Epstein Secrets

ne 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: 4. For all other Shareholders Date of birth: / / Country of incorporation or organi

"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

ne 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: 4. For all other Shareholders Date of birth: / / Country of incorporation or organi

"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

ne 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: 4. For all other Shareholders Date of birth: / / Country of incorporation or organi

"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