PART I: CLAIMANT IDENTIFICATION
Country: *
Please select a country
United States
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Africa
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Costa Rica
Côte d'Ivoire, Republic of
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic Of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Surinone
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
State: *
Please select a state
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Select Option below then enter correct data in field below: *
PART II: SCHEDULE OF TRANSACTIONS IN ELIGIBLE SHARES
Number of Eligible Shares:
Sales of Eligible Shares after the close of business on November 16, 2020:
Trade Date (Month/Day/Year)
Number of
Shares Sold
Total Sales Price
(not deducting taxes, commissions, and fees)
Confirm Proof
of Sale Enclosed
Action
Number of Eligible Shares of common stock held at the close of the market on March
8, 2023:
UPLOAD SUPPORTING DOCUMENTS
All supporting documentation for your positions and transactions should be uploaded to this page prior to moving
on to the next step in your online claim submission.
Please use the browse option, by clicking on “Select Files” in the box below, to upload your supporting
documentation being submitted to verify all of your positions and transactions.
Files To Be Uploaded
Size
Action
YOUR SIGNATURE WILL CONSTITUTE YOUR
ACKNOWLEDGMENT OF THE RELEASE.
IV. SUBMISSION TO JURISDICTION OF COURT AND
ACKNOWLEDGMENTS
I (We) submit this Proof of Claim and Release under the terms of the Stipulation described
in the Notice. I (We) also submit to the jurisdiction of the Court of Chancery for the State of
Delaware with respect to my (our) claim as a Class Member and for purposes of enforcing the
release set forth herein. I (We) further acknowledge that I am (we are) bound by and subject to
the terms of any judgment that may be entered in the Action. I (We) agree to furnish additional
information to the Settlement Administrator to support this claim if requested to do so. I (We)
have not submitted any other claim in connection with the Action and know of no other person
having done so on my (our) behalf.
V. RELEASE
I (We) hereby acknowledge full and complete satisfaction of, and do hereby fully,
finally and forever settle, release and discharge from the Released Claims each and all of the
Released Persons as provided in the Stipulation.
2. This release shall be of no force or effect unless and until the Court approves the
Stipulation and the Settlement becomes effective on the Effective Date.
3. I (We) hereby warrant and represent that I (we) have not assigned or transferred or
purported to assign or transfer, voluntarily or involuntarily, any matter released pursuant to this
release or any other part or portion thereof.
4. I (We) hereby warrant and represent that I (we) have included information about all
of my (our) holdings of Eligible Shares. In addition, I (we) have included information about all
of my (our) sales of Eligible Shares between the close of the market on November 16, 2020 and
March 8, 2023, inclusive, and, if applicable, the total number of Eligible Shares held at the close
of the market on March 8, 2023.
I declare under penalty of perjury under the laws of the State of Delaware that the foregoing
information supplied by the undersigned is true and correct.
UNDER THE PENALTIES OF PERJURY, I (WE) CERTIFY THAT ALL OF THE INFORMATION PROVIDED BY ME (US) ON THIS CLAIM FORM IS TRUE,
CORRECT, AND COMPLETE, AND THAT THE DOCUMENTS SUBMITTED HEREWITH ARE TRUE AND CORRECT COPIES OF WHAT THEY PURPORT TO BE.
If the Claimant is other than an individual, or is not the person completing this form, the following also must be provided: