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EXHIBIT 99(ii)
IMPORTANT
TO BE EFFECTIVE, THIS ELECTION FORM AND LETTER OF TRANSMITTAL MUST BE RECEIVED
BY THE EXCHANGE AGENT NO LATER THAN 5:00 P.M., CLEVELAND, OHIO TIME ON OCTOBER
25, 1999, UNLESS THIS DEADLINE IS EXTENDED IN ACCORDANCE WITH THE TERMS OF THE
MERGER AGREEMENT (AS DEFINED HEREIN), TOGETHER WITH (1) THE CERTIFICATE(S)
REPRESENTING ALL COMMON SHARES OF THE STANDARD PRODUCTS COMPANY TO WHICH THIS
ELECTION FORM AND LETTER OF TRANSMITTAL RELATES OR (2) A PROPERLY COMPLETED
GUARANTEE OF DELIVERY WITH RESPECT TO THAT CERTIFICATE(S).
ELECTION FORM
AND
LETTER OF TRANSMITTAL
TO ACCOMPANY CERTIFICATES REPRESENTING
COMMON SHARES, $1.00 PAR VALUE PER SHARE, OF
THE STANDARD PRODUCTS COMPANY
PLEASE READ AND FOLLOW THE ACCOMPANYING INSTRUCTIONS CAREFULLY
TO: Xxxxxx Trust and Savings Bank, the Exchange Agent
By Mail: By Hand, Overnight Delivery By Xxxxxxxxx (for Guarantee of
Service or Courier: Delivery only):
Wall Street Station Receive Window (000) 000-0000
P.O. Box 0000 Xxxx Xxxxxx Xxxxx
Xxx Xxxx, Xxx Xxxx 00000-0000 00 Xxxx Xxxxxx, 00xx Xxxxx
Xxx Xxxx, Xxx Xxxx 00000
For confirmation telephone: (000) 000-0000
For assistance with completing this Election Form and
Letter of Transmittal, please call: 0-000-000-0000
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DESCRIPTION OF STANDARD COMMON SHARES SURRENDERED
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CERTIFICATE(S) BEING SURRENDERED
(ATTACH ADDITIONAL LIST IF NECESSARY)
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NUMBER OF
CERTIFICATE NUMBER OF SHARES SHARES
NUMBER(S) REPRESENTED BY SURRENDERED
NAME(S) OF RECORD HOLDER(S)
AS SHOWN ON THE CERTIFICATE(S) AND
ADDRESS(ES)
OF SUCH RECORD HOLDER(S)
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TOTAL SHARES
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YOU MUST ENCLOSE ALL OF YOUR CERTIFICATES FOR YOUR STANDARD COMMON SHARES WITH THIS ELECTION FORM AND
LETTER OF TRANSMITTAL UNLESS THE GUARANTEE OF DELIVERY IS COMPLETED.
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Pursuant to the Agreement and Plan of Merger, dated as of July 27, 1999
(the "Merger Agreement"), by and among Xxxxxx Tire & Rubber Company ("Xxxxxx"),
CTB Acquisition Company and The Standard Products Company ("Standard"), and
provided that the average between the high and low sale price per share of
common stock, $1.00 par value per share, of Xxxxxx (the "Xxxxxx common stock")
on the New York Stock Exchange (the "NYSE") on the closing date of the merger
(the "Average Closing Date Price") is equal to or greater than Eighteen and
00/100 Dollars ($18.00), the undersigned hereby surrenders to the Exchange Agent
the certificate(s) representing all of the common shares, $1.00 par value per
share, of Standard (the "Standard common shares") owned of record by the
undersigned and hereby elects (the "Election"), in the
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manner indicated below, to have each Standard common share evidenced by that
certificate(s) converted into the right to receive one (and only one) of the
following:
(a) unconditionally to receive with respect to all of the
undersigned's Standard common shares that number of shares of
Xxxxxx common stock (the "Stock Consideration") equal to $36.50
divided by the average closing sale price per share of Xxxxxx
common stock on the NYSE, as reported in The Wall Street Journal,
for the 20 consecutive trading days ending on the fifth trading
day prior to the closing date of the merger, subject to the collar
arrangement described in the accompanying proxy
statement-prospectus dated September 15, 1999 (the "Proxy
Statement") and set forth in the Merger Agreement (the
"Unconditional Stock Election");
(b) conditionally to receive Stock Consideration with respect to all
of the undersigned's Standard common shares, that condition being
that all of the Standard common shares subject to that election be
converted exclusively into Stock Consideration and if all of those
shares cannot be converted exclusively into Stock Consideration as
a result of the allocation provisions of the Merger Agreement,
then all of those shares be converted exclusively into $36.50 in
cash per share (the "Conditional Stock Election");
(c) to receive $36.50 in cash per share (the "Cash Consideration"; and
together with the Stock Consideration, the "Merger Consideration")
with respect to all of the undersigned's Standard common shares
(the "Cash Election"); or
(d) to receive the Cash Consideration with respect to a portion of the
undersigned's Standard common shares and to elect unconditionally
to receive Stock Consideration with respect to a portion (i.e.,
the balance) of the undersigned's Standard common shares (the
"Mixed Election").
