signature(s) : ……………………………………….(**)
(*) Cross out what is not applicable.
(**) Legal entities must specify the name, first name and title of the natural person(s) who sign on their behalf.