|
Exhibit
Number |
| |
Description
|
|
| (a)(1)(A)✓ | | | | |
| (a)(1)(B)✓ | | | | |
| (a)(1)(C)✓ | | | | |
| (a)(1)(D)✓ | | | | |
| (a)(1)(E)✓ | | | | |
| (a)(2) | | | Not Applicable. | |
| (a)(3) | | | Not applicable. | |
| (a)(4) | | | Not applicable. | |
| (a)(5)(A)✓ | | | | |
| (b) | | | Not applicable. | |
| (c) | | | None. | |
| (d)(A)* | | | |
|
Exhibit
Number |
| |
Description
|
|
| (d)(B)* | | | Amendment to Employment Agreement entered into between Evolving Systems, Inc. and Matthew Stecker (incorporated by reference to Exhibit 10.1 of the 8-K, filed on May 22, 2020). | |
| (d)(C)* | | | Evolving Systems, Inc. 2016 Stock Incentive Plan, as amended (incorporated by reference to Appendix A of the Definitive Proxy Statement on Schedule 14A, filed on April 26, 2018). | |
| (e) | | | Not applicable. | |
| (f) | | | Not applicable. | |
| (g) | | | Not applicable. | |
| (h) | | | Not applicable. | |
| 107✓ | | | |
| | | | | | | Symbolic Logic, Inc. | |
| | | | | | | | |
| Date: May 23, 2022 | | | By: | | |
/s/ Matthew Stecker
Name: Matthew Stecker
Title: Chief Executive Officer and Executive Chairman |
|
| | | | | 6 | | | |
| | | | | 15 | | | |
| | | | | 17 | | | |
| | | | | 20 | | | |
| | | | | 20 | | | |
| | | | | 20 | | | |
| | | | | 23 | | | |
| | | | | 23 | | | |
| | | | | 28 | | | |
| | | | | 29 | | | |
| | | | | 30 | | | |
| | | | | 30 | | | |
| | | | | 31 | | | |
| | | | | 32 | | | |
| | | | | 33 | | | |
| | | | | 34 | | | |
| | | | | 34 | | | |
| | | | | 35 | | | |
| | | | | 37 | | | |
| | | | | 42 | | |
| | |
High ($)
|
| |
Low ($)
|
| ||||||
Fiscal Year 2022 | | | | | | | | | | | | | |
Quarter Ended: | | | | | | | | | | | | | |
March 31, 2022
|
| | | | 2.32 | | | | | | 1.71 | | |
Fiscal Year 2021 | | | | | | | | | | | | | |
Quarter Ended: | | | | | | | | | | | | | |
December 31, 2021
|
| | | | 2.86 | | | | | | 2.12 | | |
September 30, 2021
|
| | | | 2.68 | | | | | | 2.21 | | |
June 30, 2021
|
| | | | 2.88 | | | | | | 1.74 | | |
March 31, 2021
|
| | | | 3.94 | | | | | | 2.05 | | |
Fiscal Year 2020 | | | | | | | | | | | | | |
Quarter Ended: | | | | | | | | | | | | | |
December 31, 2020
|
| | | | 2.48 | | | | | | 1.06 | | |
September 30, 2020
|
| | | | 1.35 | | | | | | 0.98 | | |
June 30, 2020
|
| | | | 1.27 | | | | | | 0.75 | | |
| | |
Shares of Common Stock
Beneficially Owned(1) |
| |||||||||
Name and Address of Beneficial Owner
|
| |
Number of
Shares |
| |
Percentage
Ownership |
| ||||||
David J. Nicol(2)
|
| | | | 197,844 | | | | | | 1.6% | | |
Steven G. Singer(3)
|
| | | | 5,000 | | | | | | *% | | |
Matthew Stecker(4)
|
| | | | 86,000 | | | | | | *% | | |
Mark P. Szynkowski(5)
|
| | | | 72,500 | | | | | | *% | | |
Igor Volshteyn(6)
|
| | | | 5,000 | | | | | | *% | | |
All current executive officers and directors as a group (5 persons)(7)
|
| | | | 366,344 | | | | | | 3% | | |
Karen Singer, Trustee of the Singer Children’s Management Trust(8)
|
| | | | 4,212,414 | | | | | | 34.2% | | |
212 Vaccaro Drive
|
| | | | | | | | | | | | |
Cresskill, NJ 07626
|
| | | | | | | | | | | | |
Renaissance Technologies LLC(9)
|
| | | | 762,624 | | | | | | 6.2% | | |
800 Third Avenue
|