If the undersigned does not mark one of the election boxes below, the
undersigned will be deemed to have made No Election. THE UNDERSIGNED UNDERSTANDS
THAT IF THE AVERAGE CLOSING DATE PRICE IS LESS THAN EIGHTEEN AND 00/100 DOLLARS
($18.00), THE ELECTION MADE IN THIS ELECTION FORM AND LETTER OF TRANSMITTAL WILL
BE VOID AND OF NO EFFECT, AND THE UNDERSIGNED WILL RECEIVE SOLELY THE CASH
CONSIDERATION FOR ALL OF THE STANDARD COMMON SHARES FOR WHICH THE UNDERSIGNED IS
THE HOLDER OF RECORD.
The undersigned understands that the Election is subject to certain terms,
conditions and limitations set forth in the Merger Agreement and described in
the accompanying Proxy Statement. A copy of the Merger Agreement is attached to
the Proxy Statement as Appendix A. These terms, conditions and limitations
include, but are not limited to, the fact that pursuant to the allocation
procedure described in the Proxy Statement and set forth in the Merger
Agreement, holders (other than holders who make a Conditional Stock Election)
may be subject to a proration process in which a holder receives a combination
of the Cash Consideration and Stock Consideration for each of the holder's
Standard common shares. Furthermore, a holder who makes a Conditional Stock
Election may be subject to a lottery in which the holder receives the Cash
Consideration for each of the holder's common shares, instead of Stock
Consideration. All Elections are subject to the allocation procedures set forth
in Section 1.7 of the Merger Agreement. The allocation procedures are described
under the caption "The Merger Agreement -- Allocation" in the Proxy Statement.
Holders of Standard common shares are urged to read the Merger Agreement and the
Proxy Statement in their entirety before completing this Election Form and
Letter of Transmittal.
The undersigned understands that the definitive terms pursuant to which the
merger will be effected in accordance with the Merger Agreement, including the
amount and form of consideration to be received by holders of Standard common
shares, the effect of this Election Form and Letter of Transmittal, and certain
conditions to the consummation of the merger, are summarized in the Proxy
Statement and all of those definitive terms and conditions are set forth in full
in the Merger Agreement. The undersigned also understands that different tax
consequences may be associated with each of the election options, and the
undersigned is aware that those consequences are summarized in general terms in
the Proxy Statement section entitled "Material United States Federal Income Tax
Consequences." The undersigned xxxxxx makes the following election for all of
the undersigned's Standard common shares owned of record and surrendered
herewith:
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ELECTION
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Check one of the boxes below:
[ ] Unconditional Stock Election
[ ] Cash Election
[ ] Conditional Stock Election
[ ] Mixed Election. Convert:
________ Standard common shares into Cash Consideration
________ Standard common shares into Stock Consideration
The Exchange Agent reserves the right to deem that the undersigned has made
No Election if:
(a) None of the above Elections is made or more than one of the above
Elections is made;
(b) The undersigned fails to follow the instructions on this Election
Form and Letter of Transmittal (including failure to submit share
certificate(s) or a Guarantee of Delivery) or otherwise fails to
properly make an election;
(c) A completed Election Form and Letter of Transmittal (including
submission of the holder's share certificate(s) or a Guarantee of
Delivery) is not received by the Exchange Agent by 5:00 p.m.,
Cleveland, Ohio time on October 25, 1999, unless this deadline is
extended in accordance with the terms of the Merger Agreement (the
"Election Deadline"); or
(d) The undersigned returns this Election Form and Letter of
Transmittal with a Guarantee of Delivery but does not deliver the
share certificate(s) representing the shares in respect of which
the Election is being made within three NYSE trading days after
the Election Deadline.
In order to receive the Merger Consideration, this Election Form and Letter
of Transmittal must be (i) completed and signed in the space in the box labeled
"Shareholder(s) Sign Here" and on the Substitute Form W-9 and (ii) mailed or
delivered with the holder's share certificate(s) or a Guarantee of Delivery to
the Exchange Agent at either of the addresses set forth above (or the facsimile
number). In order to properly make an Election, the Election Form and Letter of
Transmittal and other required documents must be received by the Exchange Agent
prior to the Election Deadline. Xxxxxx will notify the Exchange Agent of any
extension of the Election Deadline by oral notice (promptly confirmed in
writing) or written notice and will make a press release or other public
announcement of that extension prior to 9:00 a.m., Cleveland, Ohio time, on the
next business day following the previously scheduled Election Deadline.
If the undersigned is acting in a representative or fiduciary capacity for
a particular beneficial owner, the undersigned hereby certifies that this
Election Form and Letter of Transmittal covers all of the Standard common shares
owned of record by the undersigned in a representative or fiduciary capacity for
that particular beneficial owner.
The undersigned hereby acknowledges receipt of the Proxy Statement and
agrees that all Elections, instructions and orders in this Election Form and
Letter of Transmittal are subject to the terms and conditions of the Merger
Agreement, the Proxy Statement and the instructions applicable to this Election
Form and Letter of Transmittal. The undersigned hereby represents and warrants
that the undersigned is, as of the date hereof, and will be, as of the effective
time of the merger, the record holder of the Standard common shares represented
by the share certificate(s) surrendered herewith, with good title to those
common shares and full power and authority (i) to sell, assign and transfer
those common shares free and clear of all liens, restrictions, charges and
encumbrances, and not subject to any adverse claims and (ii) to make the
Election indicated herein. The undersigned will, upon request, execute any
additional documents necessary or desirable to complete the surrender and
exchange of those common shares.
