EX-99.2 6 d582336dex992.htm EX-99.2 EX-99.2

Exhibit 99.2

LETTER OF ELECTION AND TRANSMITTAL

Offer by

MOUNTAIN MERGER SUB CORPORATION

a wholly owned subsidiary

of

ANNALY CAPITAL MANAGEMENT, INC.

to Exchange Each Outstanding Share of Common Stock of

MTGE INVESTMENT CORP.

for

$9.82 in Cash and

0.9519 Shares of Common Stock of Annaly Capital Management, Inc.

or

$19.65 in Cash

or

1.9037 Shares of Common Stock of Annaly Capital Management, Inc.

(subject in each case to the election procedures and, in the case of an election of all-cash consideration or all-stock consideration, to the proration procedures described in the prospectus/offer to exchange and this letter of election and transmittal)

 

THE OFFER AND THE WITHDRAWAL RIGHTS WILL EXPIRE AT 5:00 P.M., EASTERN TIME, ON JUNE 18, 2018, UNLESS EXTENDED. SHARES TENDERED PURSUANT TO THE OFFER MAY BE WITHDRAWN AT ANY TIME PRIOR TO THE EXPIRATION OF THE OFFER.

 

DESCRIPTION OF SHARES TENDERED

 

   

Shares Tendered
(Attach additional signed list if necessary)

Name(s) and

Address(es) of

Registered Holder(s)

(Please fill in, if blank,

exactly as name(s)

appear(s) on certificate(s))

  Certificate
Number(s)
  Total Number of
Shares
Represented by
Certificate(s)
   Total Number of
Shares Tendered
(including book
entry shares)(1)
 

     

 

     

 

     

 

     

 

Total Shares

 

 

  (1) Unless otherwise indicated, it will be assumed that all shares represented by any certificates delivered to the exchange agent (defined below) are being tendered. See Instruction 4.  

Voluntary Corporate Action: COY MTGE


The exchange agent for the

offer is:

 

 

LOGO

 

By Mail:  

By Express Mail,

Courier or any other expedited

service:

Computershare Trust Company, N.A.

c/o Voluntary Corporate Actions

P.O. Box 43011

Providence, RI 02940-3011

 

Computershare Trust Company, N.A.

c/o Voluntary Corporate Actions

Suite V

250 Royall Street

Canton, MA 02021

LOST CERTIFICATES: IF CERTIFICATE(S) HAVE BEEN LOST, STOLEN, MISPLACED OR DESTROYED, PLEASE SEE INSTRUCTION 10.

EXCHANGE OFFER ELECTION

(See Instruction 12)

A. Check ONE box if you wish to tender ALL your shares of MTGE Common Stock for one of the elections:

 

CHECK HERE TO ELECT MIXED CONSIDERATION ($9.82 IN CASH AND 0.9519 SHARES OF ANNALY COMMON STOCK PER SHARE) FOR ALL SHARES TENDERED

 

CHECK HERE TO ELECT ALL-CASH CONSIDERATION ($19.65 IN CASH PER SHARE) FOR ALL SHARES TENDERED

 

CHECK HERE TO ELECT ALL-STOCK CONSIDERATION (1.9037 SHARES OF ANNALY COMMON STOCK PER SHARE) FOR ALL SHARES TENDERED

If you check more than one box, we will treat ALL your shares as if you made the election for mixed consideration.

OR

 

B. If you would like to make more than one election for the shares of MTGE Common Stock that you are tendering, list below the number of shares of MTGE Common Stock you desire to tender by election type:

If you did not check a box above and would like to make more than one election for the shares of MTGE Common Stock you would like to tender, indicate the number of shares of MTGE Common Stock next to each desired election below. The total number of shares of MTGE Common Stock next to the three elections should equal the number of shares of MTGE Common Stock listed in the box titled “Description of Shares Tendered” above. If you have checked one of the boxes above, that election will govern all of your shares of MTGE Common Stock and any numbers entered next to the election below will be disregarded. If you make elections for more shares of MTGE Common Stock than the shares of MTGE Common Stock described in the box titled “Description of Shares Tendered,” your elections will be reduced on a pro rata basis relative to the number of shares of MTGE Common Stock you indicated for each election. If you make elections for fewer shares of MTGE Common Stock than the shares of MTGE Common Stock described in the box titled “Description of Shares Tendered,” the number of shares with respect to which you have not made an election will be treated as if you made the election for mixed consideration.

             NUMBER OF SHARES TENDERED FOR MIXED CONSIDERATION

 

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             NUMBER OF SHARES TENDERED FOR THE ALL-CASH CONSIDERATION

             NUMBER OF SHARES TENDERED FOR THE ALL-STOCK CONSIDERATION

ALL ELECTIONS ARE SUBJECT TO THE ELECTION PROCEDURES, AND IN THE CASE OF AN ELECTION OF ALL-CASH CONSIDERATION OR ALL-STOCK CONSIDERATION, TO THE PRORATION PROCEDURES, DESCRIBED IN THE PROSPECTUS/OFFER TO EXCHANGE AND IN THIS LETTER OF ELECTION AND TRANSMITTAL.

ALL SHARES TENDERED BUT FOR WHICH NO ELECTION IS MADE ABOVE WILL BE TREATED AS IF THE HOLDER MADE AN ELECTION FOR MIXED CONSIDERATION.

DELIVERY OF THIS LETTER OF ELECTION AND TRANSMITTAL TO AN ADDRESS OTHER THAN AS SET FORTH ABOVE WILL NOT CONSTITUTE A VALID DELIVERY TO THE EXCHANGE AGENT.

THE INSTRUCTIONS SET FORTH IN THIS LETTER OF ELECTION AND TRANSMITTAL SHOULD BE READ CAREFULLY AND IN THEIR ENTIRETY BEFORE THIS LETTER OF ELECTION AND TRANSMITTAL IS COMPLETED.

The offer (described below) is not being made to (nor will tender of shares be accepted from or on behalf of) stockholders in any jurisdiction where it would be illegal to do so.

