REMENT PLAN OR THE STOCK PURCHASE PLAN YOU SHOULD READ THE SEPARATE "TENDER INSTRUCTION FORMS" AND RELATED MATERIALS CAREFULLY. SIGN HERE (Please Complete Substitute Form W-9 below) Signature(s) of Owner(s) Name(s) (Please Print) Capacity (full title) Address (Zip Code) 42 EFTA_R1_01783663 EFTA02597947 D