| | | | | | | | | | | | |
New York, NY 10022
|
| | | | | | | | | | | | |
|
If delivering by hand, express mail, courier,
or other expedited service: |
| |
By mail:
|
|
|
American Stock Transfer & Trust Co., LLC
Operations Center Attn: Reorganization Department 6201 15th Avenue Brooklyn, New York 11219 |
| |
American Stock Transfer & Trust Co., LLC
Operations Center Attn: Reorganization Department 6201 15th Avenue Brooklyn, New York 11219 |
|
| |
THE OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE ONE MINUTE AFTER 4:59 P.M. (EASTERN DAYLIGHT TIME) ON JUNE 23, 2022, UNLESS THE OFFER IS EXTENDED (SUCH DATE AND TIME, AS IT MAY BE EXTENDED, THE “EXPIRATION TIME”) OR OTHERWISE TERMINATED.
|
| |
|
If delivering by hand, express mail, courier, or other expedited service:
|
| |
By mail:
|
|
|
American Stock Transfer & Trust Co., LLC
Operations Center Attn: Reorganization Department 6201 15th Avenue Brooklyn, New York 11219 |
| |
American Stock Transfer & Trust Co., LLC
Operations Center Attn: Reorganization Department 6201 15th Avenue Brooklyn, New York 11219 |
|
| |
Signature (See Instructions 2 and 12):
This form must be signed by the registered holder(s) exactly as their name(s) appears above or by person(s) authorized to sign on behalf of the registered holder(s) by documents transmitted herewith. X |
| | |
Form W-9 (Backup Withholding) (See Instruction 3):
|
| |
| |
Signature of Stockholder
Date Daytime Telephone # X |
| | | | | |
| |
Signature of Stockholder
Date Daytime Telephone # X |
| | | | | |
| | I/we understand that the tender of shares constitutes a representation and warranty to the Company that the undersigned has/have a NET LONG POSITION in the shares or other securities exercisable or exchangeable therefor and that such tender complies with Rule 14e-4 promulgated under the Securities Exchange Act of 1934, as amended. I/we authorize the Company to withhold all applicable taxes and tax-related items legally payable by the undersigned. | | |
| |
Auction Tender: Price (in Dollars) per Share at Which Shares are Being Tendered (See Instruction 4):
|
| |
| |
By checking one of the following boxes below instead of the box under Section 5, “Purchase Price Tender,” you are tendering shares pursuant to an Auction Tender at the price checked. This election could result in none of your shares being purchased if the Purchase Price determined by the Company for the shares is less than the price checked below. If you wish to tender shares at more than one price, you must complete a separate Letter of Transmittal for each price at which you tender shares. The same shares cannot be tendered at more than one price, unless previously and validly withdrawn. (See Sections 2 and 3 of the Offer to Purchase and Instruction 4 to this Letter of Transmittal).
|
| |
| |
PRICE (IN DOLLARS) PER SHARE AT WHICH SHARES ARE BEING TENDERED
CHECK ONLY ONE BOX IF MORE THAN ONE BOX IS CHECKED OR IF NO BOX IS CHECKED, THERE IS NO PROPER TENDER OF SHARES |
| |
| |
(Stockholders who desire to tender shares at more than one price must complete a separate Letter of Transmittal for each price at which shares are tendered.)
