As filed with the United States Securities and Exchange Commission on June 24, 2021
Registration No. 333-255019
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Amendment No. 3
to
FORM S-4
REGISTRATION STATEMENT
UNDER
THE SECURITIES ACT OF 1933
Rockley Photonics Holdings Limited
(Exact name of registrant as specified in its charter)
Cayman Islands | 3674 | Not Applicable | ||
(State or other jurisdiction of
incorporation or organization) |
(Primary Standard Industrial
Classification Code Number) |
(IRS Employer
Identification Number) |
3rd Floor 1 Ashley Road
Altrincham, Cheshire
United Kingdom, WA14 2DT
Tel: +44 (0) 1865 292017
(Address, including Zip Code, and Telephone Number, including Area Code, of Principal Executive Offices)
Copies to:
James J. Masetti Davina K. Kaile Pillsbury Winthrop Shaw Pittman LLP 2550 Hanover St Palo Alto, California 94304 (650) 233-4500 |
Carl Marcellino Elizabeth Todd Ropes & Gray LLP 1211 Avenue of the Americas New York, New York 10036 (617) 951-7000 |
Approximate date of commencement of proposed sale of the securities to the public: As soon as practicable after this Registration Statement becomes effective and all other conditions to the business combination described in the enclosed prospectus/proxy statement have been satisfied or waived.
If the securities being registered on this Form are being offered in connection with the formation of a holding company and there is compliance with General Instruction G, check the following box: ☐
If this Form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. ☐
If this Form is a post-effective amendment filed pursuant to Rule 462(d) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of large accelerated filer, accelerated filer, smaller reporting company, and emerging growth company in Rule 12b-2 of the Exchange Act.
Large accelerated filer | ☐ | Accelerated filer | ☐ | |||
Non-accelerated filer |
☒ | Smaller reporting company | ☒ | |||
Emerging growth company | ☒ |
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 7(a)(2)(B) of the Securities Act. ☐
If applicable, place an X in the box to designate the appropriate rule provision relied upon in conducting this transaction:
Exchange Act Rule 13e-4(i) (Cross-Border Issuer Tender Offer) ☐
Exchange Act Rule 14d-1(d) (Cross-Border Third-Party Tender Offer) ☐
CALCULATION OF REGISTRATION FEE
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Title of each class of securities to be registered |
Amount to be registered(1) |
Proposed maximum offering price per share |
Proposed maximum aggregate offering price |
Amount of registration fee(13) |
||||
Ordinary Shares(2) |
14,837,015 |
$10.03(8) |
$148,815,260.45 |
$16,235.74 |
||||
Ordinary Shares(3)(7) |
41,549,601 |
$4.84(9) |
$201,576,000.00 |
$21,991.94 |
||||
Ordinary Shares issuable upon the exercise of options(4)(7) |
6,789,634 |
$4.94(10) |
$33,540,791.96 |
$3,659.30 |
||||
Warrants(5)(7) |
14,075,000 | | (12) | | ||||
Ordinary Shares issuable upon the exercise of Warrants(6)(7) |
14,075,000 | $11.50(11) | $161,862,500.00 | $17,659.20 | ||||
Aggregate Fee |
$59,546.19(14) | |||||||
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(1) |
All securities being registered will be issued by Rockley Photonics Holdings Limited, an exempted company incorporated in the Cayman Islands with limited liability (HoldCo). In connection with the Business Combination described in this registration statement and the enclosed prospectus/proxy statement (the Business Combination), among others, (a) the holders of ordinary shares with a nominal value of £0.00001 per share (the Rockley ordinary shares) in the capital of Rockley Photonics Limited, a company incorporated under the laws of England and Wales with company number 08683015 (Rockley), will exchange their Rockley ordinary shares for ordinary shares of HoldCo (the HoldCo ordinary shares), by means of a scheme of arrangement under Part 26 of the UK Companies Act 2006, as amended, and Rockley will become a direct wholly owned subsidiary of HoldCo, (b) the holders of options exercisable for Rockley ordinary shares (the Rockley options) will be invited to rollover their Rockley options for options exercisable for HoldCo ordinary shares (HoldCo options), and (c) Rockley Mergersub Limited, a newly formed subsidiary of HoldCo (Merger Sub), will be merged (the Merger) with and into SC Health Corporation, an exempted company incorporated in the Cayman Islands with limited liability (SC Health), and all of the outstanding Class A ordinary shares, par value $0.0001 per share, of SC Health (SC Health Class A ordinary shares) and Class B ordinary shares, par value $0.00008 per share, of SC Health (the SC Health Class B ordinary shares and, together with the SC Health Class A ordinary shares, the SC Health ordinary shares) will be exchanged for HoldCo ordinary shares, and all of the outstanding warrants to purchase SC Health Class A ordinary shares with a per share exercise price of $11.50 per share (the SC Health warrants) will be converted into the right to receive warrants to purchase HoldCo ordinary shares with a per share exercise price of $11.50 per share (HoldCo warrants). |
