EX-99 22 filename22.htm EX-99.2

EXHIBIT 99.2

(ADR EXCHANGE BOI# 48A - 51+ HOLDERS) Letter of Transmittal to Surrender Company A American Depositary Shares (ADSs) Evidenced by American Depositary Receipts (ADRs)

Investor ID Number                                                 

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX.

In order to receive the merger entitlement, please complete, sign and return this Letter of Transmittal together your Company A ADRs in the envelope enclosed for your convenience. Your ADR number(s) and respective number of ADSs are indicated in Box 2 below.

I/We, the undersigned, surrender to you for exchange the ADRs identified below. I/We certify that I/we have full authority to surrender these ADRs and such ADRs are free and clear of all liens, restrictions, adverse claims and encumbrances, and I/we have complied with all requirements as stated in the instructions on the reverse side of this Letter of Transmittal.

 

             

PLEASE CERTIFY YOUR TAXPAYER IDENTIFICATION NUMBER (TIN) BY COMPLETING THE INFORMATION IN BOX NUMBER LOGO ON THE REVERSE SIDE.

                            
                       
                       
                                    
                      LOGO  

ADRs

being

surrendered      

  ADR No(s).       Number of ADSs    
       

    

        

               
                            
   

LOGO Signature: 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                              
   

Signature of ADR Holder

 

  Date   Daytime Telephone #                  
    X                       LOGO          Total ADSs Presented                                                           
    Signature of ADR Holder   Date   Daytime Telephone #        

If you cannot produce some or all of your COMPANY A ADRs, you must obtain a lost instrument open penalty surety bond. Please see the reverse side of this form for instructions.

* Read certification on reverse side before signing.

Please complete the back if you would like to transfer ownership or request special mailing.

 

  LOGO    AFFIDAVIT OF LOST, MISSING OR DESTROYED ADR        
   CERTIFICATE(S) AND AGREEMENT OF INDEMNITY      Investor ID Number
   THIS AFFIDAVIT IS INVALID IF PAYMENT* IS NOT INCLUDED AND              
  

IF THE AFFIDAVIT IS NOT SIGNED AND NOTARIZED BELOW.

 

       
   TOTAL ADSs LOST      LOGO             
   Please Fill In ADR No(s). if  Known    Number of ADSs        
                 
                 
                 
                 
   Attach separate schedule if needed        

By signing this form I/we or myself/ourselves swear, depose and state that: I/We or myself/ourselves am/are the lawful owner(s) of the ADR certificate(s) hereinafter referred to as the “securities” described in the Letter of Transmittal. The securities have not been endorsed, pledged, cashed, negotiated, transferred, assigned, or otherwise disposed of. I/We or myself/ourselves have made a diligent search for the securities and have been unable to find it or them and make this Affidavit for the purpose of inducing the sale, exchange, redemption, or cancellation of the securities, as outlined in the Letter of Transmittal, without the surrender of the securities, and also to request and induce Liberty Mutual Insurance Company to provide suretyship for me/us to cover the missing securities under its Blanket Bond # 285019990LMS. I/We or myself/ourselves hereby agree to surrender the securities for cancellation should I/we or myself/ourselves, at any time, find the securities.

I/We or myself/ourselves hereby agree for myself/ourselves, my/our heirs, successors, assigns and personal representatives, in consideration of the proceeds of the sale, exchange, redemption or cancellation of the securities, and the aforementioned suretyship, to indemnify, protect and hold harmless Liberty Mutual Insurance Company (the Surety), Computershare Trust Company, N.A., Computershare, Inc., Computershare Shareowner Services LLC., The Bank of New York Mellon, as Depositary, Company A, and their agents, representatives, successors and assigns, and all their subsidiaries and any other party to the transaction, from and against any and all loss, costs, and damages including court costs and attorney’s fees, which they may be subject to or liable for in respect to the sale, exchange, redemption, or cancellation of the securities without requiring surrender of the original securities. The rights accruing to the parties under the preceding sentence shall not be limited or abridged by their negligence, inadvertence, accident, oversight, breach or failure to inquire into, contest, or litigate any claim, whenever such negligence, inadvertence, accident, oversight, breach or failure may occur or may have occurred. I/We or myself/ourselves agree that this Affidavit and Indemnity Agreement is to become part of Blanket Bond # 285019990LMS underwritten by Liberty Mutual Insurance Company.

Any person who, knowingly and with intent to defraud any insurance company or other person, files an application or statement of claim, containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to civil penalties as prescribed by law.