This letter of election and transmittal (this “letter of election and transmittal”) is to be used for tendering shares of common stock, par value $0.01 per share (“MTGE Common Stock”), of MTGE Investment Corp. (“MTGE”). MTGE stockholders may use this form if certificates evidencing shares of MTGE Common Stock are to be forwarded herewith or, unless a message transmitted by The Depository Trust Company (“DTC”) to, and received by, Computershare Trust Company, N.A. (the “exchange agent”) and forming a part of a book-entry confirmation, which states that DTC has received an express acknowledgment from the DTC participant tendering the shares that are the subject of such book-entry confirmation that such participant has received and agrees to be bound by the terms of this letter of election and transmittal and that Mountain Merger Sub Corporation may enforce this agreement against such participant (an “Agent’s Message”) is utilized, if delivery of shares of MTGE Common Stock is to be made by book-entry transfer to the account of the exchange agent at DTC, pursuant to the procedures set forth in the section of the prospectus/offer to exchange, dated May 16, 2018 (as it may be amended or supplemented from time to time, the “prospectus/offer to exchange”) titled “The Offer—Procedure for Tendering.” We refer to the prospectus/offer to exchange, together with this letter of election and transmittal, as the “offer”.

Delivery of documents to DTC or to any other party does not constitute delivery to the exchange agent.

The undersigned hereby tenders the shares of MTGE Common Stock described in the box above titled “Description of Shares Tendered” pursuant to the terms and conditions of the offer. Such tenders are subject to the elections (each, an “exchange offer election”) specified under the section above titled “Exchange Offer Election” , or if no exchange offer election is specified or you are treated as if you did not make an election, will be deemed tendered with no election and will be treated as having elected to receive the mixed consideration. See the section in the prospectus/offer to exchange titled “The Offer—Consequences of Tendering with No Election.”

 

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Ladies and Gentlemen:

Annaly Capital Management, Inc. (“Annaly”), through its wholly owned subsidiary Mountain Merger Sub Corporation (“Offeror”) is offering, upon the terms and subject to the conditions set forth in the prospectus/offer to exchange and in this letter of election and transmittal, to exchange for each issued and outstanding share of MTGE Common Stock, at the election of the holder:

 

    the mixed consideration;

 

    the all-cash consideration; or

 

    the all-stock consideration,

without interest and less any applicable withholding taxes, and subject to the election procedures and, in the case of an election for the all-cash consideration or the all-stock consideration, to the proration procedures described in the prospectus/offer to exchange and this letter of election and transmittal. See the section of the prospectus/offer to exchange titled “The Offer—Elections and Proration.”

The offer will expire at 5:00 p.m. Eastern Time, on June 18, 2018 (the “Expiration Time”), unless extended as described in the prospectus/offer to exchange, in which case the “Expiration Time” will be the latest time and date on which the offer, as so extended, expires.

The undersigned elects to have his, her or its shares of MTGE Common Stock acquired pursuant to one or more of the foregoing options, as indicated in the section above titled “Exchange Offer Election.”

IF THE UNDERSIGNED FAILS TO PROPERLY MAKE AN EXCHANGE OFFER ELECTION, THE UNDERSIGNED WILL BE TREATED AS IF THE UNDERSIGNED MADE THE ELECTION FOR MIXED CONSIDERATION.

Upon the terms and subject to the conditions of the offer (and if the offer is extended or amended, the terms of any such extension or amendment), and effective upon acceptance for exchange of the shares of MTGE Common Stock tendered herewith in accordance with the terms of the offer, the undersigned hereby sells, assigns and transfers to or upon the order of the Offeror all right, title and interest in and to any and all of the shares of MTGE Common Stock that are being tendered hereby (and any and all dividends, distributions, rights, other shares of MTGE Common Stock or other securities issued or issuable in respect thereof on or after the date hereof (collectively, “Distributions”)) and irrevocably constitutes and appoints the exchange agent the true and lawful agent and attorney-in-fact of the undersigned with respect to such shares of MTGE Common Stock (and any and all Distributions), with full power of substitution (such power of attorney being deemed to be an irrevocable power coupled with an interest), to (1) deliver certificates for such shares of MTGE Common Stock (and any and all Distributions) or transfer ownership of such shares of MTGE Common Stock (and any and all Distributions) on the account books maintained by DTC, together, in any such case, with all accompanying evidences of transfer and authenticity, to or upon the order of Offeror, (2) present such shares of MTGE Common Stock (and any and all Distributions) for transfer on the books of MTGE and (3) receive all benefits and otherwise exercise all rights of beneficial ownership of such shares of MTGE Common Stock (and any and all Distributions), all in accordance with the terms of the offer.

By executing this letter of election and transmittal, or through delivery of an Agent’s Message, the undersigned hereby irrevocably appoints the designees of Offeror as the undersigned’s agents, attorneys-in-fact and proxies, each with full power of substitution, to exercise to the full extent the rights of the undersigned with respect to all of the shares of MTGE Common Stock tendered hereby (and any Distribution) which have been accepted for exchange by Offeror on or after the date of the commencement of the offer. All such powers of attorney and proxies shall be considered irrevocable and coupled with an interest in the tendered shares of MTGE Common Stock (and all Distributions relating thereto). Such appointment will be effective when, and only to the extent that, Offeror accepts such shares of MTGE Common Stock for exchange. Such

 

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acceptance for exchange shall, without further action, revoke any prior powers of attorney and proxies given by the undersigned at any time with respect to such shares of MTGE Common Stock (and any and all Distributions), and no subsequent powers of attorney, proxies, consents or revocations may be given or executed by the undersigned with respect thereto (and, if given or executed, will not be deemed effective). The designees of Offeror will, with respect to the shares of MTGE Common Stock (and such other shares of MTGE Common Stock and securities) for which the appointment is effective, be empowered to exercise all voting, consent and other rights of such stockholder as they in their discretion may deem proper at any annual or special meeting of MTGE stockholders or any adjournment or postponement thereof, by written consent in lieu of any such meeting or otherwise. Annaly reserves the right to require that, in order for the shares of MTGE Common Stock to be deemed validly tendered, immediately upon Offeror’s acceptance of shares of MTGE Common Stock for exchange, Offeror must be able to exercise full voting, consent and other rights with respect to such shares of MTGE Common Stock (and any and all Distributions).

The undersigned hereby represents and warrants that (1) the undersigned owns the tendered shares of MTGE Common Stock (and any and all other shares of MTGE Common Stock or other securities issued or issuable in respect of such shares of MTGE Common Stock), (2) the undersigned has the full power and authority to tender, sell, assign and transfer the tendered shares of MTGE Common Stock (and any and all other shares of MTGE Common Stock or other securities issued or issuable in respect of such shares of MTGE Common Stock) and (3) when the same are accepted for exchange by Offeror, Offeror shall acquire good and unencumbered title thereto, free and clear of all liens, restrictions, charges and encumbrances and not subject to any adverse claims. The undersigned, upon request, shall execute and deliver all additional documents deemed by the exchange agent or Offeror to be necessary or desirable to complete the sale, assignment and transfer of the shares of MTGE Common Stock tendered hereby (and any and all Distributions). In addition, the undersigned shall remit and transfer promptly to the exchange agent for the account of Offeror all Distributions in respect of the shares of MTGE Common Stock tendered hereby, accompanied by appropriate documentation of transfer, and, pending such remittance and transfer or appropriate assurance thereof, Offeror shall be entitled to all rights and privileges as owner of each such Distribution and may withhold the entire consideration of the shares of MTGE Common Stock tendered hereby or deduct from such consideration the amount or value of such Distribution as determined by Offeror in its sole discretion.