The undersigned hereby irrevocably appoints the Exchange Agent, as agent of
the undersigned, to effect the exchange pursuant to the Merger Agreement and the
instructions hereto. The undersigned hereby authorizes and instructs the
Exchange Agent to deliver the certificate(s) covered hereby, and to receive on
the undersigned's behalf, in exchange for the Standard common shares represented
by that certificate(s), any check and/or any certificate(s) for Xxxxxx common
stock issuable to the
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undersigned. Furthermore, the undersigned authorizes the Exchange Agent to
follow any Election and to rely upon all representations, certifications and
instructions contained in this Election Form and Letter of Transmittal. All
authority conferred or agreed to be conferred in this Election Form and Letter
of Transmittal is binding upon the successors, assigns, heirs, executors,
administrators and legal representatives of the undersigned and is not affected
by, and survives, the death or incapacity of the undersigned.
Record holders of Standard common shares who are nominees only may submit a
separate Election Form and Letter of Transmittal for each beneficial holder for
whom that record holder is a nominee; provided, however, that at the request of
Xxxxxx, that record holder must certify to the satisfaction of Xxxxxx that the
record holder holds those shares as nominee for the beneficial owner(s) thereof.
Each beneficial owner for whom an Election Form and Letter of Transmittal is
submitted will be treated as a separate holder of Standard common shares,
subject to the provisions concerning joint elections.
Completing and returning this Election Form and Letter of Transmittal does
not have the effect of casting a vote with respect to adoption of the Merger
Agreement and approval of the related transactions at the special meeting of
shareholders of Standard.
Section 318(a) of the Internal Revenue Code of 1986, as amended (the
"Code"), contains certain attribution rules whereby certain holders of Standard
common shares may be considered to own each other's Standard common shares.
Pursuant to the Merger Agreement, two or more holders of Standard common shares
who "constructively own" shares owned by each other by virtue of Section 318(a)
of the Code and who so certify to Xxxxxx'x satisfaction, and any single holder
of Standard common shares who holds shares in two or more different names and
who so certifies to Xxxxxx'x satisfaction, may submit a joint Election Form and
Letter of Transmittal covering the aggregate number of Standard common shares
owned by all of those holders or by that single holder, as the case may be. Each
group of holders which, and each single holder who, submits a joint Election
Form and Letter of Transmittal will be treated as a single holder of Standard
common shares.
JOINT ELECTION
(OPTIONAL, SEE INSTRUCTION 3 BELOW)
[ ] Check this box to make a joint election. If this box is checked, list below
the name and address of each holder of Standard common shares covered by
this Election Form and Letter of Transmittal and set forth the certificate
numbers of the Standard common shares owned by each person or, if
applicable, the different names in which any single holder of Standard
common shares holds his shares. Each holder of Standard common shares
covered by this joint election must properly sign this Election Form and
Letter of Transmittal, and the signatures of the holders will be deemed to
constitute a certification that the persons submitting this joint Election
Form and Letter of Transmittal are entitled to do so.
NAME OF EACH PERSON ADDRESS AND TAX IDENTIFICATION
COVERED BY THIS JOINT ELECTION* OR SOCIAL SECURITY NUMBER CERTIFICATE NUMBERS NUMBER OF SHARES
------------------------------- ------------------------------ ------------------- ----------------
1.
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2.
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3.
-------------------- ------------------ ---------------- ----------------
4.
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*Attach additional sheets, if necessary
NOTE: THE TAX CONSEQUENCES TO A HOLDER OF STANDARD COMMON SHARES CAN VARY
DEPENDING ON THE ELECTION CHOSEN AND WHETHER A JOINT ELECTION IS MADE. THE
JOINT ELECTION AND GUARANTEE OF DELIVERY PROCEDURES SET FORTH IN THIS
ELECTION FORM AND LETTER OF TRANSMITTAL SHOULD BE CAREFULLY CONSIDERED BY
HOLDERS OF STANDARD COMMON SHARES WHO ALSO HAVE A BENEFICIAL OWNERSHIP
INTEREST IN STANDARD COMMON SHARES HELD BY NOMINEES, TRUSTEES OR UNDER
SIMILAR ARRANGEMENTS. HOLDERS OF STANDARD COMMON SHARES SHOULD CONSULT
THEIR OWN TAX ADVISORS AS TO THE FEDERAL, STATE AND LOCAL TAX CONSEQUENCES
OF THE MERGER TO THEM. (SEE INSTRUCTIONS 3 AND 4.)
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GUARANTEE OF DELIVERY
(TO BE USED ONLY AS TO
CERTIFICATES NOT TRANSMITTED HEREWITH)
(See Instruction 16)
The Undersigned (check applicable box),
[ ] a member of a registered national securities exchange,
[ ] a member of NASD, Inc., or
[ ] a commercial bank or trust company in the United States,
guarantees to deliver to the Exchange Agent either all of the certificate(s) for
Standard common shares to which this Election Form and Letter of Transmittal
relates, or such of those certificates as are identified below, duly endorsed in
blank or otherwise in form acceptable for transfer on the books of Standard, no
later than 5:00 P.M., Cleveland, Ohio time, on the third NYSE trading day after
the Election Deadline.
