PART I: CLAIMANT IDENTIFICATION
The Claims Administrator will use this information for all communications regarding this Claim Form. If this information changes,
you MUST notify the Claims Administrator. Complete names of all persons and entities must be provided.
NAME SECTION
ADDRESS SECTION
CONTACT AND ACCOUNT SECTION
PART II: SCHEDULE OF TRANSACTIONS IN ELIGIBLE SHARES
A. HOLDINGS AS OF JUNE 1, 2021 - Number of shares of Eligible Shares held by you as of the close of the market on June 1, 2021:
*
NO PURCHASES NEEDED
B. SALES DURING THE CLASS PERIOD
– Sales of Eligible Shares between the close of the market on June 1, 2021 and close of market on November 29, 2024
Trade Date
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Number of
Shares Sold
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Date Shares Purchased
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Action |
C. END HOLDINGS
– Number of Eligible Shares held as of the close of the market on November 29, 2024: *
UPLOAD SUPPORTING DOCUMENTS
All supporting documentation for your positions and transactions should be uploaded to this page prior to moving
on to the next step in your online claim submission.
Please use the browse option, by clicking on “Select Files” in the box below, to upload your supporting
documentation being submitted to verify all of your positions and transactions.
Files To Be Uploaded
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Size
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Action
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I. SUBMISSION TO JURISDICTION OF COURT AND ACKNOWLEDGMENTS
I (We) submit this Proof of Claim and Release under the terms of the Stipulation described in the Notice. I (We)
also submit to the jurisdiction of the Court of Chancery of the State of Delaware with respect to my (our) claim
as a Class Member and for purposes of enforcing the release set forth herein. I (We) further acknowledge that I
am (we are) bound by and subject to the terms of any judgment that may be entered in the Action. I (We) agree to
furnish additional information to the Settlement Administrator to support this claim if requested to do so. I (We)
have not submitted any other claim in connection with the Action and know of no other person having done so on my (our) behalf.
II. RELEASE
1. I (We) hereby acknowledge full and complete satisfaction of, and do hereby fully, finally and forever settle, release and
discharge from the Released Plaintiffs’ Claims each and all of the Released Defendant Parties and Released Company Parties as
provided in the Stipulation.
2. This release shall be of no force or effect unless and until the Court approves the Stipulation and the Settlement becomes
effective on the Effective Date.
3. I (We) hereby warrant and represent that I (we) have not assigned or transferred or purported to assign or transfer, voluntarily
or involuntarily, any matter released pursuant to this release or any other part or portion thereof.
4. I (We) hereby warrant and represent that I (we) have included the requested required information about all of my (our) holdings
of Eligible Shares.
I declare under penalty of perjury under the laws of the United States of America that the foregoing information supplied by the
undersigned is true and correct.
ACCURATE CLAIMS PROCESSING TAKES A
SIGNIFICANT AMOUNT OF TIME.
THANK YOU FOR YOUR PATIENCE.
REMINDER CHECKLIST:
1. Please sign the above release and acknowledgment.
2. Remember to attach copies of supporting documentation.
3. Do not send originals of certificates or other documentation as they will not be returned.
4. Keep a copy of your Proof of Claim and Release and all supporting documentation for your records.
5. If you desire an acknowledgment of receipt of your Proof of Claim and Release, please send it Certified Mail, Return Receipt Requested.
6. If you move after submitting this Proof of Claim and Release, please notify the Settlement Administrator of the change in your address, otherwise
you may not receive additional notices or payment.
7. Do not use red pen or highlighter on the Proof of Claim and Release or supporting documentation. You must use black or blue ink or your claim may
be deemed deficient.