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XTPL S.A. — Proxy Solicitation & Information Statement 2026
Jun 2, 2026
5868_rns_2026-06-02_d5cc59ce-f465-46a8-b55c-d896487a39b1.pdf
Proxy Solicitation & Information Statement
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X7L
POWER OF PROXY TEMPLATE
(place, date)
POWER OF PROXY
Shareholder’s name/ name and surname*:
Shareholder’s address:
KRS number/ NIP/ Other registry number of the shareholder*:
Shareholder’s PESEL*:
Contact email:
Contact phone number:
(“Shareholder”)
The Shareholder hereby appoints:
(proxy details, in particular name and surname/ name, PESEL number or other identification number/ address for notices, number of the identity document)
as a proxy to represent the Shareholder by attending and exercising the voting rights attached to the Shareholder’s ___ (insert number) shares in XTPL S.A., with its registered office in Wrocław (KRS No.: 619674), for which the Shareholder was entitled to participate in the General Meeting on the record date, at the Annual General Meeting of XTPL S.A. convened for June 30, 2026 (“General Meeting”).
The Proxy is specifically authorized to attend the General Meeting, submit motions at the General Meeting, sign the attendance list, and vote on behalf of the Shareholder with respect to the shares in XTPL S.A., in accordance with the attached form / at the Proxy’s discretion.**
The proxy shall have right to perform any other acts in law and acts in fact as may be necessary to carry out the power of proxy.
The proxy is authorized to represent the Shareholder also in the event of a break in the General Meeting proceedings.
The Power of Proxy expires on ___.
The proxy shall have/ shall not have* a power of substitution.
(signature of the Shareholder or their representative)
- delete if not applicable