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lder (including Eligible Israeli Brokers) (see instructions) 2. Type of Shareholder (mom than one box may be applicable): (please print full name) K Corporation (or Limited Liability Company) K Individual K Trust O Partnership O Other K Bank O Broker O Financial Institution 3. For individuals only:
"Declaration of Status for Israeli Income Tax Purposes" us a holder of Ordinary Shares, nominal value €0.011 per share, per share (the "Shares") of Mobileye N.V. (the "Company"), in connection with the tender offer. By completing this form in a manner that would substantiate your eligibility for an exemption
2 mentions1 same-page
Page ?Same page
lder (including Eligible Israeli Brokers) (see instructions) 2. Type of Shareholder (mom than one box may be applicable): (please print full name) K Corporation (or Limited Liability Company) K Individual K Trust O Partnership O Other K Bank O Broker O Financial Institution 3. For individuals only:
"Declaration of Status for Israeli Income Tax Purposes" us a holder of Ordinary Shares, nominal value €0.011 per share, per share (the "Shares") of Mobileye N.V. (the "Company"), in connection with the tender offer. By completing this form in a manner that would substantiate your eligibility for an exemption
2 mentions1 same-page
Page ?Same page
lder (including Eligible Israeli Brokers) (see instructions) 2. Type of Shareholder (mom than one box may be applicable): (please print full name) K Corporation (or Limited Liability Company) K Individual K Trust O Partnership O Other K Bank O Broker O Financial Institution 3. For individuals only:
"Declaration of Status for Israeli Income Tax Purposes" us a holder of Ordinary Shares, nominal value €0.011 per share, per share (the "Shares") of Mobileye N.V. (the "Company"), in connection with the tender offer. By completing this form in a manner that would substantiate your eligibility for an exemption
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Mutual Connections (5)
Entities connected to both K Corporation and Mobileye N.V.
