BASIC-FIT ANNUAL GENERAL MEETING
THURSDAY 21 APRIL 2022 - 14.00 CET
BASIC-FIT NV, GXR Studio, Diamantlaan 2, Hoofddorp
VOTING PROXY AND- INSTRUCTION
Proxy for the annual general meeting of Basic-Fit N.V. on Thursday 21 April 2022 at 14:00 CET, to be held at the GXR Studio of Basic-Fit, Diamantlaan 2, 2132WV, Hoofddorp, the Netherlands.
The undersigned:
If shareholder is a private person:
Name: ……………………………………………………………………………………………………………………..
Address: ……………………………………………………………………………………………………………………..
Holder of a [Dutch] /………………………passport with number………………………………………………1
If the shareholder is a legal entity:
Company name: ………………………………………………………………………………………………………….
Office address: ………………………………………………………………………………………………………….
Legal representative(s)2: …………………………………………………………………………………………………….
Holder of a [Dutch] /………………………passport with number………………………………………………..
Number of shares held on the record date (24 March 2022): ……………………………………………
(the "Shareholder")
herewith
- grants a proxy to M.A.J. Cremers, civil-law notary in Amsterdam, the Netherlands, and/or her legal substitute and/or each civil-law notary of Stibbe (Beethovenplein 10, 1077 WM, Amsterdam, manon.cremers@stibbe.com)3 to be present at the abovementioned general meeting on behalf of the undersigned, to sign the presence registration forms, participate in deliberations, speak, exercise voting rights that are connected to all the shares held by the undersigned in accordance with the instructions below, and do whatever the proxy holder may deem necessary, all with the authority of substitution.
- agrees to indemnify and to hold harmless the attorney against any claims, actions or proceedings made against the attorney and against any damages, costs and expenses that the attorney might incur in connection with this power of attorney.
- Please attach copy of passport.
- Please attach documents evidencing that the representative/signatory is hereby authorized to represent the company or legal entity (e.g. by means of an extract of the Trade Register evidencing the authority).
- With the right of substitution in the event of a calamity at the discretion of the proxyholder.
This power of attorney is governed by Dutch law. Disputes, if any, with respect to this power of attorney shall be exclusively submitted to the competent Court in Amsterdam. This power of attorney and voting instruction form must have been received by M.A.J. Cremers, civil-law notary in Amsterdam, the Netherlands, at the
offices of Stibbe (Beethovenplein 10, 1077 WM Amsterdam, the Netherlands) or, if sent in pdf-form electronically at her e-mail address manon.cremers@stibbe.com ultimately on 15 April 2022 no later than 13:00 hours.
In the event the Shareholder later decides to attend the meeting he/she has the possibility to withdraw his/her proxy and voting instruction prior to the meeting, at the reception desk of the venue of the General Meeting.
VOTING INSTRUCTION
In case this proxy is granted without voting instructions it shall be deemed to include a voting instruction in favour of all proposals made by the Management Board and/or Supervisory Board where no voting instruction was given.
AGENDA ITEM | FOR | AGAINST | ABSTAIN | |
3(b) | Remuneration report | […………] | […………] | […………] |
2021 (advisory voting | ||||
item) | ||||
3(c) | Proposal to adopt the | […………] | […………] | […………] |
annual accounts for | ||||
2021 | ||||
3(d) | Proposal to discharge | […………] | […………] | […………] |
the members of the | ||||
Management Board | ||||
3(e) | Proposal to discharge | […………] | […………] | […………] |
the members of the | ||||
Supervisory Board | ||||
5(a) | Designation of the | […………] | […………] | […………] |
Management Board to | ||||
issue shares and/or | ||||
to grant rights to | ||||
subscribe for shares | ||||
5(b) | Designation of the | […………] | […………] | […………] |
Management Board to | ||||
restrict or exclude | ||||
pre-emptive rights | ||||
upon the issue of | ||||
shares and/or the | ||||
granting of rights to | ||||
subscribe for shares | ||||
as described under | ||||
5(a) | ||||
5(c) | Renewal of the | […………] | […………] | […………] |
designation of the | ||||
Management Board to | ||||
(i) resolve to issue | ||||
shares, and (ii) grant | ||||
rights to subscribe for | ||||
shares and (iii) to | ||||
exclude or limit pre- | ||||
emptive rights to | ||||
subscribe for shares | ||||
in connection with the | ||||
Performance Share | ||||
Plan or any other | ||||
employee | ||||
participation plan | ||||
6 | Proposal to authorise | […………] | […………] | […………] |
the Management | ||||
Board to repurchase | ||||
shares | ||||
7 | Proposal to appoint | […………] | […………] | […………] |
the external auditor | ||||
E&Y for the year 2023 | ||||
Please complete this voting proxy and - instruction and send it timely to your bank or intermediary or the notary taking into account the deadline for registration. Your bank or intermediary must notify your presence at the meeting to ABN AMRO and state the number of shares held by you at the record date of 24 March 2022. Please instruct your bank or intermediary timely. If we have not received such confirmation via ABN AMRO, your vote will not be valid.
Signed at ………………………………………………… | Date………………………………………………… |
Signature (legal representative) shareholder …………………………………………………………………
Attachments
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Disclaimer
Basic Fit NV published this content on 09 March 2022 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 10 March 2022 09:02:05 UTC.