 

     X Signed by Affiant (ADR Holder)        on this (date)                    
        (Deponent) (Indemnitor) (Heirs Individually)        Month   Day   Year                        

 

    Social Security #        Date        Notary Public         
                Month            Day             Year            

 

  Lost Securities Surety Premium/Service Fee Calculation  
  The following formula should be used to calculate the surety premium and service fee, if any, that you must submit with this form.  
  1. Calculate the ADS value of the lost ADSs by multiplying the number of ADSs that are lost by the Cash Rate:   
 

• Enter number of ADS(s) lost                                  X (Cash Rate) $                              =    $                          ADS value  

 
 

If the ADS value exceeds $250,000.00, or if the ADR Holder is a non U.S. resident and the ADS value exceeds $250,000.00, do not

  complete this affidavit. Complete only the Letter of Transmittal and contact Shareowner Services regarding the lost ADR(s).

 
 

2. Calculate a Surety Premium. Minimum Surety Premium is $20.00. If calculated Surety Premium is $20.00 or less, enter $20.00 in the space provided.

 
 

• The surety premium equals 3% (.03) of the ADS value noted in line 1 above: $                                  X (3%) or (.03) = ...$                                         

  Surety Premium (Minimum $20.00)

 
  3. Add the service fee based on the ADS value fee guide noted  below........................................................$                                  Service Fee      
 

• If the ADS value is less than or equal to $100.00, the Service Fee = $0.00 (Minimum Fee)

 
 

• If the ADS value is greater than $100.00, the Service Fee = $50.00 (Maximum Fee)

 
  4. Total amount due (add lines 2 &  3).......................................................................................................                              Total Amount                   
 

 

Please enclose payment* (money order, certified check or cashiers’ check) for the required amount, made payable to Shareowner Services.

 
            


                                                                                                                                                                       

   LOGO              SUBSTITUTE FORM W-9 – Department of the Treasury,            

Internal Revenue Service

Payer’s Request for Taxpayer Identification Number (TIN)

 

 

LOGO Special Transfer Instructions and Signature Guarantee Medallion

If you want your COMPANY B ADR and any cash payment, where applicable issued in another name, fill in this section with the information for the new account name.You must also complete the Transfer Reason box below in Instruction 6.

    è         FILL IN the space below.                 
   

Part 1 – PLEASE PROVIDE YOUR TAXPAYER IDENTIFICATION NUMBER (“TIN”) IN THE BOX AT THE RIGHT AND CERTIFY BY SIGNING AND DATING BELOW

                                         
                                                       

Under penalties of perjury. I certify that:

 

1.  The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and

 

2.  I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and

 

3.  I am a U.S. citizen or other U.S. person (including a U.S. resident alien).

  EXEMPT PAYEE    ¨    

    

Name (Please Print First,

Middle & Last Name)

 

    

(Title of Officer

Signing this Guarantee)

 

Please check appropriate box:

 

  Individual/sole proprietor  ¨

 

C Corporation ¨                 S Corporation  ¨

 

 

Partnership ¨                     Trust/estate  ¨

     
     

    

 

    

      Address                    (Number and Street)   (Name of Guarantor - Please Print)
     

    

 

    

      (City, State & Zip Code)   (Address of Guarantor Firm)
     

    

 

    

     

(Tax Identification Number)

 

   
 

¨ Limited liability company. Enter the tax classification (C=C Corporation, S=S Corporation, P=Partnership)

         u                                                              

Enter appropriate tax classification here

   

LOGO Special Mailing Instructions

Fill in ONLY if mailing to someone other than the signer(s) in Box 1 or to the signer(s) in Box 1 at an address other than that shown on the front of this card.

Mail ADR and any cash payment, where applicable to:

 

¨ Other u                                                             

        See enclosed Instructions

       

 

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN.

 

    Signature                                                                                 Date                 

 

    Rev. January 2011

 

  

 

Name (Please Print First, Middle & Last Name)

 

Address             (Number and Street)

 

 

 

(City, State & Zip Code)

 

   
   

INSTRUCTIONS FOR COMPLETING THE LETTER OF TRANSMITTAL FORM

 

LOGO  

Sign, date and include your daytime telephone number in this Letter of Transmittal in Box 1 and after completing all other applicable sections return this form and your ADRs in the enclosed envelope. The signer(s) will, upon request, execute and deliver any additional documents reasonably deemed by the Exchange Agent to be appropriate or necessary to complete the exchange. The signer(s) hereby irrevocably appoints the Exchange Agent as lawful agent and attorney-in-fact of the signer(s) to effect the exchange (such power of attorney being deemed coupled with an interest). All authority conferred or agreed to be conferred in this Letter of Transmittal shall be binding upon the successors, assigns, heirs, executors, administrators and legal representatives of the undersigned and shall not be affected by, and shall survive, the death and incapacity of the undersigned. The signer(s) understands that surrender will not be deemed to have been made in acceptable form until receipt by the Exchange Agent of the Letter of Transmittal or a facsimile hereof, duly completed and manually signed together with such ADRs and all accompanying evidences of authority. The signer(s) agrees that all questions as to validity, form and eligibility of any surrender of the ADRs hereunder will be determined by the Exchange Agent and that such determination will be final and binding. The signer(s) acknowledges that until the signer(s) surrenders the ADRs, the signer(s) will not receive any entitlement in exchange for the ADRs. The signer(s) further agrees that no interest will accrue on any cash entitlement or any dividends, where applicable.