All authority herein conferred or agreed to be conferred shall survive the death or incapacity of the undersigned, and any obligation of the undersigned hereunder shall be binding upon the heirs, executors, administrators, personal representatives, trustees in bankruptcy, successors and assigns of the undersigned. Except as stated in the prospectus/offer to exchange, this tender is irrevocable.

The undersigned understands that the valid tender of shares of MTGE Common Stock pursuant to any of the procedures described in the section of the prospectus/offer to exchange titled “The Offer—Procedure for Tendering” and in the Instructions hereto will constitute a binding agreement between the undersigned and Offeror upon the terms of and subject to the conditions to the offer (and, if the offer is extended, amended, supplemented or earlier terminated, the terms or the conditions of any such extension, amendment, supplement or termination). The undersigned recognizes that, under the circumstances set forth in the prospectus/offer to exchange, Offeror may not be required to accept for exchange any of the shares of MTGE Common Stock tendered hereby.

The undersigned understands that the delivery and surrender of shares of MTGE Common Stock that the undersigned has tendered is not effective, and the risk of loss of such shares of MTGE Common Stock does not pass to the exchange agent, unless and until the exchange agent receives this letter of election and transmittal, duly completed and signed, or an Agent’s Message (as defined in the prospectus/offer to exchange in the section titled “The Offer—Procedure for Tendering”) in connection with a book-entry transfer of shares, together with all accompanying evidences of authority in form satisfactory to Annaly and any other required documents. THE UNDERSIGNED UNDERSTANDS THAT OFFEROR’S INTERPRETATION OF THE TERMS AND CONDITIONS OF THE OFFER (INCLUDING THIS LETTER OF ELECTION AND TRANSMITTAL AND THE INSTRUCTIONS HERETO) WILL BE FINAL AND BINDING TO THE FULLEST EXTENT PERMITTED BY LAW. ALL QUESTIONS AS TO THE FORM OF DOCUMENTS AND THE VALIDITY, FORM, ELIGIBILITY (INCLUDING TIME OF RECEIPT) AND ACCEPTANCE FOR EXCHANGE OF

 

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Voluntary Corporate Action: COY MTGE


ANY SHARES OF MTGE COMMON STOCK WILL BE DETERMINED BY OFFEROR IN ITS SOLE DISCRETION, WHICH DETERMINATION SHALL BE FINAL AND BINDING TO THE FULLEST EXTENT PERMITTED BY LAW. NOTHING IN THE PROSPECTUS/OFFER TO EXCHANGE OR THIS LETTER OF ELECTION AND TRANSMITTAL AND THE INSTRUCTIONS HERETO SHALL LIMIT THE RIGHT OF THE HOLDERS OF SHARES OF MTGE COMMON STOCK TO CHALLENGE SUCH INTERPRETATION OR DETERMINATION OF THE OFFEROR IN A COURT OF COMPETENT JURISDICTION. The undersigned also understands that no tender of shares of MTGE Common Stock will be deemed validly made until all defects and irregularities with respect thereto have been cured or waived. In addition, the undersigned understands that none of Offeror or any of its affiliates or assigns, the exchange agent or the information agent identified on the back page of this letter of election and transmittal or any other person is or will be under any duty to give notification of any defects or irregularities in tenders or will incur any liability for failure to give any such notification.

Unless otherwise indicated under “Special Issuance or Payment Instructions,” the undersigned hereby requests that the shares of common share, par value $0.01 per share, of Annaly (“Annaly Common Stock”) and/or a check for cash (including any cash paid in lieu of a fractional share of Annaly Common Stock), and the return of any certificates for the shares of MTGE Common Stock not tendered or not accepted for exchange, be in the name(s) of the undersigned (and, in the case of shares of MTGE Common Stock tendered by book-entry transfer, by credit to the applicable account at DTC appearing above in the box titled “Description of Shares Tendered”). The undersigned recognizes that Offeror has no obligation, pursuant to the “Special Issuance or Payment Instructions,” to transfer any shares of MTGE Common Stock from the name of the registered holder(s) thereof if Offeror does not accept for exchange any of the shares of MTGE Common Stock so tendered.

Similarly, unless otherwise indicated under “Special Delivery Instructions,” the undersigned hereby requests that the shares of Annaly Common Stock and/or a check for cash (including any cash paid in lieu of a fractional share of Annaly Common Stock) and any certificates for the shares of MTGE Common Stock not tendered or not accepted for exchange (and any accompanying documents, as appropriate) be mailed to the undersigned at the address(es) of the registered holder(s) appearing above in the box titled “Description of Shares Tendered.” In the event that the boxes titled “Special Issuance or Payment Instructions” and “Special Delivery Instructions” are both completed, the undersigned hereby requests that the certificates for shares of Annaly Common Stock (or, at Annaly’s election, evidence of book-entry of Annaly Common Stock) and a check for cash (including any cash in lieu of a fractional share of Annaly Common Stock) and the return of any certificates evidencing shares of MTGE Common Stock not tendered or not accepted for exchange, be issued in the name(s) of and mailed to the person(s) so indicated. Stockholders tendering shares of MTGE Common Stock by book-entry transfer may request that shares of MTGE Common Stock not exchanged be credited to such account at DTC as such stockholder may designate under “Special Issuance or Payment Instructions.” If no such instructions are given, any such shares of MTGE Common Stock not exchanged will be returned by crediting the account at the book-entry transfer facility designated herein.

 

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Voluntary Corporate Action: COY MTGE


SPECIAL ISSUANCE OR PAYMENT

INSTRUCTIONS

(See Instructions 1, 5, 6 and 7)

To be completed ONLY if the certificates for shares of Annaly Common Stock (or, at Annaly’s election, evidence of book-entry issuance of shares of Annaly Common Stock) and/or the check for cash payable pursuant to the offer (less applicable withholding taxes and without interest), if applicable in either case, are to be issued in the name of someone other than the registered holder(s) listed above in the box titled “Description of Shares Tendered.”