SHARES REPRESENTED BY
CERTIFICATE NO. EACH CERTIFICATE
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(Firm -- Please Print)
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(Authorized Signature)
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(Address)
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(Area Code and Telephone Number)
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(Dated)
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SPECIAL DELIVERY INSTRUCTIONS
(SEE INSTRUCTIONS 5 & 7)
To be completed ONLY if the check and/or the certificate(s) for Xxxxxx
common stock are to be issued in the name of the record holder(s) of the
Standard common shares but are to be sent to another person or to an address
other than as set forth beneath the record holder's signature on this Election
Form and Letter of Transmittal.
Check or certificate(s) for Xxxxxx common stock to be delivered to:*
Name:
(Please Print)
Address:
(Include Zip Code)
*Please attach additional sheets if necessary.
SPECIAL PAYMENT INSTRUCTIONS
(SEE INSTRUCTIONS 5 & 7)
To be completed ONLY if the check is to be made payable to and/or the
certificate(s) for Xxxxxx common stock is to be issued in the name of someone
other than the record holder(s) of the Standard common shares or the name of the
record holder(s) needs to be corrected or changed.
Issue [ ] Certificate [ ] Check to:
Name:
(Please Print)
Address:
(Include Zip Code)
(Tax Identification Number or Social Security Number)
SHAREHOLDER(S) SIGN HERE
(ALSO COMPLETE SUBSTITUTE FORM W-9 BELOW)
Please sign exactly as your name(s) appear(s) on your certificate(s). If
this is a joint election, each person covered by this Election Form and Letter
of Transmittal must sign personally.
A check(s) or certificate(s) for Xxxxxx common stock will be issued only in
the name of the person(s) submitting this Election Form and Letter of
Transmittal and will be mailed to the address set forth beneath the person's
signature unless the Special Delivery or Special Payment Instructions are
completed.
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(Signature(s) of Owner(s) - See Instruction 6)
Dated: , 1999
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Social Security or other Tax Identification Number
If signature is by a person(s) other than the record holder(s) and in the
capacity of trustee, executor, administrator, guardian, attorney-in-fact,
officer of a corporation or any other persons(s) acting in a fiduciary or
representative capacity, please provide the following information. See
Instruction 6.
Name:
(Please Print)
Capacity:
Address:
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(Include Zip Code)
Area Code and Telephone Number: ( )
SIGNATURE GUARANTEE
(If required by Instruction 5 or 7)
Apply Signature Guarantee Medallion Below
NOTE: IN THE EVENT THAT THE CHECK AND/OR CERTIFICATE REPRESENTING XXXXXX COMMON
STOCK IS TO BE ISSUED IN EXACTLY THE NAME OF THE RECORD HOLDER AS
INSCRIBED ON THE SURRENDERED STANDARD SHARE CERTIFICATE(S), THE
SURRENDERED CERTIFICATE(S) NEED NOT BE ENDORSED AND NO GUARANTEE OF THE
SIGNATURE ON THIS ELECTION FORM AND LETTER OF TRANSMITTAL IS REQUIRED.
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PAYOR: XXXXXX TRUST AND SAVINGS BANK
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NAME (If joint names, list first and circle the name of the person or entity
whose number you enter in Part 1 below.)
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ADDRESS
CITY, STATE AND ZIP CODE
LIST ACCOUNT NUMBER(S) HERE (OPTIONAL)
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PART 1 -- PLEASE PROVIDE YOUR TAXPAYER IDENTIFICATION
SUBSTITUTE NUMBER OR TIN IN THE BOX AT RIGHT AND CERTIFY BY ----------------------------
FORM W-9 SIGNING AND DATING BELOW. SOCIAL SECURITY NUMBER OR
EMPLOYER IDENTIFICATION NUMBER
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DEPARTMENT OF THE TREASURY PART 3 --
INTERNAL REVENUE SERVICE PART 2 -- CHECK THE BOX IF YOU ARE SUBJECT TO BACKUP CHECK THE BOX IF YOU ARE
WITHHOLDING BECAUSE AWAITING A TIN. [ ]
(1) YOU HAVE BEEN NOTIFIED BY THE INTERNAL REVENUE
SERVICE THAT YOU ARE SUBJECT TO BACKUP WITHHOLDING AS
A RESULT OF FAILURE TO REPORT ALL INTEREST OR
DIVIDENDS OR,
(2) THE INTERNAL REVENUE SERVICE HAS NOT NOTIFIED
YOU THAT YOU ARE NO LONGER SUBJECT TO BACKUP
WITHHOLDING. [ ]
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XXXXX'S REQUEST FOR CERTIFICATION -- UNDER THE PENALTIES OF PERJURY, I CERTIFY THAT THE INFORMATION
TAXPAYER IDENTIFICATION PROVIDED ON THIS FORM IS TRUE, CORRECT AND COMPLETE.
NUMBER (TIN)
AND CERTIFICATION SIGNATURE __________ DATE ____________________
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NOTE: FAILURE TO COMPLETE AND RETURN THIS FORM MAY RESULT IN BACKUP U.S. FEDERAL
INCOME TAX WITHHOLDING OF 31% OF ANY PAYMENTS MADE TO THE UNDERSIGNED
PURSUANT TO THE MERGER AGREEMENT. PLEASE REVIEW THE ATTACHED "GUIDELINES
FOR CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER ON SUBSTITUTE FORM
W-9" FOR ADDITIONAL DETAILS.
