SPECIAL PROXY
Required by the Official receiver of AMONIL SA
The undersigned/subscribed ...... as owner of ...... shares of Trading company AMONIL S.A. Slobozia (company in insolvency, en procedure collective according to civil decision no. 894/05.06.2015 pass by Ialomita Court, Civil Section in file no. 1611/98/2014), granting me a ...... votes in Shareholder General Meeting, appointed thereby Mr./Mrs......
holder of his/her I.C. Series ...... No...... as my representative in Regular Shareholder Meeting from AMONIL S.A., which shall take place at the registered office of Amonil SA from Slobozia Town, km 4 Calarasi Road, Ialomita County at the date of 28th April 2016, 12:00 hrs (local time) or the scheluded date for keeping the second meeting, in case the first meeting would not be kept, to exercise my right of vote due to my holdings entered into Shareholder Register, issued by Depozitarul Central SA at the reference time, i.e . the end of day of April 15th 2016, as follows:
- Submit and approval of the Annual Report for 2015, in accordance with Romanian Regulation No. 1/2006 of CNVM (National Board of Stocks).
Expressed votes:
Sustained: ...... Against: ...... Abstained: ......
2.Submit and approval of the Annual Financial Report at 31st. 12.2015, according to Order No. 881/2012 relating to applying of International Financial Reporting Standards by trading company to which transferable securities are admitted to be dealt on a regulated market, drawn in accordance with provisions of Order No. 1286/2012 for approval of Accounting Regulations complying with International Financial Reporting Standards.
Expressed votes:
Sustained: ...... Against: ...... Abstained: ......
3.Submit and approval of the Independent Auditor Report concerning Annual Financial Statement at 31st. 12, 2015.
Expressed votes:
Sustained: ...... Against: ...... Abstained: ......
4.Discharging of financial management of the Managing Board’members and Official receiver for their work carried on 2015.
Expressed votes:
Sustained: ...... Against: ...... Abstained: ......
5. Submit and approval of the Master Budget for 2015.
Expressed votes:
For: ...... Against: ...... Abstained: ......
6.Approval for recording this date of May 20th 2016, proposed by the Official receiver, to identify all shareholders over who decissions of the Regular Shareholder Meeting should have consequential effects, according to provision of Article 238 (1) from Act No. 297/2004.
Expressed votes:
Sustained: ...... Against: ...... Abstained: ......
7. Granting power to Mrs. Cristina Matei, acting in her capacity as Official receiver, and also to Mrs. Gica Mihalache, acting in her capacity as Legal Adviser, to perform all required formalities, enter into and put her hand on all legal writ in order to fulfill all decision taken today, this day of 28/29 April 2016 by the Regular Shareholders Meeting as well as take steps required to its registration at Company Registrar Office belongs to Ialomita Court, document delivery at Bucharest Stock of Exchange, Authority for Financial Supervision and publishing this decision in Monitorul Official of Romania.
Expressed votes:
Sustained: ...... Against: ...... Abstained: ......
The undersigned/subscribed give thereby discretionary powers to my representative, above appointed, to vote on matters which have been not identified yet and included on agenda until the date of this.
Date: ......
Signature: ......
Stamp (only for legal entity):
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