French Insurance Code
In forceAPPENDIX I TO ARTICLE R. * 322-58
POSTAL OR PROXY VOTING FORM | Reserved space Username : |
ATTENTION: choose 1 or 2 or 3 | ATTENTION Within receipt limit |
1 You have confidence in the Chairman and authorise him to vote on your behalf: date and sign this form without ticking any boxes
OR
2 You wish to express your opinion on the resolutions: you must tick one box per line, date and sign this form.
Yes | No / abstention | I don't know I give my proxy to the Chairman | |
1st resolution | |||
2nd resolution | |||
3rd resolution | |||
Resolution no. | |||
I trust the Chairman to vote on my behalf | I abstain, which means I vote against | I give my proxy to Mr. | |
If amendments or new resolutions were presented to the meeting. |
OR
3 If you wish another member of the company or a third party to vote for you at the meeting
insert name, date and sign without ticking any box
Name of my representative :
(The words "or a third party" may only appear in this box if the Articles of Association provide for this possibility)
Article R. 322-58 of the Insurance Code (extract)
In the case of any proxy given by a member without indicating a representative, the Chairman shall vote in favour of the adoption of the draft resolutions presented or approved by the Board of Directors and against the adoption of all other draft resolutions. To cast any other vote, the member must choose a proxy who agrees to vote in the manner indicated by the principal.
Any member of the General Meeting may be represented by another member or, if permitted by the Articles of Association, by a third party. The Articles of Association may prohibit a person employed by the company from being appointed as proxy; they must set the maximum number of proxies that may be entrusted to a single proxy, which may not exceed five.
However, this number may be increased to the extent necessary to ensure that the lowest regulatory quorum does not require the effective presence of more than one hundred proxies. In this case, the Articles of Association must specify the maximum number of proxies that may be entrusted to a single representative in excess of the five regulatory mandates.
Last name, first name, address
Signed at
On
Signature