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INSTRUCTIONS
This Election Form and Letter of Transmittal is to be completed and
submitted to the Exchange Agent prior to the Election Deadline by those holders
of Standard common shares desiring to make an Election. It also may be used as a
letter of transmittal for holders of Standard common shares who do not complete
and submit the Election Form and Letter of Transmittal prior to the Election
Deadline. Holders of Standard common shares who do not complete and submit this
Election Form and Letter of Transmittal prior to the Election Deadline cannot
make an election. They will be deemed to have made No Election. Until a record
holder's share certificate(s) is received by the Exchange Agent at either of the
addresses (or the facsimile number solely with respect to a Guarantee of
Delivery) set forth on the front of this Election Form and Letter of
Transmittal, together with any other documents the Exchange Agent may require,
and until the same are processed for exchange by the Exchange Agent, the holder
will not receive any certificate representing the Stock Consideration and/or the
check representing the Cash Consideration or the check representing cash in lieu
of fractional shares (if any) in exchange for the holder's share certificate(s).
No interest will accrue on the Cash Consideration or any cash in lieu of
fractional shares. Holders of Standard common shares receiving Stock
Consideration will be entitled to any dividends or other distributions with
respect to Xxxxxx common stock which have a record date and are paid after the
effective time of the merger.
1. TIME IN WHICH TO MAKE AN ELECTION. For an Election to be validly made,
the Exchange Agent must receive, at either of the addresses set forth on the
front of this Election Form and Letter of Transmittal, prior to the Election
Deadline, this Election Form and Letter of Transmittal, properly completed and
executed, and accompanied by all of the certificates representing the Standard
common shares owned by that holder or by a Guarantee of Delivery. Any
shareholder whose Election Form and Letter of Transmittal and certificates (or
Guarantee of Delivery) are not so received will be deemed to have made No
Election. In the event Standard common shares covered by a Guarantee of Delivery
are not received prior to the Election Deadline, unless that deadline has been
extended in accordance with the terms of the Merger Agreement, the holder
thereof will be deemed to have made No Election.
2. CHANGE OR REVOCATION OF ELECTION. Any holder of Standard common shares
who has made an Election by submitting an Election Form and Letter of
Transmittal to the Exchange Agent may at any time prior to the Election Deadline
change that holder's Election by submitting to the Exchange Agent a revised
Election Form and Letter of Transmittal, properly completed and signed, that is
received by the Exchange Agent prior to the Election Deadline. Any holder of
Standard common shares may at any time prior to the Election Deadline revoke the
Election and withdraw the certificate(s) for the holder's Standard common shares
deposited with the Exchange Agent by written notice to the Exchange Agent
received on or before the close of business on the day prior to the Election
Deadline. After the Election Deadline, a holder of Standard common shares may
not change the Election and may not withdraw his or her certificate(s) unless
the Merger Agreement is terminated.
3. JOINT ELECTION FORMS. Two or more holders of Standard common shares who
are determined to constructively own the Standard common shares owned by each
other by virtue of Section 318(a) of the Code and who so certify to Xxxxxx'x
satisfaction, and any single holder of Standard common shares who holds shares
in two or more different names and who so certifies to Xxxxxx'x satisfaction,
may submit a joint Election Form and Letter of Transmittal covering the
aggregate number of Standard common shares owned by all of those holders or by
that single holder as the case may be. For purposes of this Election Form and
Letter of Transmittal and for all purposes of the Merger Agreement, each group
of holders that, and each single holder who, submits a joint Election Form and
Letter of Transmittal will be treated as a single holder of Standard common
shares. If this Election Form and Letter of Transmittal is submitted as a joint
Election Form and Letter of Transmittal, each record holder of Standard common
shares covered hereby must properly sign the Election Form and Letter of
Transmittal, attaching additional sheets if necessary. The signatures of those
holders will be deemed to constitute a certification that the persons submitting
a joint Election Form and Letter of Transmittal are eligible to do so. Holders
submitting a joint Election Form and Letter of Transmittal also must complete
the box labeled "Joint Election."
4. NOMINEES. Record holders of Standard common shares who are nominees
only may submit a separate Election Form and Letter of Transmittal for each
beneficial owner for whom the record holder is a nominee; provided, however,
that at the request of Xxxxxx the record holder must certify to Xxxxxx'x
satisfaction that the record holder holds those Standard common shares as
nominee for the beneficial owner(s) thereof. Each beneficial owner for which an
Election Form and Letter of Transmittal is submitted will be treated as a
separate holder of Standard common shares, subject, however, to filing a joint
Election Form and Letter of Transmittal under Instruction 3 above.
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5. GUARANTEE OF SIGNATURES. No signature guarantee is required on this
Election Form and Letter of Transmittal if this Election Form and Letter of
Transmittal is signed by the record holder(s) of the Standard common shares
tendered herewith, and the certificate representing Xxxxxx common stock and/or
the check, if applicable, are to be issued to that record holder(s) without any
correction or change in the name of the record holder(s). IN ALL OTHER CASES,
ALL SIGNATURES ON THIS ELECTION FORM AND LETTER OF TRANSMITTAL MUST BE
GUARANTEED. All signatures required to be guaranteed in accordance with these
instructions must be guaranteed by a bank, broker or other institution that is a
member of a Medallion Signature Guaranty Program. Public notaries cannot execute
acceptable guarantees of signatures.
6. SIGNATURES ON ELECTION FORM AND LETTER OF TRANSMITTAL, STOCK POWERS AND
ENDORSEMENTS.