|
| |
| |
☐ $1.30
|
| |
| |
☐ $1.35
|
| |
| |
☐ $1.40
|
| |
| |
☐ $1.45
|
| |
| |
☐ $1.50
|
| |
| |
☐ $1.55
|
| |
| |
Purchase Price Tender (See Instruction 5):
|
| |
| |
☐
By checking this one box instead of one of the price boxes under Section 4, “Auction Tender: Price (in Dollars) per Share at Which Shares are Being Tendered,” you are tendering shares pursuant to a Purchase Price Tender and are willing to accept the Purchase Price determined by the Company in accordance with the terms of the Offer. This action will maximize the chance of having the Company purchase your shares pursuant to the Offer (subject to proration, “odd lot”
|
| |
| |
priority and conditional tender provisions). Note that this election is deemed to be a tender of shares at the minimum price under the Offer of $1.30 per share and could cause the Purchase Price in the Offer to be lower and could result in the tendered shares being purchased at the minimum price under the Offer of $1.30 per share, a price that could be below the reported closing price of our common stock on OTC Pink at the Expiration Time. (See Section 3 of the Offer to Purchase and Instruction 5 to this Letter of Transmittal).
|
| |
| |
Odd Lots (See Instruction 6):
|
| |
| |
As described in Section 1 of the Offer to Purchase, under certain conditions, stockholders holding a total of fewer than 100 shares may have their shares tendered at or below the Purchase Price accepted for payment before any proration of other tendered shares. This preference is not available to partial tenders or to beneficial or record holders of 100 or more shares in the aggregate, even if these holders have separate accounts or certificates representing fewer than 100 shares. Accordingly, this section is to be completed only if shares are being tendered by or on behalf of a person owning, beneficially or of record, an aggregate of fewer than 100 shares. The undersigned either (check one box):
|
| |
| |
☐
is the beneficial or record owner of an aggregate of fewer than 100 shares, all of which are being tendered; or
|
| |
| |
☐
is a broker, dealer, commercial bank, trust company or other nominee that (a) is tendering for the beneficial owner(s) shares with respect to which it is the record holder and (b) believes, based upon representations made to it by the beneficial owner(s), that each such person is the beneficial owner of an aggregate of fewer than 100 shares and is tendering all of such shares.
|
| |
| |
CONDITIONAL TENDER
|
| |
| |
As described in Section 3 of the Offer to Purchase, a tendering stockholder may condition his or her tender of shares upon the Company purchasing all or a specified minimum number of the shares tendered. Unless at least the minimum number of shares you indicate below is purchased by the Company pursuant to the terms of the Offer, none of the shares tendered by you will be purchased. It is the tendering stockholder’s responsibility to calculate the minimum number of shares that must be purchased from the stockholder in order for the stockholder to qualify for sale or exchange (rather than distribution) treatment for U.S. federal income tax purposes. Stockholders are urged to consult with their tax advisors before completing this section. No assurances can be provided that a conditional tender will achieve the intended U.S. federal income tax result for any stockholder tendering shares. Unless the first box below has been checked and a minimum number of shares specified, your tender will be deemed unconditional.
|
| |
| |
☐
The minimum number of shares that must be purchased from me/us, if any are purchased from me/us, is: shares
|
| |
| |
If, because of proration, the minimum number of shares designated will not be purchased, the Company may accept conditional tenders by random lot, if necessary. However, to be eligible for purchase by random lot, the tendering stockholder must have tendered all of his or her shares and checked this box:
|
| |
| |
☐
The tendered shares represent all shares held by the undersigned.