 

Issue as follows:    ☐   Check
   ☐   Share Certificate(s) to:

 

Name   

 

   (Please Print)

 

Address   

 

 

 

  (Include Zip Code)  

 

Area Code and
Telephone No.
  

 

 

Taxpayer Identification
or Social Security No.
  

 

 

 

(Also Complete the Attached IRS Form W-9)

 

 

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Voluntary Corporate Action: COY MTGE


SPECIAL DELIVERY INSTRUCTIONS

(See Instructions 1, 5 and 7)

To be completed ONLY if the certificates for shares of Annaly Common Stock (or, at Annaly’s election, evidence of book-entry issuance of shares of Annaly Common Stock) and/or the check for cash payable pursuant to the offer (less applicable withholding taxes and without interest), if applicable in either case, are to be sent to an address other than the address(es) of the registered holder(s) listed above in the box titled “Description of Shares Tendered.”

 

Mail as follows:    ☐   Check
   ☐   Share Certificate(s) to:

 

Name   

 

(Please Print)

 

Address   

 

 

      

 

(Include Zip Code)

 

Area Code and
Telephone No.
  

 

 

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Voluntary Corporate Action: COY MTGE


IMPORTANT

 

 

STOCKHOLDER: SIGN HERE

(See Instructions 1 and 5)

 

Signature(s) of Holder(s) of Shares—

you MUST sign here

   

 

Dated:                     , 2018

 

Name(s)                
  (Please Print)

 

Capacity (full title)            

   

 

Address                
  (Include Zip Code)

 

Area Code and Telephone No.                 

   

 

Tax Identification or Social Security No. (See attached IRS Form W-9)

   

(Must be signed by registered holder(s) exactly as name(s) appear(s) on stock certificate(s) or on a security position listing or by person(s) authorized to become registered holder(s) by certificates and documents transmitted herewith. If signature is by a trustee, executor, administrator, guardian, attorney-in-fact, agent, officer of a corporation or other person acting in a fiduciary or representative capacity, please set forth full title and see Instruction 5.)

(Please also complete and return the attached IRS Form W-9)

Guarantee of Signature(s)

(If Required—See Instructions 1 and 5)

 

Authorized Signature            

   

 

Name         

 

Name of Firm            

   

 

Address                 
   (Include Zip Code)

 

Area Code and Telephone No.             

   

Dated:

   

 

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Voluntary Corporate Action: COY MTGE


INSTRUCTIONS

FORMING PART OF THE TERMS AND CONDITIONS OF THE OFFER

1. Guarantee of Signatures. No signature guarantee is required on this letter of election and transmittal (1) if this letter of election and transmittal is signed by the registered holder(s) (which term, for purposes of this document, includes any participant in DTC’s systems whose name(s) appear(s) on a security position listing as the owner(s) of the shares of MTGE Common Stock) of shares of MTGE Common Stock and such holder(s) have not completed either the box titled “Special Issuance or Payment Instructions” or the box titled “Special Delivery Instructions” on this letter of election and transmittal or (2) if shares of MTGE Common Stock are tendered for the account of a financial institution (including most commercial banks, savings and loan associations and brokerage houses) that is a member in the Security Transfer Agents Medallion Program or by any other “eligible guarantor institution,” as such term is defined in Rule 17Ad-15 under the Securities Exchange Act of 1934, as amended (an “eligible institution”). In all other cases, all signatures on this letter of election and transmittal must be guaranteed by an eligible institution. See also Instruction 5.

2. Requirements of Tender. This letter of election and transmittal is to be completed by holders of MTGE Common Stock either if certificates evidencing the shares of MTGE Common Stock are to be forwarded herewith or, unless an Agent’s Message is utilized, if delivery of the shares of MTGE Common Stock is to be made pursuant to the procedure for tender by book-entry transfer pursuant to the procedures set forth herein and in the prospectus/offer to exchange. For a MTGE stockholder to validly tender shares of MTGE Common Stock pursuant to the offer, the exchange agent must receive prior to the Expiration Time this letter of election and transmittal (or a manually signed facsimile thereof), properly completed and duly executed, together with any required signature guarantees or, in the case of a book-entry transfer, an Agent’s Message, and any other documents required by this letter of election and transmittal, at one of its addresses set forth on the back cover of this letter of election and transmittal and the certificates representing tendered shares of MTGE Common Stock must be received by the exchange agent at such address or such shares of MTGE Common Stock must be tendered pursuant to the procedure for book-entry transfer described below and a book-entry confirmation must be received by the exchange agent (including an Agent’s Message), in each case prior to the Expiration Time.

An “Agent’s Message,” as defined in the section of the prospectus/offer to exchange titled “The Offer—Procedure for Tendering,” means a message transmitted by DTC to, and received by, the exchange agent and forming a part of a book-entry confirmation, which states that DTC has received an express acknowledgment from the DTC participant tendering the shares that are the subject of such book-entry confirmation, that such participant has received and agrees to be bound by the terms of this letter of election and transmittal and that the Offeror may enforce that agreement against such participant.

THE METHOD OF DELIVERY OF CERTIFICATES REPRESENTING MTGE COMMON STOCK, THIS LETTER OF ELECTION AND TRANSMITTAL AND ALL OTHER REQUIRED DOCUMENTS, INCLUDING DELIVERY THROUGH DTC, IS AT THE OPTION AND THE RISK OF THE TENDERING MTGE STOCKHOLDER AND THE DELIVERY WILL BE DEEMED MADE ONLY WHEN ACTUALLY RECEIVED BY THE EXCHANGE AGENT. IF DELIVERY IS BY MAIL, REGISTERED MAIL WITH RETURN RECEIPT REQUESTED, PROPERLY INSURED, IS RECOMMENDED. IN ALL CASES, SUFFICIENT TIME SHOULD BE ALLOWED TO ENSURE TIMELY DELIVERY.

Offeror will not accept any alternative, conditional or contingent tenders, and no fractional shares of MTGE Common Stock will be accepted for exchange. By executing this letter of election and transmittal (or a manual facsimile thereof), the tendering stockholder waives any right to receive any notice of the acceptance for exchange of the tendered shares of MTGE Common Stock.

3. Inadequate Space. If the space provided herein under “Description of Shares Tendered” is inadequate, the number of shares of MTGE Common Stock tendered and/or the certificate numbers evidencing such of shares of MTGE Common Stock, if applicable, should be listed on a separate signed schedule and attached hereto.