(a) If this Election Form and Letter of Transmittal is signed by the
record holder(s) of the certificate(s) tendered hereby without any
alteration, variation, correction or change in the name of the record
holder(s), the signature(s) must correspond exactly with the name(s) as
written on the face of the certificate(s) without any change whatsoever. In
the event the name of the record holder(s) needs to be corrected or has
changed (by marriage or otherwise), see Instruction 7.
(b) If any Standard common shares tendered hereby are held of record
by two or more joint holders, each of the joint holders must sign this
Election Form and Letter of Transmittal.
(c) If this Election Form and Letter of Transmittal is signed by the
record holder(s) of the share certificate(s) listed and transmitted hereby,
no endorsements of the certificate(s) or separate stock powers are
required.
(d) If any surrendered Standard common shares are registered in
different names on several share certificates, it will be necessary to
complete, sign and submit as many separate Election Forms and Letters of
Transmittal as there are different registrations of share certificates.
(e) If this Election Form and Letter of Transmittal is signed by a
person(s) other than the record holder(s) of the certificate(s) listed, the
certificate(s) must be endorsed or accompanied by appropriate stock powers,
in either case signed exactly as the name of the record holder(s) appears
on the certificate(s). Signatures on the certificate or stock powers must
be guaranteed. See Instruction 5.
(f) If this Election Form and Letter of Transmittal or any share
certificate(s) or stock power(s) is signed by a person(s) other than the
record holder(s) of the share certificate(s) listed and the signer(s) is
acting in the capacity of trustee, executor, administrator, guardian,
attorney-in-fact, officer of a corporation or any other person(s) acting in
a fiduciary or representative capacity, that person(s) must so indicate
when signing and must submit proper evidence satisfactory to the Exchange
Agent of authority to so act.
7. SPECIAL PAYMENT AND DELIVERY INSTRUCTIONS. Unless instructions to the
contrary are given in the box entitled "Special Payment Instructions" or the box
entitled "Special Delivery Instructions," the certificate representing Xxxxxx
common stock and/or the check to be distributed upon the surrender of Standard
common shares pursuant to this Election Form and Letter of Transmittal will be
issued in the name and mailed to the address of the record holder(s) set forth
in the box entitled "Description of Standard Common Shares Surrendered." If the
certificate and/or check are to be issued in the name of a person(s) other than
the record holder(s) or if the name of the record holder(s) needs to be
corrected or changed (by marriage or otherwise), the box entitled "Special
Payment Instructions" must be completed. If the certificate and/or check are to
be sent to a person(s) other than the record holder(s) or to the record
holder(s) at an address other than that shown in the box entitled "Description
of Standard Common Shares Surrendered," the box entitled "Special Delivery
Instructions" must be completed. If the box entitled "Special Payment
Instructions" is completed, or the box entitled "Special Delivery Instructions"
is completed other than for the sole purpose of changing the address of the
record holder(s), the signature(s) of the person(s) signing this Election Form
and Letter of Transmittal must be guaranteed. See Instruction 5.
8. IMPORTANT INFORMATION REGARDING 31% BACKUP WITHHOLDING. Under U.S.
federal income tax law, the holder of Standard common shares must report and
certify his or her social security or other taxpayer identification number and
further certify that the holder is not subject to backup withholding due to
notified underreporting. Failure to complete the Substitute Form W-9 above could
result in certain penalties as well as backup withholding of 31% of payments due
to the holder. See the attached "Guidelines for Certification of Taxpayer
Identification Number on Substitute Form W-9" for additional instructions.
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9. INADEQUATE SPACE. If there is inadequate space to complete any box or
to sign this Election Form and Letter of Transmittal, the information or
signatures required to be provided must be set forth on additional sheets
substantially in the form of the corresponding portion of this Election Form and
Letter of Transmittal and attached to this Election Form and Letter of
Transmittal.
10. INDICATION OF CERTIFICATE NUMBERS AND SHARES. This Election Form and
Letter of Transmittal should indicate the certificate number(s) of the
certificate(s) representing the Standard common shares covered hereby and the
number of shares represented by each certificate.
11. METHOD OF DELIVERY. The method of delivery of all documents is at the
option and risk of the holder of Standard common shares. If delivery is by mail,
the use of registered mail, with return receipt requested, properly insured, is
strongly recommended. A return envelope is enclosed. It is suggested that this
Election Form and Letter of Transmittal be hand delivered or mailed to the
Exchange Agent as soon as possible. Delivery of the documents will be deemed
effective, and risk of loss and title with respect thereto will pass, only when
materials are actually received by the Exchange Agent.
12. PAYMENT WILL BE MADE BY A SINGLE CHECK OR CERTIFICATE. Normally, a
single check and/or a single certificate representing Xxxxxx common stock will
be issued; however, if for tax purposes or otherwise a holder wishes to have the
certificates issued in particular denominations, explicit written instructions
to the Exchange Agent should be provided. Holders participating in a joint
election will receive a single check or share certificate for the holders'
Standard common shares.
13. LOST CERTIFICATES. If any certificate representing Standard common
shares has been lost, stolen or destroyed, the holder should notify the Exchange
Agent in writing and await instructions as to how to proceed.
14. NON-CONSUMMATION OF MERGER. Consummation of the merger is subject to
the required approval of the shareholders of Standard and to the satisfaction of
certain other conditions. No payments related to any surrender of the
certificate(s) will be made prior to the consummation of the merger, and no
payments will be made to shareholders if the Merger Agreement is terminated. If
the Merger Agreement is terminated, all Elections will be void and of no effect
and certificates submitted to the Exchange Agent will be returned as soon as
practicable to the persons submitting them.