|
| |
|
If delivering by hand, express mail, courier,
or other expedited service: |
| |
By mail:
|
|
|
American Stock Transfer & Trust Co., LLC
Operations Center Attn: Reorganization Department 6201 15th Avenue Brooklyn, New York 11219 |
| |
American Stock Transfer & Trust Co., LLC
Operations Center Attn: Reorganization Department 6201 15th Avenue Brooklyn, New York 11219 |
|
| |
THE OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE ONE MINUTE AFTER 4:59 P.M. (EASTERN DAYLIGHT TIME) ON JUNE 23, 2022, UNLESS THE OFFER IS EXTENDED (SUCH DATE AND TIME, AS IT MAY BE EXTENDED, THE “EXPIRATION TIME”) OR OTHERWISE TERMINATED.
|
| |
|
If delivering by hand, express mail, courier,
or other expedited service: |
| |
By mail:
|
|
|
American Stock Transfer & Trust Co., LLC
Operations Center Attn: Reorganization Department 6201 15th Avenue Brooklyn, New York 11219 |
| |
American Stock Transfer & Trust Co., LLC
Operations Center Attn: Reorganization Department 6201 15th Avenue Brooklyn, New York 11219 |
|
| ☐ $1.30 | | | ☐ $1.35 | | | ☐ $1.40 | | | ☐ $1.45 | | | ☐ $1.50 | |
| ☐ $1.55 | | | | | | | | | | | | | |
| |
THE OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE ONE MINUTE AFTER 4:59 P.M. (EASTERN DAYLIGHT TIME) ON JUNE 23, 2022, UNLESS THE OFFER IS EXTENDED (SUCH DATE AND TIME, AS IT MAY BE EXTENDED, THE “EXPIRATION TIME”) OR OTHERWISE TERMINATED.
|
| |
| |
THE OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE ONE MINUTE AFTER 4:59 P.M. (EASTERN DAYLIGHT TIME) ON JUNE 23, 2022, UNLESS THE OFFER IS EXTENDED (SUCH DATE AND TIME, AS IT MAY BE EXTENDED, THE “EXPIRATION TIME”) OR OTHERWISE TERMINATED.
|
| |
| ☐ $1.30 | | | ☐ $1.35 | | | ☐ $1.40 | | | ☐ $1.45 | | | ☐ $1.50 | |
| ☐ $1.55 | | | | | | | | | | | | | |
| Signature(s) | | |
|
|
| Name(s) | | |
|
|
|
(Please Type or Print)
|
| |
|
|
|
Taxpayer Identification or Social Security Number:
|
| |
|
|
| Address(es): | | |
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|
| Zip Code(s): | | |
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| Daytime Area Code and Telephone Number: | | |
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| Email: | | |
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| Dated: , 2022 | | | | |
| | |
Transaction
Valuation |
| |
Fee Rate
|
| |
Amount of
filing fee |
|
Fees to Be Paid
|
| |
$9,600,000.00
|
| |
$92.70 per
$1,000,000
|
| |
$889.92
|
|
Fees Previously Paid
|
| | | | | | | | | |
Total Transaction Value
|
| | | | | | | |
$9,600,000
|
|
Total Fees Due for Filing
|
| | | | | | | |
$889.92
|
|
Total Fees Previously Paid
|
| | | | | | | | | |
Total Fee Offsets
|
| | | | | | | | | |
Net Fee Due
|
| | | | | | | |
$889.92
|
|
| | | | | 6 | | | |
| | | | | 15 | | | |
| | | | | 17 | | | |
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| | | | | 23 | | | |
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| | | | | 34 | | | |
| | | | | 35 | | | |
| | | | | 37 | | | |
| | | | | 42 | | |
| | |
High ($)
|
| |
Low ($)
|
| ||||||
Fiscal Year 2022 | | | | | | | | | | | | | |
Quarter Ended: | | | | | | | | | | | | | |
March 31, 2022
|
| | | | 2.32 | | | | | | 1.71 | | |
Fiscal Year 2021 | | | | | | | | | | | | | |
Quarter Ended: | | | | | | | | | | | | | |
December 31, 2021
|
| | | | 2.86 | | | | | | 2.12 | | |
September 30, 2021
|
| | | | 2.68 | | | | | | 2.21 | | |
June 30, 2021
|
| | | | 2.88 | | | | | | 1.74 | | |
March 31, 2021
|
| | | | 3.94 | | | | | | 2.05 | | |
Fiscal Year 2020 | | | | | | | | | | | | | |
Quarter Ended: | | | | | | | | | | | | | |
December 31, 2020
|
| | | | 2.48 | | | | | | 1.06 | | |
September 30, 2020
|
| | | | 1.35 | | | | | | 0.98 | | |
June 30, 2020
|
| | | | 1.27 | | | | | | 0.75 | | |
