LET'S GET STARTED

Issuer Name

Your Name

Phone

Is ClearTrust your transfer agent?

Type of Meeting

Anticipated Meeting Date

Anticipated Meeting Time

Meeting Location

Anticipated Record Date

Target Mail Date

Which services would you like us to perform for you?

Everything

Printing and Mailing

Proxy Tabulation

Virtual Meeting Administration

Broker Search

Document web hosting

I'm not sure yet. Let's discuss.

If your stock is publicly traded, indicate your desired meeting method.

If you'd like us to host your virtual meeting, indicate the desired level of access security:

If ClearTrust will mail materials, indicate contents to be mailed:

Proxy Card

Notice of Meeting

Proxy Statement

Annual Report

ClearTrust's Business Reply Mail Envelope

Other Materials

Other special instructions or information

Thank you for completing the questionnaire. We will be in touch with you soon to take next steps!

Sincerely,

The ClearTrust Ops Team

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16540 Pointe Village Dr, Suite 210 Lutz, Florida 33558

Phone 813.235.4490 | Fax 813.388.4549 | Inbox@ClearTrustTransfer.com

Registered with the Securities & Exchange Commission | Active Member of the Securities Transfer Association

SOC 1 (SSAE 16) Audited Organization

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