LOGO  

Your ADR number(s) and respective number of ADSs you hold are indicated in Box 2.

LOGO  

Please indicate the total number of COMPANY A ADSs you are presenting in Box 3.

LOGO  

If you cannot produce some or all of your Company A ADRs, you must obtain a lost instrument open penalty surety bond and file it with Shareowner Services. To do so through the Shareowner Services’ program with Liberty Mutual Insurance Company, complete Box 4 on the front side of this form, including the lost securities premium and service fees calculations, and return the form together with your payment as instructed. Please print clearly. Alternatively, you may obtain a lost instrument open penalty surety bond from an insurance company of your choice that is rated A+XV or better by A. M. Best & Company. In that instance, you would pay a surety premium directly to the surety bond provider you select and you would pay Shareowner Services its service fee only, when applicable. Please contact us at the number provided below for further instructions on obtaining your own bond.

LOGO  

PLEASE SIGN IN BOX 5 TO CERTIFY YOUR TAXPAYER ID OR SOCIAL SECURITY NUMBER if you are a U.S. Taxpayer. If the Taxpayer ID or Social Security Number is incorrect or blank, write the corrected number in Box 5 and sign to certify. Please note that Shareowner Services may withhold 28% of your proceeds as required by the IRS if the Taxpayer ID or Social Security Number is not certified on our records. To avoid back up withholding, you are required to fully and accurately complete the Substitute Form W-9. For additional instructions, please see the “Important Tax Information” document. Note: You are required to check the appropriate box for your status (Individual/Sole proprietor, Corporation, etc.) to avoid withholding. If you are a non - U.S. Taxpayer, please complete and return form W-8BEN.

LOGO  

If you want your COMPANY B ADR and any cash payment, where applicable, to be issued in another name, complete the Special Transfer Instructions in Box 6. Signature(s) in Box 6 must be Medallion Signature guaranteed. To complete your transfer request you must also indicate below a Transfer Reason by executing the Transfer Reason box below.

 

Transfer Reason1 - Check only one: All transfers will be assumed to be Gifts if no reason is provided. If we receive documentation (e.g., death certificate) indicating that the registered shareowner is deceased, the transfer reason will default to Death.

 

 

¨    Gift

   Date of Gift2:            /      /              (Gift applies to certificates only)
 

¨    Private Sale

   Date of Sale3:            /      /              Value per ADS:    USD                     .                         
 

¨    Death

   Date of Death3:            /      /              Value per ADS4:    USD                     .                         
 

¨    None of the above5:

                                                                                                                      (Please specify)

 

 

1  You may wish to consult with your tax advisor on the definition and tax implications for each type of transfer.

2  If not provided, gift date for certificates will default to the date that the transfer is processed. For book entry ADSs, the gift date will always be the date that the transfer is  processed.

3  Date of Sale/Death will default to the date that the transfer is processed unless provided. For transfers due to death, date of death will default to the date indicated in the  documents (e.g., death certificate) received with the transfer instructions, if any.

4  Required to determine cost basis to be applied per beneficiary.

5  Existing cost basis of ADSs will be carried over to the new account.

LOGO  

Fill in Box 7 if, mailing to someone other than the signer(s) in Box 1 or to the signer(s) in Box 1 at an address other than that shown on the front of this card.

HOW TO CONTACT SHAREOWNER SERVICES

By Telephone – 9 a.m. to 6 p.m. New York time, Monday through Friday, except for holidays:

 

  From within the U.S., Canada or Puerto Rico:      1-866-300-4353 (Toll Free)   
  From outside the U.S.:      1-201-680-6921 (Collect)   

WHERE TO FORWARD THIS LETTER OF TRANSMITTAL AND ADRs

(If by mail, registered mail, properly insured, with return receipt is recommended)

 

  By Mail:     By Overnight Courier or By Hand  
  Shareowner Services     Shareowner Services  
  Attn: Corporate Action Dept., 27th Floor     Attn: Corporate Action Dept., 27th Floor  
  P.O. Box XXXX     480 Washington Boulevard  
  South Hackensack, NJ 07606     Jersey City, NJ 07310