| | |
Shares of Common Stock
Beneficially Owned(1) |
| |||||||||
Name and Address of Beneficial Owner
|
| |
Number of
Shares |
| |
Percentage
Ownership |
| ||||||
David J. Nicol(2)
|
| | | | 197,844 | | | | | | 1.6% | | |
Steven G. Singer(3)
|
| | | | 5,000 | | | | | | *% | | |
Matthew Stecker(4)
|
| | | | 86,000 | | | | | | *% | | |
Mark P. Szynkowski(5)
|
| | | | 72,500 | | | | | | *% | | |
Igor Volshteyn(6)
|
| | | | 5,000 | | | | | | *% | | |
All current executive officers and directors as a group (5 persons)(7)
|
| | | | 366,344 | | | | | | 3% | | |
Karen Singer, Trustee of the Singer Children’s Management Trust(8)
|
| | | | 4,212,414 | | | | | | 34.2% | | |
212 Vaccaro Drive
|
| | | | | | | | | | | | |
Cresskill, NJ 07626
|
| | | | | | | | | | | | |
Renaissance Technologies LLC(9)
|
| | | | 762,624 | | | | | | 6.2% | | |
800 Third Avenue
|
| | | | | | | | | | | | |
New York, NY 10022
|
| | | | | | | | | | | | |
|
If delivering by hand, express mail, courier,
or other expedited service: |
| |
By mail:
|
|
|
American Stock Transfer & Trust Co., LLC
Operations Center Attn: Reorganization Department 6201 15th Avenue Brooklyn, New York 11219 |
| |
American Stock Transfer & Trust Co., LLC
Operations Center Attn: Reorganization Department 6201 15th Avenue Brooklyn, New York 11219 |
|
| |
THE OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE ONE MINUTE AFTER 4:59 P.M. (EASTERN DAYLIGHT TIME) ON JUNE 23, 2022, UNLESS THE OFFER IS EXTENDED (SUCH DATE AND TIME, AS IT MAY BE EXTENDED, THE “EXPIRATION TIME”) OR OTHERWISE TERMINATED.
|
| |
|
If delivering by hand, express mail, courier, or other expedited service:
|
| |
By mail:
|
|
|
American Stock Transfer & Trust Co., LLC
Operations Center Attn: Reorganization Department 6201 15th Avenue Brooklyn, New York 11219 |
| |
American Stock Transfer & Trust Co., LLC
Operations Center Attn: Reorganization Department 6201 15th Avenue Brooklyn, New York 11219 |
|
| |
Signature (See Instructions 2 and 12):
This form must be signed by the registered holder(s) exactly as their name(s) appears above or by person(s) authorized to sign on behalf of the registered holder(s) by documents transmitted herewith. X |
| | |
Form W-9 (Backup Withholding) (See Instruction 3):
|
| |
| |
Signature of Stockholder
Date Daytime Telephone # X |
| | | | | |
| |
Signature of Stockholder
Date Daytime Telephone # X |
| | | | | |
| | I/we understand that the tender of shares constitutes a representation and warranty to the Company that the undersigned has/have a NET LONG POSITION in the shares or other securities exercisable or exchangeable therefor and that such tender complies with Rule 14e-4 promulgated under the Securities Exchange Act of 1934, as amended. I/we authorize the Company to withhold all applicable taxes and tax-related items legally payable by the undersigned. | | |
| |
Auction Tender: Price (in Dollars) per Share at Which Shares are Being Tendered (See Instruction 4):
|
| |
| |
By checking one of the following boxes below instead of the box under Section 5, “Purchase Price Tender,” you are tendering shares pursuant to an Auction Tender at the price checked. This election could result in none of your shares being purchased if the Purchase Price determined by the Company for the shares is less than the price checked below. If you wish to tender shares at more than one price, you must complete a separate Letter of Transmittal for each price at which you tender shares. The same shares cannot be tendered at more than one price, unless previously and validly withdrawn. (See Sections 2 and 3 of the Offer to Purchase and Instruction 4 to this Letter of Transmittal).