(2) |
Consists of 14,837,015 HoldCo ordinary shares issuable in exchange for SC Health ordinary shares outstanding immediately prior to the closing of the Business Combination. |
(3) |
Consists of 41,549,601 HoldCo ordinary shares issuable in exchange for Rockley ordinary shares outstanding immediately prior to the closing of the Business Combination, estimated on the basis of 33,664,977 Rockley ordinary shares outstanding, 6,274,839 Rockley ordinary shares issuable upon the conversion of Rockleys outstanding convertible loan notes prior to the closing of the Business Combination and 1,609,785 Rockley ordinary shares issuable upon the exercise of Rockleys outstanding warrants prior to the closing of the Business Combination, in each case, estimated on the basis of securities outstanding as of the date hereof and assuming the consummation of the Business Combination. |
(4) |
Consists of 6,789,634 HoldCo ordinary shares issuable upon the exercise of HoldCo options to be issued in exchange for outstanding Rockley options in connection with the closing of the Business Combination. |
(5) |
Consists of 14,075,000 HoldCo warrants issuable in exchange for SC Health warrants outstanding immediately prior to the closing of the Business Combination. |
(6) |
Consists of 14,075,000 HoldCo ordinary shares issuable upon exercise of HoldCo warrants. Each HoldCo warrant will entitle the warrant holder to purchase one HoldCo ordinary share at a price of $11.50 per share (subject to adjustment. |
(7) |
Pursuant to Rule 416(a) under the Securities Act of 1933, as amended (the Securities Act), there are also being registered an indeterminable number of additional securities as may be issued resulting from stock splits, stock dividends or similar transactions. |
(8) |
Pursuant to Rules 457(c) and 457(f)(1) under the Securities Act, and solely for the purpose of calculating the registration fee, the proposed aggregate maximum offering price is the product of (i) $10.03, the average of the high and low prices of the SC Health Class A ordinary shares as reported on the New York Stock Exchange on May 25, 2021 multiplied by (ii) 14,837,015, the estimated number of SC Health ordinary shares that will be outstanding immediately prior to the closing of the Business Combination (including the SC Health ordinary shares included in the SC Health units). |
(9) |
Pursuant to Rule 457(f)(2) under the Securities Act and solely for the purpose of calculating the registration fee, the proposed maximum aggregate offering price is equal to the aggregate book value of Rockley ordinary shares as of December 31, 2020. |
(10) |
Pursuant to Rule 457(h)(1) under the Securities Act and solely for the purpose of calculating the registration fee, the proposed maximum aggregate offering price is equal to the weighted-average exercise price of the HoldCo ordinary shares issuable upon exercise of such options. |
(11) |
Pursuant to Rule 457(g)(1) under the Securities Act and solely for the purpose of calculating the registration fee, the proposed maximum aggregate offering price of the HoldCo ordinary shares underlying the HoldCo warrants is calculated based on an exercise price of $11.50 per share. |
(12) |
No separate registration fee required pursuant to Rule 457(g) under the Securities Act. |
(13) |
Calculated by multiplying the proposed maximum aggregate offering price of securities to be registered by 0.0001091. |
(14) |
Previously paid. |
The Registrant hereby amends this Registration Statement on such date or dates as may be necessary to delay its effective date until the Registrant shall file a further amendment which specifically states that this Registration Statement shall thereafter become effective in accordance with Section 8(a) of the Securities Act or until the Registration Statement shall become effective on such date as the Securities and Exchange Commission, acting pursuant to said Section 8(a), may determine.
