This official website is maintained by the Settlement Administrator supervised by Plaintiff’s Counsel in the action entitled Delman v. Riley, C.A. No. 2023-0293-LWW pending in the Court of Chancery of the State of Delaware.
PROOF OF CLAIM AND RELEASE FORM
I. GENERAL INSTRUCTIONS
1. To recover as a member of the Class based on your claims in the action entitled
Delman v. Riley, C.A. No. 2023-0293-LWW (the “Action”), you must complete and, on page 5
hereof, sign this Proof of Claim and Release. If you fail to submit a timely and properly addressed
(as set forth in paragraph 3 below) Proof of Claim and Release, your claim may be rejected and
you may be precluded from any recovery from the Net Settlement Fund created in connection
with the proposed Settlement of the Action.
2. Submission of this Proof of Claim and Release, however, does not assure that you will share in the proceeds of the Settlement of the Action.
3. YOU MUST MAIL OR SUBMIT ONLINE YOUR COMPLETED AND SIGNED PROOF OF CLAIM AND RELEASE, ACCOMPANIED BY COPIES OF THE DOCUMENTS REQUESTED HEREIN, ON OR BEFORE NOVEMBER 4, 2024, ADDRESSED AS FOLLOWS
If you are NOT a member of the Class, as defined in the Notice of Pendency and Proposed Settlement of Class Action (the “Notice”), DO NOT submit a Proof of Claim and Release form.
4. If you are a member of the Class you will be bound by the terms of any judgment entered in the Action, including the releases provided therein, WHETHER OR NOT YOU SUBMIT A PROOF OF CLAIM AND RELEASE FORM.
2. Submission of this Proof of Claim and Release, however, does not assure that you will share in the proceeds of the Settlement of the Action.
3. YOU MUST MAIL OR SUBMIT ONLINE YOUR COMPLETED AND SIGNED PROOF OF CLAIM AND RELEASE, ACCOMPANIED BY COPIES OF THE DOCUMENTS REQUESTED HEREIN, ON OR BEFORE NOVEMBER 4, 2024, ADDRESSED AS FOLLOWS
BRII Stockholder Settlement
Settlement Administrator
c/o A.B. Data, Ltd.
PO Box 170500
Milwaukee, WI 53217
Settlement Administrator
c/o A.B. Data, Ltd.
PO Box 170500
Milwaukee, WI 53217
If you are NOT a member of the Class, as defined in the Notice of Pendency and Proposed Settlement of Class Action (the “Notice”), DO NOT submit a Proof of Claim and Release form.
4. If you are a member of the Class you will be bound by the terms of any judgment entered in the Action, including the releases provided therein, WHETHER OR NOT YOU SUBMIT A PROOF OF CLAIM AND RELEASE FORM.
II. CLAIMANT IDENTIFICATION
If you held Eligible Shares, in your name, you are the beneficial holder as well as the record
holder. If, however, you held Eligible Shares, that were registered in the name of a third party,
such as a nominee or brokerage firm, you are the beneficial holder and the third party is the record
holder.
Use Part I of this form entitled “Claimant Identification” to identify each holder of record (“nominee”), if different from the beneficial holder of the BRII Class A common stock which form the basis of this claim. THIS CLAIM MUST BE FILED BY THE ACTUAL BENEFICIAL HOLDER OR THE LEGAL REPRESENTATIVE OF SUCH HOLDER OF THE SHARES UPON WHICH THIS CLAIM IS BASED.
All joint holders must sign this claim. Executors, administrators, guardians, conservators and trustees must complete and sign this claim on behalf of persons represented by them and their authority must accompany this claim and their titles or capacities must be stated. The Social Security (or taxpayer identification) number and telephone number of the beneficial owner may be used in verifying the claim. Failure to provide the foregoing information could delay verification of your claim or result in rejection of the claim.
If you are acting in a representative capacity on behalf of a Class Member (for example, as an executor, administrator, trustee, or other representative), you must submit evidence of your current authority to act on behalf of that Class Member. Such evidence would include, for example, letters testamentary, letters of administration, or a copy of the trust documents.
