STATEMENT OF OWNERSHIP
PleasecompletetheStatement of Ownership form belowifyouwerearecordholderorbeneficialownerofSino Agro FoodCompany(“SIAF”)commonstockon THE DATE OF RECORD, September 28, 2012(regardlessofthedateofpurchaseofSIAFcommonstock).
ThisStatement of Ownership form mustcontainthe name,address,and taxpayeridentification numberofthe beneficialowner(s). Thetaxpayeridentificationnumber(TIN),consistingofa validSocialSecuritynumber(SSN)forindividualsoremployeridentificationnumber(EIN)forbusinessentities,trusts,estates,etc.,andtelephonenumberofthe beneficialowner(s) may be usedin verifying ownership;this information isrequired. Non-USA residents can submit a copy of their passport’s identification page in lieu of TIN.
Youmustalsoprovidethe quantityofsharesandthestockcertificatenumbers(ifshares wereheldincertificateform;ifshares were heldthrougha brokerageaccountcertificate, numberswouldnotbeneeded). YoumustsigntheStatement of Ownershipforminthespaceprovidedinordertodepositavalidclaim. Pleasealsoprovideyourbrokeragestatementfor September 2012oraletterfromyourbank,broker,orothernomineeindicatingthequantityofsharesheldasofSeptember 28,2012,ifyoudidnotholdsharesincertificateform. Ifyouheld shares in certificateform, please provideconfirmation fromthe transferagentof record.
Statement of Ownershipforms must be postmarkedno laterthanDecember 31,2012,and mailed to:
REMINDERCHECKLIST
THE BUSINESS ADVOCATE, INC.
ATTN: SINO AGRO FOOD PROCESSING AGENT
PO BOX 333
ETNA, OHIO 43018-0333
USA
1. Please sign thecertificationbelow.IfthisStatement of Ownershipformis beingsubmitted onbehalf ofjoint owners, then bothmustsign.
2. Remember to attach only copies ofacceptable supporting documentation.
3. Do not send original stock certificates as documentation.These items cannotbereturned to you by theCompany.
4. Keep copiesof the completedStatement of Ownership formand documentationfor your ownrecords.
5. If confirmation of receipt isdesired, pleasesend your Statement of OwnershipCertified Mail, Return Receiptrequested.
6. Ifyouraddresschangesinthefuture,pleasemailtheProcessingAgentnotificationofyournewaddress. Ifyou change your name, please informthe ProcessingAgent.
PARTI—OWNERINFORMATION
Last Name (Owner FirstName (Owner)
Last Name(Beneficial OwnerIfDifferent FromOwner) FirstName(Beneficial Owner)
Last Name (Co–Beneficial Owner) FirstName (Co–Beneficial Owner)
Company/Other Entity(IfOwner Is Not anIndividual) ContactPerson(IfOwner IsNot an Individual)
AddressLine1
AddressLine2(If Applicable)
City State Zip Code
-
ForeignProvince Foreign Zip Code Foreign Country
○ CheckHereto UseAlternateAddressfor Distribution (Optional)
Distribution AddressLine1
Distribution AddressLine2 (If Applicable)
City State Zip Code
-
ForeignProvince Foreign Zip Code Foreign Country
Telephone Number (Day) Telephone Number (Night)
( ) - ( ) -
BeneficialOwner’s Employer Identification Number or SocialSecurity Number
- - -
Email Address[Anemail addressis not required,but ifyouprovideit, youauthorize the ProcessingAgent to use it in providingyouwith informationrelevant to this dividend.]
PARTII—HOLDINGS ONSEPTEMBER 28,2012
HOLDINGS ON SEPTEMBER 28, 2012
Statethe number of shares of SIAFcommon stock of record heldon September28,2012. DocumentationincludesTHE ENTIRE BROKERAGE STATEMENT(s)forSeptember,2012orproof ofstock certificate (seebelowfor moredetailsif yourshareswereheldincertificateform).
Proofenclosed
○ Y ○N
STOCKCERTIFICATE NUMBERS(Ifapplicable)
ListbelowthestockcertificatenumbersforallSIAFcommonstockheldonSeptember 28, 2012,for all shares NOT HELD IN A BROKERAGE ACCOUNT. Be sureto attach documentationofownershipfromthe TransferAgent, Broadridge Corporate Issuer Solutions, Inc., e-mail: ; phone: 877-830-4936; mail: PO BOX 1342, Brentwood, NY, 11717.
Proofofsurrender enclosed?
○ Y ○N
CERTIFICATE 1:
CERTIFICATE 2:
CERTIFICATE 3:
IFYOUREQUIREADDITIONALSPACE,ATTACHEXTRASCHEDULESINTHESAMEFORMATASABOVE. PRINTTHEBENEFICIALOWNER’SFULL NAMEAND TAXPAYER IDENTIFICATION NUMBERONEACH ADDITIONAL PAGE.
YOUMUSTSIGNTHE STATEMENT OF OWNERSHIP
I(we)certify that I am(we are)NOTsubject to backupwithholding under theprovisions of Section3406(a)(1)(c) ofthe Internal Revenue Code.○ Y ○ N
NOTE: The Internal Revenue Servicedoesnotrequire yourconsent to any provision otherthan the certificationrequired toavoid backup withholding.
UNDERTHEPENALTIESOFPERJURY,I(WE)CERTIFYTHATALLOFTHEINFORMATIONPROVIDEDBYME(US)ONTHISFORMISTRUE,CORRECT,AND COMPLETEAND THAT THEDOCUMENTSSUBMITTEDHEREWITHARE TRUE AND CORRECT COPIESOFWHAT THEY PURPORTTO BE.
______
Signature of OWNERDatePrint name of OWNER
______
Signature of JOINT OWNERDatePrint name of Joint Owner
______
Capacity ofPerson(s)Signing,e.g.,beneficialowner(s), executor, administrator,trustee, etc.
THIS STATEMENT OF OWNERSHIP MUST BE MAILED TO THE PROCESSING AGENT POSTMARKED BY DECEMBER 31, 2012.