EXPLANATORY NOTE
This Amendment No. 3 to the Registration Statement on Form S-4 (File No. 333-255019) is being filed solely for the purpose of filing certain exhibits as indicated in Part II of this Amendment No. 3. No other changes have been made to the Registration Statement. Accordingly, this Amendment No. 3 consists only of the facing page, this explanatory note, Part II of the Registration Statement, the signature page to the Registration Statement, and the filed exhibits. The remainder of the Registration Statement is unchanged and has therefore been omitted.
PART II
INFORMATION NOT REQUIRED IN PROSPECTUS
Item 20. Indemnification of directors and officers.
Cayman Islands law does not limit the extent to which a companys memorandum and articles of association may provide for indemnification of officers and directors. However, such provision may be held by the Cayman Islands courts to be unenforceable, to the extent it seeks to indemnify or exculpate a fiduciary in respect of their actual fraud or willful default, or for the consequences of committing a crime. The registrants Amended and Restated Memorandum and Articles of Association provides for indemnification of officers and directors for all actions, proceedings, costs, charges, expenses, losses, damages or liabilities incurred or sustained in connection with the execution or discharge of their duties, powers, authorities or discretions as a director or officer, except through their own willful neglect or willful default.
Item 21. Exhibits And Financial Statements Schedules.
(a) Exhibits.
EXHIBIT INDEX
II-1
II-2
+ |
Indicates a management contract or compensatory plan. |
# |
Previously filed. |
|
Included as annex. |
II-3
Item 22. |
Undertakings. |
1. The undersigned registrant hereby undertakes:
(a) To file, during any period in which offers or sales are being made, a post-effective amendment to this Registration Statement:
(i) To include any prospectus required by section 10(a)(3) of the Securities Act of 1933;
(ii) To reflect in the prospectus any facts or events arising after the effective date of this Registration Statement (or the most recent post-effective amendment thereof) which, individually or in the aggregate, represent a fundamental change in the information set forth in this Registration Statement. Notwithstanding the foregoing, any increase or decrease in volume of securities offered (if the total dollar value of securities offered would not exceed that which was registered) and any deviation from the low or high end of the estimated maximum offering range may be reflected in the form of prospectus filed with the Commission pursuant to Rule 424(b) if, in the aggregate, the changes in volume and price represent no more than 20% change in the maximum aggregate offering price set forth in the Calculation of Registration Fee table in the effective registration statement; and
(iii) To include any material information with respect to the plan of distribution not previously disclosed in this Registration Statement or any material change to such information in this Registration Statement.
(b) That, for the purpose of determining any liability under the Securities Act of 1933, each such post-effective amendment that contains a form of prospectus shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.
(c) To remove from registration by means of a post-effective amendment any of the securities being registered which remain unsold at the termination of the offering.
(d) That, for the purpose of determining liability under the Securities Act of 1933 to any purchaser, each prospectus filed pursuant to Rule 424(b) as part of a registration statement relating to an offering, other than registration statements relying on Rule 430B or other than prospectuses filed in reliance on Rule 430A, shall be deemed to be part of and included in the registration statement as of the date it is first used after effectiveness. Provided, however, that no statement made in a registration statement or prospectus that is part of the registration statement or made in a document incorporated or deemed incorporated by reference into the registration statement or prospectus that is part of the registration statement will, as to a purchaser with a time of contract of sale prior to such first use, supersede or modify any statement that was made in the registration statement or prospectus that was part of the registration statement or made in any such document immediately prior to such date of first use.
(e) That, for the purpose of determining liability of the registrant under the Securities Act of 1933 to any purchaser in the initial distribution of the securities, the undersigned registrant undertakes that in a primary offering of securities of the undersigned registrant pursuant to this Registration Statement, regardless of the underwriting method used to sell the securities to the purchaser, if the securities are offered or sold to such purchaser by means of any of the following communications, the undersigned registrant will be a seller to the purchaser and will be considered to offer or sell such securities to such purchaser:
(i) Any preliminary prospectus or prospectus of the undersigned registrant relating to the offering required to be filed pursuant to Rule 424;
(ii) Any free writing prospectus relating to the offering prepared by or on behalf of the undersigned registrant or used or referred to by the undersigned registrant;
II-4
(iii) The portion of any other free writing prospectus relating to the offering containing material information about the undersigned registrant or its securities provided by or on behalf of the undersigned registrant; and
(iv) Any other communication that is an offer in the offering made by the undersigned registrant to the purchaser.
2. Insofar as indemnification for liabilities arising under the Securities Act of 1933 may be permitted to directors, officers and controlling persons of the registrant pursuant to the foregoing provisions, or otherwise, the registrant has been advised that in the opinion of the SEC such indemnification is against public policy as expressed in the Securities Act of 1933 and is, therefore, unenforceable. In the event that a claim for indemnification against such liabilities (other than the payment by the registrant of expenses incurred or paid by a director, officer or controlling person of the registrant in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by them is against public policy as expressed in the Securities Act of 1933 and will be governed by the final adjudication of such issue.
3. The undersigned registrant hereby undertakes as follows: that prior to any public reoffering of the securities registered hereunder through use of a prospectus which is a part of this Registration Statement, by any person or party who is deemed to be an underwriter within the meaning of Rule 145(c), the issuer undertakes that such reoffering prospectus will contain the information called for by the applicable registration form with respect to reofferings by persons who may be deemed underwriters, in addition to the information called for by the other items of the applicable form.
4. The registrant undertakes that every prospectus: (1) that is filed pursuant to the immediately preceding paragraph, or (2) that purports to meet the requirements of Section 10(a)(3) of the Act and is used in connection with an offering of securities subject to Rule 415, will be filed as a part of an amendment to the registration statement and will not be used until such amendment is effective, and that, for purposes of determining any liability under the Securities Act of 1933, each such post-effective amendment shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.
5. The undersigned registrant hereby undertakes to respond to requests for information that is incorporated by reference into the prospectus pursuant to Item 4, 10(b), 11 or 13 of this Form S-4, within one business day of receipt of such request, and to send the incorporated documents by first class mail or other equally prompt means. This includes information contained in documents filed subsequent to the effective date of this Registration Statement through the date of responding to the request.
6. The undersigned registrant hereby undertakes to supply by means of a post-effective amendment all information concerning this transaction that was not the subject of and included in this Registration Statement when it became effective.
II-5
SIGNATURES
Pursuant to the requirements of the Securities Act of 1933, as amended, the registrant has duly caused this Registration Statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of London, United Kingdom, on the 24th day of June, 2021.
ROCKLEY PHOTONICS HOLDINGS LIMITED | ||
By: | /s/ Dr. Andrew Rickman, OBE | |
Name: Dr. Andrew Rickman, OBE |
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Title: Chief Executive Officer and Chairman of the Board of Directors |
Pursuant to the requirements of the Securities Act of 1933, this Registration Statement has been signed by the following persons in the capacities and on the dates indicated:
Name |
Title |
Date |
||
/s/ Dr. Andrew Rickman, OBE Dr. Andrew Rickman, OBE |
Chief Executive Officer and Chairman of the Board of Director (Principal Executive Officer and Authorized Representative in the United States) | June 24, 2021 | ||
/s/ Mahesh Karanth Mahesh Karanth |
Chief Financial Officer (Principal Financial and Accounting Officer) | June 24, 2021 |
Exhibit 8.1
ROPES & GRAY LLP PRUDENTIAL TOWER 800 BOYLSTON STREET BOSTON, MA 02199-3600 WWW.ROPESGRAY.COM |
June 24, 2021
SC Health Corporation
108 Robinson Road #10-00
Singapore 068900
Republic of Singapore
Ladies and Gentlemen:
We have acted as counsel to SC Health Corporation (SC Health), in connection with the preparation and filing with the Securities and Exchange Commission (the SEC) of the Registration Statement on Form S-4 of Rockley Photonics Holdings Limited, a Cayman Islands exempted company (HoldCo), initially filed with the SEC under the Securities Act of 1933, as amended (the Securities Act), on April 2, 2021 (the Registration Statement), relating to the Business Combination Agreement and Plan of Merger, dated March 19, 2021 (as may be amended from time to time, the Business Combination Agreement), by and among SC Health, HoldCo, Rockley Photonics Limited, a company incorporated under the laws of England and Wales with company number 08683015 (the Company) and Rockley Mergersub Limited, a Cayman Islands exempted company and a direct wholly owned subsidiary of HoldCo (Merger Sub). Any capitalized terms used but not defined herein have the respective meanings ascribed to them in the Registration Statement.
