Zemaitijos Pienas — Proxy Solicitation & Information Statement 2016

Aug 24, 2016

AB "Žemaitijos pienas"
Registered address: Sedos str. 35, Telšiai, LT-87101
Company code 180240752, VAT payer's code LT802407515
Data stored and kept with the Register of Legal Entities
Extraordinary General Meeting of Shareholders, dated 16 September 2016

GENERAL BALLOT PAPER

Shareholder’s first name, surname (legal entity name)

Shareholder’s personal ID number (legal entity code)

Number of shares held

Number of votes held

Please mark the selected variant “FOR” or “AGAINST” in the table below:

Organisational issues of the meeting
To propose to elect the following person as the Chairman of the meeting and to vote “for” the proposed candidate:
To propose to elect the following person as the Secretary of the meeting and to vote “for” the proposed candidate:
To propose to elect the following person as the person responsible for performance of actions provided for in paragraphs 2 and 3 of Article 22 of the Law of the Republic of Lithuania on Companies and to vote “for” the proposed candidate:
Matter on the agenda	Draft decision
1. Approval of the Company’s set of financial statements for the first half of 2016.	To approve the Company’s set of financial statements for the first half of 2016 (Set of financial statements is enclosed).	For	Against
2. Approval of the Company’s Profit (loss) distribution for the first half of 2016.	To approve the Company’s Profit (loss) distribution for the first half of 2016. Board’s proposed draft of Profit (loss) distribution is enclosed.	For	Against
Regarding any other new draft resolutions, not indicated above, to vote with all the votes held	For	Against
---	---	---

We hereby confirm that we have familiarised in advance with the agenda of the Extraordinary General Meeting of Shareholders of AB “Žemaitijos pienas” referred to in this Ballot Paper and the draft resolutions contained herein, therefore we may express in advance in writing the will of

AB “Žemaitijos pienas” in voting on the matters considered at the Extraordinary General Meeting of Shareholders. Having regard to our will expressed in writing on the agenda matters of the Extraordinary General Meeting of Shareholders, it should be considered that

General Meeting of Shareholders of AB “Žemaitijos pienas” held on 16 September 2016.

First name, surname, position of the shareholder (its representative):

Date and signature of the shareholder (its representative):

Date, title and number of the document entitling to vote (if the ballot paper is signed by anyone other than the head of the shareholder):