15. VOTING RIGHTS AND DIVIDENDS. Holders of Standard common shares will
continue to have the right to vote and to receive all dividends paid on all
Standard common shares deposited by them with the Exchange Agent until the
merger becomes effective.
16. GUARANTEE OF DELIVERY. Holders of Standard common shares whose
certificates are not immediately available or who cannot deliver their
certificates and all other required documents to the Exchange Agent prior to the
Election Deadline, may deliver their Standard common shares by properly
completing and duly executing a Guarantee of Delivery if (1) the Guarantee of
Delivery is made by or through a member of a registered national securities
exchange, a member of the National Association of Securities Dealers, Inc. or by
a commercial bank or trust company in the United States, (2) prior to the
Election Deadline, the Exchange Agent receives a properly completed and duly
executed Guarantee of Delivery, substantially in the form provided herein; and
(3) the certificates for all the Standard common shares covered by the Guarantee
of Delivery, in proper form for transfer (or a book entry confirmation),
together with a properly completed and duly executed Election Form and Letter of
Transmittal and any other documents required by the Election Form and Letter of
Transmittal, are received by the Exchange Agent within three NYSE trading days
after the Election Deadline. If the above requirements are not satisfied in a
timely manner, the holder will be deemed to make No Election.
17. CONSTRUCTION. All Elections will be considered in accordance with the
terms and conditions of the Merger Agreement.
All questions with respect to the Election Form and Letter of Transmittal
(including, without limitation, questions relating to the timeliness,
effectiveness or revocation of any election) will be resolved by Xxxxxx in its
sole discretion and such resolution will be final and binding.
With the consent of Xxxxxx, the Exchange Agent may (but is not required to)
waive any immaterial defects or variances in the manner in which the Election
Form and Letter of Transmittal has been completed and submitted so long as the
intent of the holder of Standard common shares submitting the Election Form and
Letter of Transmittal is reasonably clear. The Exchange Agent is under no
obligation to provide notification of any defects in the deposit and surrender
of any certificate(s) formerly representing Standard common shares.
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18. MISCELLANEOUS. No fraction of a share of Xxxxxx common stock will be
issued upon the surrender for exchange of a certificate(s) for Standard common
shares. In lieu of fractional shares, an amount of cash determined under a
formula set forth in the Merger Agreement will be paid by check.
COMPLETING AND RETURNING THIS ELECTION FORM AND LETTER OF TRANSMITTAL DOES
NOT HAVE THE EFFECT OF CASTING A VOTE WITH RESPECT TO ADOPTION OF THE MERGER
AGREEMENT AND APPROVAL OF THE RELATED TRANSACTIONS AT THE SPECIAL MEETING OF
SHAREHOLDERS OF STANDARD.
19. QUESTIONS AND REQUESTS FOR INFORMATION. Questions and requests for
information or assistance relating to this Election Form and Letter of
Transmittal should be directed to the Exchange Agent (telephone: 000-000-0000).
Additional copies of the Proxy Statement and this Election Form and Letter of
Transmittal may be obtained from the Exchange Agent at either of its addresses
(or the facsimile number) set forth on the front of this Election Form and
Letter of Transmittal or by calling the Exchange Agent at the telephone number
set forth in the preceding sentence.
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GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION
NUMBER ON SUBSTITUTE FORM W-9
GUIDELINES FOR DETERMINING THE PROPER IDENTIFICATION NUMBER TO GIVE THE
PAYER.-- Social Security numbers have nine digits separated by two hyphens:
i.e., 000-00-0000. Employer identification numbers have nine digits separated by
only one hyphen: i.e., 00-0000000. The table below will help determine the
number to give to the payer.
-----------------------------------------------------------
FOR THIS TYPE OF ACCOUNT: GIVE THE
SOCIAL SECURITY
NUMBER OF--
-----------------------------------------------------------
1. An individual's account. The individual
2. Two or more individuals The actual owner of
(joint account) the account or, if
combined funds, any
one of other
individuals (1)
3. Husband and wife The actual owner of
(joint account) the account or, if
joint funds, either
person (1)
4. Custodian account of a minor The minor (2)
(Uniform Gift to Minors Act)
5. Adult and minor The adult or, if the
(joint account) minor is the only
contributor, the minor
(1)
6. Account in the name of The ward, minor, or
guardian or committee for a incompetent person (3)
designated ward, minor, or
incompetent person
7. a. The usual revocable savings The grantor-trustee
trust account (grantor is (1)
also trustee)
b. So-called trust account The actual owner (1)
that is not a legal or valid
trust under State law
-----------------------------------------------------------
-----------------------------------------------------------
FOR THIS TYPE OF ACCOUNT: GIVE THE EMPLOYER
IDENTIFICATION
NUMBER OF--
-----------------------------------------------------------
8. Sole proprietorship account The owner (4)
9. A valid trust, estate, or The legal entity (do
pension trust not furnish the
identification number
of the personal
representative or
trustee unless the
legal entity itself is
not designated in the
account title) (5)
10. Corporate account The organization
11. Religious, charitable, or The corporation
educational organization
account
12. Partnership account The partnership
13. Association, club or other The organization
tax-exempt organization
14. A broker or registered nominee The broker or nominee
15. Account with the Department of The public entity
Agriculture in the name of a
public entity (such as a State
or local government, school
district, or prison) that
receives agricultural program
payments
-----------------------------------------------------------
(1) List first and circle the name of the person whose number you furnish.