In rendering our opinion set forth below, we have examined and relied upon the accuracy and completeness of the facts, information, representations, covenants and agreements contained in originals or copies, certified or otherwise identified to our satisfaction, of the Business Combination Agreement, the Registration Statement, and such other documents as we have deemed necessary or appropriate as a basis for the opinion set forth below. In addition, we have relied upon the accuracy and completeness of certain statements, representations, covenants and agreements made by HoldCo, the Company, SC Health, and Merger Sub, including factual statements and representations set forth in a letter dated the date hereof from an officer of HoldCo (the Representation Letter). We have assumed that all such representations, and all statements in such Representation Letter, made to the best of the knowledge of or to the knowledge of any person or entity, or otherwise qualified, are true, correct and complete as if made without such qualification. Our opinion assumes and is expressly conditioned on, among other things, the initial and continuing accuracy and completeness of the facts, information, representations, covenants and agreements set forth in the documents
referred to above and the statements, representations, covenants and agreements made by HoldCo, the Company, SC Health, and Merger Sub, including those set forth in the Representation Letter and that there will be no change in facts or circumstances prior to the Merger Effective Time and that the representations set forth in the Representation Letter will be true and accurate as of the Merger Effective Time.
In our examination, we have assumed the genuineness of all signatures, the legal capacity of natural persons, the authenticity of all documents submitted to us as originals, the conformity to original documents of all documents submitted to us as certified or photostatic copies, and the authenticity of the originals of such documents. We also have assumed that the Business Combination will be consummated in accordance with the Business Combination Agreement and as described in the Registration Statement, and that none of the terms or conditions contained therein will have been waived or modified in any respect. We have not, however, undertaken any independent investigation of any factual matter set forth in any of the foregoing.
In rendering our opinion, we have considered applicable provisions of the Internal Revenue Code of 1986, as amended (the Code), the Treasury regulations promulgated thereunder (the Regulations), pertinent judicial decisions, administrative interpretations, and such other authorities as we have considered relevant, in each case, in effect on the date hereof. It should be noted that the Code, the Regulations, such judicial decisions, such administrative interpretations, and such other authorities are subject to change at any time and, in some circumstances, with retroactive effect. A change in any of the authorities upon which our opinion is based, or any variation or difference in any fact from those set forth or assumed herein or in the Registration Statement, the Business Combination Agreement or the Representation Letter, could affect our conclusions herein. Moreover, there can be no assurance that our opinion will be accepted by the Internal Revenue Service or, if challenged, by a court.
Based solely on the information, and subject to the assumptions, qualifications and limitations stated herein and in the Registration Statement, the statements under the caption Material U.S. Federal Income Tax Consequences in the Registration Statement, insofar as they discuss matters of U.S. federal income tax law and regulations or legal conclusions with respect thereto, constitute our opinion as to the material United States federal income tax consequences of a Redemption and the Business Combination for U.S. Holders of SC Health Class A ordinary shares and SC Health public warrants.
No opinion is expressed as to any matter not specifically addressed in the immediately preceding paragraph, including without limitation the tax consequences of any of the transactions contemplated by the Business Combination Agreement under any other federal, state, local, or non-U.S. tax law or the tax consequences of any other transaction contemplated or entered into by HoldCo, the Company, SC Health, and Merger Sub. We do not undertake to advise you as to any changes in U.S. federal income tax law after the date hereof that may affect our opinion.
