SPECIAL POWER OF ATTORNEY
FOR GENERAL EXTRAORDINARY MEETING
OF SHAREHOLDERS OF S.C.COCOR S.A.
FROM 15/16.09.2016
The undersigned ...... (name, surname of the shareholder natural persons or of the legal representative of the legal person shareholder), legal representative of ………………………………………….. (to be completed only for legal person shareholders), identified as a shareholder in the Shareholders Registry with CI/BI/P/CUI ...... with domicile / headquarters in ...... owner of ……………...... stocks representing ...... % of the total of 301.691 stocks issued by SC COCOR SA, which gives me the right to …..………...... votes in the General Extraordinary Meeting of Shareholders representing ...... % of the total of 301.691 voting rights, I hereby appoint ______holder of ______series _____no.______, issued by ______at the date ______, CNP______, as representative at the General Extraordinary Meeting of Shareholders SC COCOR SA which will take place at the company headquarters in Bucharest, 29-33 IC Bratianu Blvd., 4th floor – boardroom, district 3, on 15.09.2016 at 01.00 P.M. or on 16.09.2016 at at 01.00 P.M., in case the first one counld not be held, to exert the voting rights related to my stocks registered in the Independent Register of Shareholders Central Depository SA, thus:
1. Analyzing and approving a set of measures to improve the performance of the Cocor Commercial Store.
For ____ Against ______Abstention ______
2. Granting a mandate to negociate and conclude an agreement with the Romanian Commercial Bank.
For ____ Against ______Abstention ______
3. Revocation of point 5 of the General Extraordinary Meeting of Shareholders resolution no. 1 from 22.03.2016.
For ____ Against ______Abstention ______
4. Approval as the registration date 04.10.2016, according to art. 238 paragraph. (1) of Law no. 297/2004 to identify the shareholders who are affected by decisions adopted in this General Extraordinary Meeting of Shareholders and approval of the date 03.10.2016 as "ex date".
For ____ Against ______Abstention ______
5. Granting a power of attorney to the person who will take the necessary steps for the registration of the resolution at the Trade Register.
For ____ Against ______Abstention ______
Date of award of power of attorney ……………………
………………………………………..……......
(name, surname of the shareholder natural persons or of the legal representative of the legal person shareholder, caps lock)
…………………………......
(signature of the shareholder natural persons or of the legal representative of the legal person shareholder and stamp)
Note:To exercise the vote, on each point on the agenda mark with X only one vote option – for / against / abstention. The informations will be completed in capital letters. The special power of attorney will be made in 3 (three) copies, of which one for the shareholder, one for the representative of the shareholder and one for Cocor S.A.
1