|
| |
| |
PRICE (IN DOLLARS) PER SHARE AT WHICH SHARES ARE BEING TENDERED
CHECK ONLY ONE BOX IF MORE THAN ONE BOX IS CHECKED OR IF NO BOX IS CHECKED, THERE IS NO PROPER TENDER OF SHARES |
| |
| |
(Stockholders who desire to tender shares at more than one price must complete a separate Letter of Transmittal for each price at which shares are tendered.)
|
| |
| |
☐ $1.30
|
| |
| |
☐ $1.35
|
| |
| |
☐ $1.40
|
| |
| |
☐ $1.45
|
| |
| |
☐ $1.50
|
| |
| |
☐ $1.55
|
| |
| |
Purchase Price Tender (See Instruction 5):
|
| |
| |
☐
By checking this one box instead of one of the price boxes under Section 4, “Auction Tender: Price (in Dollars) per Share at Which Shares are Being Tendered,” you are tendering shares pursuant to a Purchase Price Tender and are willing to accept the Purchase Price determined by the Company in accordance with the terms of the Offer. This action will maximize the chance of having the Company purchase your shares pursuant to the Offer (subject to proration, “odd lot”
|
| |
| |
priority and conditional tender provisions). Note that this election is deemed to be a tender of shares at the minimum price under the Offer of $1.30 per share and could cause the Purchase Price in the Offer to be lower and could result in the tendered shares being purchased at the minimum price under the Offer of $1.30 per share, a price that could be below the reported closing price of our common stock on OTC Pink at the Expiration Time. (See Section 3 of the Offer to Purchase and Instruction 5 to this Letter of Transmittal).
|
| |
| |
Odd Lots (See Instruction 6):
|
| |
| |
As described in Section 1 of the Offer to Purchase, under certain conditions, stockholders holding a total of fewer than 100 shares may have their shares tendered at or below the Purchase Price accepted for payment before any proration of other tendered shares. This preference is not available to partial tenders or to beneficial or record holders of 100 or more shares in the aggregate, even if these holders have separate accounts or certificates representing fewer than 100 shares. Accordingly, this section is to be completed only if shares are being tendered by or on behalf of a person owning, beneficially or of record, an aggregate of fewer than 100 shares. The undersigned either (check one box):
|
| |
| |
☐
is the beneficial or record owner of an aggregate of fewer than 100 shares, all of which are being tendered; or
|
| |
| |
☐
is a broker, dealer, commercial bank, trust company or other nominee that (a) is tendering for the beneficial owner(s) shares with respect to which it is the record holder and (b) believes, based upon representations made to it by the beneficial owner(s), that each such person is the beneficial owner of an aggregate of fewer than 100 shares and is tendering all of such shares.
|
| |
| |
CONDITIONAL TENDER
|
| |
| |
As described in Section 3 of the Offer to Purchase, a tendering stockholder may condition his or her tender of shares upon the Company purchasing all or a specified minimum number of the shares tendered. Unless at least the minimum number of shares you indicate below is purchased by the Company pursuant to the terms of the Offer, none of the shares tendered by you will be purchased. It is the tendering stockholder’s responsibility to calculate the minimum number of shares that must be purchased from the stockholder in order for the stockholder to qualify for sale or exchange (rather than distribution) treatment for U.S. federal income tax purposes. Stockholders are urged to consult with their tax advisors before completing this section. No assurances can be provided that a conditional tender will achieve the intended U.S. federal income tax result for any stockholder tendering shares. Unless the first box below has been checked and a minimum number of shares specified, your tender will be deemed unconditional.
|
| |
| |
☐
The minimum number of shares that must be purchased from me/us, if any are purchased from me/us, is: shares
|
| |
| |
If, because of proration, the minimum number of shares designated will not be purchased, the Company may accept conditional tenders by random lot, if necessary. However, to be eligible for purchase by random lot, the tendering stockholder must have tendered all of his or her shares and checked this box:
|
| |
| |
☐
The tendered shares represent all shares held by the undersigned.
|
| |
|
If delivering by hand, express mail, courier,
or other expedited service: |
| |
By mail:
|
|
|
American Stock Transfer & Trust Co., LLC
Operations Center Attn: Reorganization Department 6201 15th Avenue Brooklyn, New York 11219 |
| |
American Stock Transfer & Trust Co., LLC
Operations Center Attn: Reorganization Department 6201 15th Avenue Brooklyn, New York 11219 |
|
| |
THE OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE ONE MINUTE AFTER 4:59 P.M. (EASTERN DAYLIGHT TIME) ON JUNE 23, 2022, UNLESS THE OFFER IS EXTENDED (SUCH DATE AND TIME, AS IT MAY BE EXTENDED, THE “EXPIRATION TIME”) OR OTHERWISE TERMINATED.
|
| |
|
If delivering by hand, express mail, courier,
or other expedited service: |
| |
By mail:
|
|
|
American Stock Transfer & Trust Co., LLC
Operations Center Attn: Reorganization Department 6201 15th Avenue Brooklyn, New York 11219 |
| |
American Stock Transfer & Trust Co., LLC
Operations Center Attn: Reorganization Department 6201 15th Avenue Brooklyn, New York 11219 |
|
| ☐ $1.30 | | | ☐ $1.35 | | | ☐ $1.40 | | | ☐ $1.45 | | | ☐ $1.50 | |
| ☐ $1.55 | | | | | | | | | | | | | |
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THE OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE ONE MINUTE AFTER 4:59 P.M. (EASTERN DAYLIGHT TIME) ON JUNE 23, 2022, UNLESS THE OFFER IS EXTENDED (SUCH DATE AND TIME, AS IT MAY BE EXTENDED, THE “EXPIRATION TIME”) OR OTHERWISE TERMINATED.
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THE OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE ONE MINUTE AFTER 4:59 P.M. (EASTERN DAYLIGHT TIME) ON JUNE 23, 2022, UNLESS THE OFFER IS EXTENDED (SUCH DATE AND TIME, AS IT MAY BE EXTENDED, THE “EXPIRATION TIME”) OR OTHERWISE TERMINATED.
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| ☐ $1.30 | | | ☐ $1.35 | | | ☐ $1.40 | | | ☐ $1.45 | | | ☐ $1.50 | |
| ☐ $1.55 | | | | | | | | | | | | | |
| Signature(s) | | |
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| Name(s) | | |
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(Please Type or Print)
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Taxpayer Identification or Social Security Number:
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| Address(es): | | |
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| Zip Code(s): | | |
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| Daytime Area Code and Telephone Number: | | |
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| Email: | | |
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| Dated: , 2022 | | | | |
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Transaction
Valuation |
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Fee Rate
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Amount of
filing fee |
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Fees to Be Paid
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$9,600,000.00
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$92.70 per
$1,000,000
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$889.92
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Fees Previously Paid
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Total Transaction Value
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$9,600,000
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Total Fees Due for Filing
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$889.92
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Total Fees Previously Paid
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Total Fee Offsets
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Net Fee Due
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$889.92
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