(2) Circle the minor's name and furnish the minor's social security number.
(3) Circle the xxxx'x, minor's or incompetent person's name and furnish such
person's social security number.
(4) Show the name of the owner.
(5) List first and circle the name of the legal trust, estate, or pension trust.
NOTE: If no name is circled when there is more than one name, the number
will be considered to be that of the first name listed.
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GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION
NUMBER ON SUBSTITUTE FORM W-9
PAGE 2
OBTAINING A NUMBER
If you don't have a taxpayer identification number or you don't know your
number, obtain Form SS-5, Application for a Social Security Number Card, or Form
SS-4, Application for Employer Identification Number, at the local office of the
Social Security Administration or the Internal Revenue Service and apply for a
number.
PAYEES EXEMPT FROM BACKUP WITHHOLDING
Payees specifically exempted from backup withholding on ALL payments including
the following:
- A corporation.
- A financial institution.
- An organization exempt from tax under Section 501(a) of the Internal Revenue
Code of 1986, as amended (the "Code"), or an individual retirement plan.
- The United States or any agency or instrumentality thereof.
- A State, the District of Columbia, a possession of the United States, or any
subdivision or instrumentality thereof.
- A foreign government, a political subdivision of a foreign government, or
any agency or instrumentality thereof.
- An international organization or any agency or instrumentality thereof.
- A registered dealer in securities or commodities registered in the U.S. or a
possession of the U.S.
- A real estate investment trust. A common trust fund operated by a bank under
Section 584(a) of the Code.
- An exempt charitable remainder trust, or a non-exempt trust described in
section 4947(a)(1) of the Code.
- An entity registered at all times under the Investment Company Act of 1940.
- A foreign central bank of issue.
Payments of dividends and patronage dividends not generally subject to backup
withholding include the following:
- Payments to nonresident aliens subject to withholding under section 1441 of
the Code.
- Payments to partnerships not engaged in a trade or business in the United
States and which have at least one nonresident partner.
- Payments of patronage dividends where the amount renewed is not paid in
money.
- Payments made by certain foreign organizations.
- Payments made to a nominee.
Payments of interest not generally subject to backup withholding include the
following:
- Payments of interest on obligations issued by individuals.
NOTE: You may be subject to backup withholding if this interest is $600 or more
and is paid in the course of the payer's trade or business and you have not
provided your correct taxpayer identification number to the payer.
- Payments of tax-exempt interest (including exempt-interest dividends under
section 852) of the Code.
- Payments described in section 6049(b)(5) of the Code to non-resident aliens.
- Payments on tax-free covenant bonds under section 1451 of the Code.
- Payments made by certain foreign organizations. Payments made to a nominee.
EXEMPT PAYEES DESCRIBED ABOVE MUST STILL COMPLETE THE SUBSTITUTE FORM W-9
ENCLOSED HEREWITH TO AVOID POSSIBLE ERRONEOUS BACKUP WITHHOLDING. FILE
SUBSTITUTE FORM W-9 WITH THE PAYER, REMEMBERING TO CERTIFY YOUR TAXPAYER
IDENTIFICATION NUMBER ON PART III OF THE FORM, WRITE "EXEMPT" ON THE FACE OF THE
FORM, AND SIGN AND DATE THE FORM AND RETURN IT TO THE PAYER. IF YOU ARE A
NON-RESIDENT ALIEN OR A FOREIGN ENTITY NOT SUBJECT TO BACKUP WITHHOLDING GIVE
THE PAYER A COMPLETED FORM W-8 CERTIFICATE OF FOREIGN STATUS.
Payments that are not subject to information reporting are also not subject to
backup withholding. For details, see sections 6041, 6041A(a), 6042, 6044, 6045,
6049, 6050A, and 6050N of the Code and their regulations.
PRIVACY ACT NOTICE. -- Section 6109 requires most recipients of dividends,
interest, or other payments to give taxpayer identification numbers to payers
who must report the payments to IRS. The IRS uses the numbers for identification
purposes and to help verify the accuracy of your tax return. Payers must be
given the numbers whether or not recipients are required to file a tax return.
Payers must generally withhold 31% of taxable interest, dividends, and certain
other payments to a payee who does not furnish a taxpayer identification number
to a payer. Certain penalties may also apply.
PENALTIES
(1) PENALTY FOR FAILURE TO FURNISH TAXPAYER IDENTIFICATION NUMBER. -- If you
fail to furnish your taxpayer identification number to a payer, you are subject
to a penalty of $50 for each such failure unless your failure is due to
reasonable cause and not to willful neglect.
(2) CIVIL PENALTY FOR FALSE INFORMATION WITH RESPECT TO WITHHOLDING -- If you
make a false statement with no reasonable basis which results in no imposition
of backup withholding, you are subject to a penalty of $500.
(3) CRIMINAL PENALTY FOR FALSIFYING INFORMATION. -- Falsifying certifications or
affirmations may subject you to criminal penalties including fines and/or
imprisonment.
FOR ADDITIONAL INFORMATION CONTACT YOUR TAX
CONSULTANT OR THE INTERNAL REVENUE SERVICE.
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