4. Partial Tenders. If fewer than all the shares of MTGE Common Stock evidenced by any certificate delivered to the exchange agent are to be tendered hereby, fill in the number of shares of MTGE Common Stock that are to be tendered in the box titled

 

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“Total Number of Shares Tendered.” In such case, a new certificate evidencing the remainder of the shares of MTGE Common Stock that were evidenced by the old certificates, but were not tended, will be sent to the registered holder(s) at the address(es) listed above in the box titled “Description of Shares Tendered” herein, as soon as practicable after the Expiration Time. All shares of MTGE Common Stock evidenced by certificates delivered to the exchange agent will be deemed to have been tendered unless otherwise indicated.

5. Signatures on letter of election and transmittal; Stock Powers and Endorsements.

(a) Exact Signatures. If this letter of election and transmittal is signed by the registered holder(s) of the shares of MTGE Common Stock tendered hereby, the signature(s) must correspond with the name(s) as written on the face of the certificates evidencing such shares of MTGE Common Stock without alteration, enlargement or any change whatsoever.

(b) Joint Holders. If any of the shares of MTGE Common Stock tendered hereby are held of record by two or more persons, all such persons must sign this letter of election and transmittal.

(c) Different Names on Certificates. If any of the shares of MTGE Common Stock tendered hereby are registered in different names, it will be necessary to complete, sign and submit as many separate letters of election and transmittal as there are different registrations of such shares of MTGE Common Stock.

(d) Endorsements. If this letter of election and transmittal is signed by the registered holder(s) of the shares of MTGE Common Stock tendered hereby, no endorsements of certificates evidencing such shares of MTGE common stock or separate stock powers are required unless the shares of Annaly Common Stock are to be issued to, or certificates evidencing shares of MTGE Common Stock are not tendered or not accepted for exchange are to be issued in the name of, a person other than the registered holder(s). Signatures on any such certificate(s) or stock powers must be guaranteed by an eligible institution.

If this letter of election and transmittal or any certificate evidencing shares of MTGE Common Stock or stock power are executed by a trustee, executor, administrator, guardian, attorney-in-fact, officer of a corporation or other person acting in a fiduciary or representative capacity, such person should so indicate when signing, and proper evidence satisfactory to Annaly of such person so to act must be submitted.

6. Stock Transfer Taxes. Except as otherwise provided in this Instruction 6, Offeror or any successor entity thereto will pay any stock transfer tax with respect to the transfer of any shares of MTGE Common Stock to it pursuant to the offer (for the avoidance of doubt, transfer taxes do not include U.S. federal income or backup withholding taxes). If, however, the purchase price is to be made to, or if certificate(s) evidencing shares of MTGE Common Stock not tendered or not accepted for exchange are to be issued in the name of, any person other than the registered holder(s), or if tendered certificate(s) evidencing shares of MTGE Common Stock are registered in the name of any person other than the person(s) signing this letter of election and transmittal, the amount of any stock transfer taxes (whether imposed on the registered holder(s) or such other person or otherwise) payable on account of any such issuance or transfer to such other person will be deducted from consideration to be received by such stockholder for exchange of such shares of MTGE Common Stock in the offer, unless evidence satisfactory to Annaly of the payment of such taxes, or exemption therefrom, is submitted.

7. Special Issuance or Payment and Delivery Instructions. If certificates (or, at Annaly’s election, evidence of book-entry transfer) for shares of Annaly Common Stock and, if applicable, any shares of MTGE Common Stock not tendered or not accepted for exchange or a check for cash (including any cash in lieu of a fractional Annaly Common Stock) are to be issued in the name of and/or returned to, a person other than the registered holder(s) listed above in the box titled “Description of Shares Tendered” or if any certificates evidencing shares of MTGE Common Stock not tendered or not exchanged or a check are to be sent to someone other than the registered holder(s) listed above in the box titled “Description of Shares Tendered” or to the registered holder(s) listed above in the box titled “Description of Shares Tendered” at an address other than that listed above in the box titled “Description of Shares Tendered,” the appropriate boxes on this letter of election and transmittal should be completed. Stockholders tendering shares of MTGE Common Stock by book-entry transfer may request that shares of MTGE Common Stock not tendered or not accepted for exchange be credited to such account at DTC as such stockholder may designate under “Special Issuance or Payment Instructions.” If no such instructions are given, any such shares of MTGE

 

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Voluntary Corporate Action: COY MTGE


Common Stock not tendered or not accepted for exchange will be returned by crediting the account at DTC designated above in the box titled “Description of Shares Tendered.”

8. Backup Withholding. Under U.S. federal income “backup withholding” tax laws, the exchange agent will be required to withhold a portion of any payments made to certain MTGE stockholders pursuant to the offer. In order to avoid such backup withholding, each MTGE stockholder that is a United States citizen, resident or entity, and, if applicable, each other United States payee, must provide the exchange agent with such stockholder’s or payee’s correct taxpayer identification number, and certify that such stockholder or payee is not subject to such backup withholding by completing the attached IRS Form W-9. Certain stockholders or payees (including, among others, corporations and certain foreign persons) are not subject to these backup withholding and reporting requirements. A MTGE stockholder who is a foreign individual or a foreign entity should complete, sign, and submit to the exchange agent the appropriate IRS Form W-8. An appropriate IRS Form W-8 may be obtained from the exchange agent. Failure to complete IRS Form W-9 or the appropriate IRS Form W-8 will not, by itself, cause shares of MTGE Common Stock to be deemed invalidly tendered, but may require the exchange agent to withhold a portion of the amount of any payments made pursuant to the offer. Taxes withheld from amounts payable in connection with the offer will be treated for all purposes as having been paid to the persons with respect to whom such amounts were withheld.

Backup withholding is not an additional tax. Any amounts withheld under the backup withholding rules may be allowed as a refund or a credit against a payee’s U.S. federal income tax liability provided the required information is furnished to the IRS on a timely basis.

Please consult your accountant or tax advisor for further guidance regarding the completion of IRS Form W-9 or the appropriate IRS Form W-8 to claim exemption from backup withholding, or contact the exchange agent.

FAILURE TO COMPLETE AND RETURN IRS FORM W-9 OR THE APPROPRIATE IRS FORM W-8 MAY RESULT IN BACKUP WITHHOLDING OF A PORTION OF ANY PAYMENTS MADE TO YOU.