This opinion is furnished to you solely in connection with the Registration Statement and this opinion is not to be relied upon for any other purpose without our prior written consent. We hereby consent to the filing of this opinion as Exhibit 8.1 to the Registration Statement and to the use of our name in the Registration Statement. In giving this consent, we do not thereby admit that we are within the category of persons whose consent is required under Section 7 of the Securities Act of 1933 or the rules and regulations of the SEC promulgated thereunder.
Very truly yours,
/s/ Ropes & Gray LLP
Ropes & Gray LLP
Exhibit 99.1
EXTRAORDINARY GENERAL MEETING OF SHAREHOLDERS OF
SC HEALTH CORPORATION
to be held at 9:00 p.m. local Singapore time (which is 9:00 a.m. Eastern time)
on July 16, 2021
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NOTICE OF INTERNET AVAILABILITY OF PROXY MATERIALS:
The Notice of Meeting, proxy statement and proxy card are available at http://www.astproxyportal.com/ast/22928
Please sign, date and mail
your proxy card in the
envelope provided as soon
as possible.
i Please detach along perforated line and mail in the envelope provided. i
⬛ | 00030000000000001000 3 | 041421 |
THE BOARD OF DIRECTORS RECOMMENDS A VOTE FOR PROPOSALS 1-5.
PLEASE SIGN, DATE AND RETURN PROMPTLY IN THE ENCLOSED ENVELOPE. PLEASE MARK YOUR VOTE IN BLUE OR BLACK INK AS SHOWN HERE
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To change the address on your account, please check the box at right and indicate your new address in the address space above. Please note that changes to the registered name(s) on the account may not be submitted via this method. | ☐ |
1. BCA Proposal Approve, confirm and ratify the Companys entry into the Business Combination Agreement and Plan of Merger dated as of March 19, 2021 and the consummation of the transactions contemplated thereby. |
FOR ☐ |
AGAINST ☐ |
ABSTAIN ☐ |
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2. Merger Proposal Authorize, approve and confirm the Companys entry into the plan of merger in the form tabled to the General Meeting (a draft of which is attached as Exhibit D to the Business Combination Agreement) and the consummation of the transactions contemplated thereby. |
FOR ☐ |
AGAINST ☐ |
ABSTAIN ☐ |
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3. Incentive Plan Proposal Approve, assuming the BCA Proposal and the Merger Proposal are approved and adopted, the Rockley Photonics Holding Limited 2021 Stock Incentive Plan. |
FOR ☐ |
AGAINST ☐ |
ABSTAIN ☐ |
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4. Employee Share Purchase Plan Proposal Approve, assuming the BCA Proposal and Merger Proposal are approved and adopted, the Rockley Photonics Holdings Limited 2021 Employee Share Purchase Plan. |
FOR ☐ |
AGAINST ☐ |
ABSTAIN ☐ |
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5. Adjournment Proposal Approve the adjournment of the general meeting to a later date or dates, if necessary, to permit further solicitation and vote of proxies in the event that, based on the tabulated votes, there are not sufficient votes at the time of the General Meeting to approve the BCA Proposal and the Merger Proposal. |
FOR ☐ |
AGAINST ☐ |
ABSTAIN ☐ |
THE SHARES REPRESENTED BY THIS PROXY WHEN PROPERLY EXECUTED WILL BE VOTED IN THE MANNER DIRECTED HEREIN BY THE UNDERSIGNED SHAREHOLDER. PLEASE MARK, SIGN, DATE AND RETURN THE PROXY CARD PROMPTLY.
MARK X HERE IF YOU PLAN TO ATTEND THE MEETING. ☐
Signature of Shareholder |
Date: |
Signature of Shareholder |
Date: |
⬛ | Note: Please sign exactly as your name or names appear on this Proxy. When shares are held jointly, each holder should sign. When signing as executor, administrator, attorney, trustee or guardian, please give full title as such. If the signer is a corporation, please sign full corporate name by duly authorized officer, giving full title as such. If signer is a partnership, please sign in partnership name by authorized person. | ⬛ |