NOTICE REGARDING ELECTRONIC FILES: Certain claimants with large numbers of transactions may request to, or may be requested to, submit information regarding their transactions in electronic files. All such claimants MUST also submit a manually signed paper Proof of Claim and Release form listing all their transactions whether or not they also submit electronic copies. If you wish to submit your claim electronically, you must contact the Settlement Administrator at info@BRIIStockholderSettlement.com to obtain the required file layout. No electronic files will be considered to have been properly submitted unless the Settlement Administrator issues to the claimant a written acknowledgement of receipt and acceptance of electronically submitted data.
Use Part I of this form entitled “Claimant Identification” to identify each holder of record (“nominee”), if different from the beneficial holder of the BRII Class A common stock which form the basis of this claim. THIS CLAIM MUST BE FILED BY THE ACTUAL BENEFICIAL HOLDER OR THE LEGAL REPRESENTATIVE OF SUCH HOLDER OF THE SHARES UPON WHICH THIS CLAIM IS BASED.
All joint holders must sign this claim. Executors, administrators, guardians, conservators and trustees must complete and sign this claim on behalf of persons represented by them and their authority must accompany this claim and their titles or capacities must be stated. The Social Security (or taxpayer identification) number and telephone number of the beneficial owner may be used in verifying the claim. Failure to provide the foregoing information could delay verification of your claim or result in rejection of the claim.
If you are acting in a representative capacity on behalf of a Class Member (for example, as an executor, administrator, trustee, or other representative), you must submit evidence of your current authority to act on behalf of that Class Member. Such evidence would include, for example, letters testamentary, letters of administration, or a copy of the trust documents.
NOTICE REGARDING ELECTRONIC FILES: Certain claimants with large numbers of transactions may request to, or may be requested to, submit information regarding their transactions in electronic files. All such claimants MUST also submit a manually signed paper Proof of Claim and Release form listing all their transactions whether or not they also submit electronic copies. If you wish to submit your claim electronically, you must contact the Settlement Administrator at info@BRIIStockholderSettlement.com to obtain the required file layout. No electronic files will be considered to have been properly submitted unless the Settlement Administrator issues to the claimant a written acknowledgement of receipt and acceptance of electronically submitted data.
III. CLAIM FORM
Use Part II of this form entitled “Schedule of Transactions in Eligible Shares” to supply all
required details of your holdings of Eligible Shares and your sale(s) of Eligible Shares. If you
need more space or additional schedules, attach separate sheets giving all of the required
information in substantially the same form. Sign and print or type your name on each additional
sheet.
On the schedules, provide all of the requested information with respect to: (i) all of your Eligible Shares; and (ii) all of your sales of Eligible Shares after November 16, 2020, whether such transactions resulted in a profit or a loss. Failure to report all such transactions may result in the rejection of your claim.
List these transactions separately and in chronological order, by number of Eligible Shares, and then by sale date, beginning with the earliest. You must accurately provide the month, day, and year of each transaction you list.
Copies of stockbroker confirmation slips, stockbroker statements, or other documents evidencing your holdings of Eligible Shares and sales of Eligible Shares should be attached to your claim. If any such documents are not in your possession, please obtain a copy or equivalent documents from your broker because these documents are necessary to prove and process your claim. Failure to provide this documentation could delay verification of your claim or result in rejection of your claim.
On the schedules, provide all of the requested information with respect to: (i) all of your Eligible Shares; and (ii) all of your sales of Eligible Shares after November 16, 2020, whether such transactions resulted in a profit or a loss. Failure to report all such transactions may result in the rejection of your claim.
List these transactions separately and in chronological order, by number of Eligible Shares, and then by sale date, beginning with the earliest. You must accurately provide the month, day, and year of each transaction you list.
Copies of stockbroker confirmation slips, stockbroker statements, or other documents evidencing your holdings of Eligible Shares and sales of Eligible Shares should be attached to your claim. If any such documents are not in your possession, please obtain a copy or equivalent documents from your broker because these documents are necessary to prove and process your claim. Failure to provide this documentation could delay verification of your claim or result in rejection of your claim.