9. Requests for Additional Copies. Questions and requests for assistance or additional copies of the prospectus/offer to exchange and this letter of election and transmittal should be directed to the information agent at its address and telephone number set forth on the back page of this letter of election and transmittal. Requests for additional copies of the prospectus/offer to exchange and this letter of election and transmittal may be directed to the information agent at the address and telephone number set forth below. Stockholders may also contact their brokers, dealers, commercial banks, trust companies or other nominees for assistance concerning the offer.

10. Mutilated, Lost, Destroyed or Stolen Certificates. If any certificate representing the shares of MTGE Common Stock to be tendered has been mutilated, lost, destroyed or stolen, the stockholder should promptly notify the exchange agent, Computershare at (800) 733-5001 prior to submitting this letter of election and transmittal. The stockholder should then be instructed as to the steps that must be taken in order to replace the certificate(s). The exchange agent will provide such holders with all necessary forms and instructions to replace any mutilated, lost, stolen or destroyed certificates. This letter of election and transmittal and related documents cannot be processed until the mutilated, lost, destroyed or stolen certificates have been replaced and the replacement certificates have been delivered to the exchange agent in accordance with the instructions contained in this letter of election and transmittal.

11. Waiver of Conditions. Offeror reserves the absolute right to waive any condition of the offer to the extent permitted by applicable law except as specified in the prospectus/offer to exchange.

12. Election Procedure; Revocation or Change of Election. The “exchange offer election” section must be completed if you desire to elect the type of consideration to be received in exchange for the shares of MTGE Common Stock being tendered hereby. There are three elections to choose from: the mixed consideration; the all-cash consideration; and the all-stock consideration. Each election is described in the prospectus/offer to exchange. You may check (i) one box to designate all of your shares for one election option, (ii) fill in the number of shares next to one or more of the election

 

-12-

Voluntary Corporate Action: COY MTGE


options or (iii) leave the election options blank and not check a box. If you leave the election options blank or you make elections for less than all the shares you describe in the box titled “Description of Shares Tendered,” you will be treated as if you made the election to receive the mixed consideration with regards to those shares for which an election was not made. If you check one of the boxes designating all shares for one election, that election will govern all of your shares of MTGE Common Stock tendered in the offer and any numbers entered next to the election options will be disregarded. If you check more than one box above, you will be treated as if you did not make an election. If you make elections for more than the shares you describe in the box titled “Description of Shares Tendered,” your elections will be reduced on a pro rata basis relative to the number of shares of MTGE Common Stock you indicated for each election. See the section in this prospectus/offer to exchange titled “The Offer—Elections and Proration.”

Elections (whether actual or deemed) are irrevocable, except that shares of MTGE Common Stock tendered pursuant to the offer may be withdrawn at any time prior to the Expiration Time. After an effective withdrawal, shares of MTGE Common Stock may be retendered with another election or with no election by submitting to the exchange agent a completed replacement of this letter of election and transmittal (and any other documents required in connection with the offer for properly tendering shares of MTGE Common Stock) prior to the Expiration Time.

13. Irregularities. All questions as to form, validity, eligibility (including time of receipt) and acceptance for exchange of any tender of shares of MTGE Common Stock and any notice of withdrawal will be determined by Offeror in its sole discretion, which determinations shall be final and binding to the fullest extent permitted by law, subject to the rights of MTGE stockholders to challenge such determination in a court of competent jurisdiction. Offeror reserves the absolute right to reject any or all tenders of shares of MTGE Common Stock it determines not to be in proper form or the acceptance of or exchange for which may, in the opinion of Offeror’s counsel, be unlawful. Offeror also reserves the absolute right to waive any defect or irregularity in the tender of any shares of MTGE Common Stock of any particular MTGE stockholder, whether or not similar defects or irregularities are waived in the case of other MTGE stockholders. No tender of shares of MTGE Common Stock will be deemed to be properly made until all defects and irregularities with respect thereto have been cured or waived. Unless waived, any defects or irregularities in connection with tenders must be cured within such time as Offeror shall determine. None of Annaly, Offeror, the exchange agent, the information agent or any other person is or will be obligated to give notice of any defects or irregularities in tenders of shares of MTGE Common Stock, or to waive any such defect or irregularity and none of them will incur any liability for failure to give any such notice or waiver. Offeror’s interpretation of the terms and conditions of the offer, including this letter of election and transmittal, will be final and binding to the fullest extent permitted by law.

IMPORTANT: THIS LETTER OF ELECTION AND TRANSMITTAL, TOGETHER WITH ANY SIGNATURE GUARANTEES, OR, IN THE CASE OF A BOOK-ENTRY TRANSFER, AN AGENT’S MESSAGE, AND ANY OTHER REQUIRED DOCUMENTS, MUST BE RECEIVED BY THE EXCHANGE AGENT PRIOR TO THE EXPIRATION TIME AND CERTIFICATES FOR TENDERED SHARES MUST BE RECEIVED BY THE EXCHANGE AGENT OR SHARES MUST BE DELIVERED PURSUANT TO THE PROCEDURES FOR BOOK-ENTRY TRANSFER, IN EACH CASE PRIOR TO THE EXPIRATION TIME.

Facsimiles of this letter of election and transmittal, properly completed and duly signed, will be accepted. In such case, a copy of this letter of election and transmittal and certificates evidencing shares of MTGE Common Stock and any other required documents should be sent or delivered by each stockholder or such stockholder’s broker, dealer, commercial bank, trust company or other nominee to the exchange agent at one of its addresses set forth herein.

If Offeror becomes aware of any jurisdiction in which the making of the offer or the tender of shares of MTGE Common Stock in connection therewith would not be in compliance with applicable law, Offeror will make a good faith effort to comply with any such law. If, after such good faith effort, Offeror cannot comply with any such law, the offer will not be made to (nor will tenders be accepted from or on behalf of) the holders of shares of MTGE Common Stock in such jurisdiction. In any jurisdiction where the securities, blue sky or other laws require the offer to be made by a licensed broker or dealer, the offer shall be deemed to be made on behalf of Offeror by one or more registered brokers or dealers licensed under the laws of such jurisdiction.

 

-13-

Voluntary Corporate Action: COY MTGE


   

Form  W-9

 

(Rev. November 2017)

Department of the Treasury

Internal Revenue Service

 

Request for Taxpayer

Identification Number and Certification

 

u Go to www.irs.gov/FormW9 for instructions and the latest information.

 

Give Form to the

requester. Do not

send to the IRS.

 

Print or type

See

Specific Instructions

on page 3.

 

 

 

 1  Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.

 

    
 

 

 2  Business name/disregarded entity name, if different from above

 

                        
   3  Checkappropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the
following seven boxes.

 

     

Exemptions (codes apply only to
certain entities, not individuals; see
instructions on page 3):

 

Exempt payee code (if any)                     

 

Exemption from FATCA reporting

code (if any)                                     

 

(Applies to accounts maintained outside the U.S.)

 

    Individual/sole proprietor or
       single-member LLC    

 

    C Corporation         S Corporation         Partnership         Trust/estate          
 

Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) u                                     

 

Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC
if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another
LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is
disregarded from the owner should check the appropriate box for the tax classification of its owner.

 

Other (see instructions) u

 

 

     
 

 

 5  Address (number, street, and apt. or suite no.) See instructions.

 

      

 

  Requester’s name and address (optional)

 

 

 6  City, state, and ZIP code

 

         
    

 

 7  List account number(s) here (optional)

 

                    

 

 

Part I

    

 

 

Taxpayer Identification Number (TIN)

    

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.

 

     

Social security number

 

                       
               

-  

          -                  
    or
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter.    

 

Employer identification number

     
                         
                -                                
Part II      Certification

Under penalties of perjury, I certify that:

 

1.   The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and

 

2.   I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and

 

3.   I am a U.S. citizen or other U.S. person (defined below); and

 

4.   The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

 

Sign
Here
      Signature of
    U.S. person  
u
     Date   u

 

General Instructions

Section references are to the Internal Revenue Code unless otherwise noted.

Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.

Purpose of Form

An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following.

• Form 1099-INT (interest earned or paid)

• Form 1099-DIV (dividends, including those from stocks or mutual funds)

• Form 1099-MISC (various types of income, prizes, awards, or gross proceeds)

• Form 1099-B (stock or mutual fund sales and certain other transactions by brokers)

• Form 1099-S (proceeds from real estate transactions)

• Form 1099-K (merchant card and third party network transactions)

• Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition)

• Form 1099-C (canceled debt)

• Form 1099-A (acquisition or abandonment of secured property)

Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN.

If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later.

 

 

    Cat. No. 10231X  

Form W-9 (Rev. 11-2017)


Form W-9 (Rev. 11-2017)

Page 2

 

 

By signing the filled-out form, you:

1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued),

2. Certify that you are not subject to backup withholding, or

3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners’ share of effectively connected income, and

4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting, later, for further information.

Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9.

Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are:

• An individual who is a U.S. citizen or U.S. resident alien;

• A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States;

• An estate (other than a foreign estate); or

• A domestic trust (as defined in Regulations section 301.7701-7).

Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners’ share of effectively connected taxable income from such business. Further, in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid section 1446 withholding on your share of partnership income.

In the cases below, the following person must give Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States.

• In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity;

• In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the trust; and

• In the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of the trust.

Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities).

Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a “saving clause.” Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes.

If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items.

1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien.

2. The treaty article addressing the income.

3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions.

4. The type and amount of income that qualifies for the exemption from tax.

5. Sufficient facts to justify the exemption from tax under the terms of the treaty article.

Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will

become a resident alien for tax purposes if his or her stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this exception to claim an exemption from tax on his or her scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption.

If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233.

Backup Withholding

What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 28% of such payments. This is called “backup withholding.” Payments that may be subject to backup withholding include interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding.

You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return.

Payments you receive will be subject to backup withholding if:

1. You do not furnish your TIN to the requester,

2. You do not certify your TIN when required (see the instructions for Part II for details),

3. The IRS tells the requester that you furnished an incorrect TIN,

4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only), or

5. You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1983 only).

Certain payees and payments are exempt from backup withholding. See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information.

Also see Special rules for partnerships, earlier.

What is FATCA Reporting?

The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all United States account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information.

Updating Your Information

You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account; for example, if the grantor of a grantor trust dies.

Penalties

Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, 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.

Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty.

Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.

Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties.

 


Form W-9 (Rev. 11-2017)

Page 3

 

 

Specific Instructions

Line 1

You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return.

If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9.

a. Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name.

Note: ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040/1040A/1040EZ you filed with your application.

b. Sole proprietor or single-member LLC. Enter your individual name as shown on your 1040/1040A/1040EZ on line 1. You may enter your business, trade, or “doing business as” (DBA) name on line 2.

c. Partnership, LLC that is not a single-member LLC, C corporation, or S corporation. Enter the entity’s name as shown on the entity’s tax return on line 1 and any business, trade, or DBA name on line 2.

d. Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or DBA name on line 2.

e. Disregarded entity. For U.S. federal tax purposes, an entity that is disregarded as an entity separate from its owner is treated as a “disregarded entity.” See Regulations section 301.7701-2(c)(2)(iii). Enter the owner’s name on line 1. The name of the entity entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner’s name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity’s name on line 2, “Business name/disregarded entity name.” If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN.

Line 2

If you have a business name, trade name, DBA name, or disregarded entity name, you may enter it on line 2.

Line 3

Check the appropriate box on line 3 for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box on line 3.

 

   

IF the entity/person on line 1 is

a(n) . . .

  THEN check the box for . . .
  • Corporation   Corporation
 

• Individual

 

• Sole proprietorship, or

 

• Single-member limited liability company (LLC) owned by an individual and disregarded for U.S. federal tax purposes.

  Individual/sole proprietor or single-member LLC
 

• LLC treated as a partnership for U.S. federal tax purposes,

 

• LLC that has filed Form 8832 or 2553 to be taxed as a corporation, or

 

• LLC that is disregarded as an entity separate from its owner but the owner is another LLC that is not disregarded for U.S. federal tax purposes.

  Limited liability company and enter the appropriate tax classification. (P= Partnership; C= C corporation; or S= S corporation)
  • Partnership   Partnership
  • Trust/estate   Trust/estate

Line 4, Exemptions

If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you.

Exempt payee code.

•  Generally, individuals (including sole proprietors) are not exempt from backup withholding.

•  Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends.

•  Corporations are not exempt from backup withholding for payments made in settlement of payment card or third party network transactions.

•  Corporations are not exempt from backup withholding with respect to attorneys’ fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC.

The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space in line 4.

1—An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2)

2—The United States or any of its agencies or instrumentalities

3—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities

4—A foreign government or any of its political subdivisions, agencies, or instrumentalities

5—A corporation

6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or possession

7—A futures commission merchant registered with the Commodity Futures Trading Commission

8—A real estate investment trust

9—An entity registered at all times during the tax year under the Investment Company Act of 1940

10—A common trust fund operated by a bank under section 584(a)

11—A financial institution

12—A middleman known in the investment community as a nominee or custodian

13—A trust exempt from tax under section 664 or described in section 4947

The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13.

 

IF the payment is for . . .   THEN the payment is exempt
for . . .
Interest and dividend payments   All exempt payees except for 7
Broker transactions   Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012.
Barter exchange transactions and patronage dividends   Exempt payees 1 through 4
Payments over $600 required to be reported and direct sales over $5,0001   Generally, exempt payees 1 through 52
Payments made in settlement of payment card or third party network transactions   Exempt payees 1 through 4
1  See Form 1099-MISC, Miscellaneous Income, and its instructions.
2  However, the following payments made to a corporation and reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys’ fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency.
 


Form W-9 (Rev. 11-2017)

Page 4

 

 

Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with “Not Applicable” (or any similar indication) written or printed on the line for a FATCA exemption code.

A—An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37)

B—The United States or any of its agencies or instrumentalities

C—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities

D—A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(i)

E—A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i)

F—A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state

G—A real estate investment trust

H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940

I—A common trust fund as defined in section 584(a)

J—A bank as defined in section 581

K—A broker

L—A trust exempt from tax under section 664 or described in section 4947(a)(1)

M—A tax exempt trust under a section 403(b) plan or section 457(g) plan

Note: You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed.

Line 5

Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mail your information returns. If this address differs from the one the requester already has on file, write NEW at the top. If a new address is provided, there is still a chance the old address will be used until the payor changes your address in their records.

Line 6

Enter your city, state, and ZIP code.

Part I. Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. If you are a resident alien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, see How to get a TIN below.

If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN.

If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s SSN (or EIN, if the owner has one). Do not enter the disregarded entity’s EIN. If the LLC is classified as a corporation or partnership, enter the entity’s EIN.

Note: See What Name and Number To Give the Requester, later, for further clarification of name and TIN combinations.

How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office or get this form online at www.SSA.gov. You may also get this form by calling 1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by

accessing the IRS website at www.irs.gov/Businesses and clicking on Employer Identification Number (EIN) under Starting a Business. Go to www.irs.gov/Forms to view, download, or print Form W-7 and/or Form SS-4. Or, you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or SS-4 mailed to you within 10 business days.

If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and write “Applied For” in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester.

Note: Entering “Applied For” means that you have already applied for a TIN or that you intend to apply for one soon.

Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8.

Part II. Certification

To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise.

For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier.

Signature requirements. Complete the certification as indicated in items 1 through 5 below.

1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification.

2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form.

3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification.

4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. “Other payments” include payments made in the course of the requester’s trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations).

5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), ABLE accounts (under section 529A), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification.

What Name and Number To Give the Requester

 

For this type of account:   Give name and SSN of:
  1.     Individual   The individual
  2.     Two or more individuals (joint account) other than an account maintained by an FFI   The actual owner of the account or, if combined funds, the first individual on the account1
  3.    

Two or more U.S. persons

(joint account maintained by an FFI)

  Each holder of the account
  4.     Custodialaccount of a minor (Uniform Gift to Minors Act)   The minor2
  5.     a. The usual revocable savings trust (grantor is also trustee)   The grantor-trustee1
  b. So-called trust account that is not a legal or valid trust under state law   The actual owner1
 


Form W-9 (Rev. 11-2017)

Page 5

 

 

For this type of account:   Give name and SSN of:
  6.     Sole proprietorship or disregarded entity owned by an individual   The owner3
  7.     Grantortrust filing under Optional Form 1099 Filing Method 1 (see Regulations section 1.671-4(b)(2)(i)(A))   The grantor*
For this type of account:   Give name and EIN of:
  8.     Disregarded entity not owned by an individual   The owner
  9.     A valid trust, estate, or pension trust   Legal entity4
  10.     Corporation or LLC electing corporate status on Form 8832 or Form 2553   The corporation
  11.     Association, club, religious, charitable, educational, or other tax-exempt organization   The organization
  12.     Partnership or multi-member LLC   The partnership
  13.     A broker or registered nominee   The broker or nominee
  14.     Account with the Department of Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments   The public entity
  15.     Grantor trust filing under the Form 1041 Filing Method or the Optional Form 1099 Filing Method 2 (see Regulations section 1.671-4(b)(2)(i)(B))   The trust

1 List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person’s number must be furnished.

2 Circle the minor’s name and furnish the minor’s SSN.

3 You must show your individual name and you may also enter your business or DBA name on the “Business name/disregarded entity” name line. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN.

4 List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) Also see Special rules for partnerships, earlier.

*Note: The grantor also must provide a Form W-9 to trustee of trust.

Note: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed.

Secure Your Tax Records From Identity Theft

Identity theft occurs when someone uses your personal information such as your name, SSN, or other identifying information, without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund.

To reduce your risk:

• Protect your SSN,

• Ensure your employer is protecting your SSN, and

• Be careful when choosing a tax preparer.

If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter.

If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039.

For more information, see Pub. 5027, Identity Theft Information for Taxpayers.

Victims of identity theft who are experiencing economic harm or a systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059.

Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft.

The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts.

If you receive an unsolicited email claiming to be from the IRS, forward this message to phishing@irs.gov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 1-800-366-4484. You can forward suspicious emails to the Federal Trade Commission at spam@uce.gov or report them at www.ftc.gov/complaint. You can contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338). If you have been the victim of identity theft, see www.IdentityTheft.gov and Pub. 5027.

Visit www.irs.gov/IdentityTheft to learn more about identity theft and how to reduce your risk.

Privacy Act Notice

Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information.

 


The exchange agent for the offer is:

 

 

LOGO

 

By Mail:   By Express Mail,
Courier or any other expedited
service:
Computershare Trust Company, N.A.
c/o Voluntary Corporate Actions
P.O. Box 43011
Providence, RI 02940-3011
  Computershare Trust Company, N.A.
c/o Voluntary Corporate Actions
Suite V
250 Royall Street
Canton, MA 02021

Questions or requests for assistance may be directed to the information agent at its address and telephone number set forth below. Requests for additional copies of the prospectus/offer to exchange and this letter of election and transmittal may be directed to the information agent at the address and telephone number set forth below. Stockholders may also contact their broker, dealer, commercial bank or trust company for assistance concerning the tender offer.

The information agent for the offer is:

LOGO

D.F. King & Co., Inc.

48 Wall Street, 22nd Floor

New York, New York 10005

Banks & Brokers Call: (212) 269-5550

All Others Call Toll-Free: (800) 669-5550

 

Voluntary Corporate Action: COY MTGE