EX-99.3 4 gdrzfform6kexhibit993051618.htm SUPPLEMENTAL MAILING LIST RETURN CARD gdrzfform6kexhibit993051618.htm - Generated by SEC Publisher for SEC Filing

 

Exhibit 99.3


SUPPLEMENTAL MAILING LIST RETURN CARD

(National Instrument 54-101)

NOTICE TO SHAREHOLDERS OF GOLD RESERVE INC.

National Instrument 54-101 Communication with Beneficial Owners of Securities of a Reporting Issuer and National Instrument 51-102 Continuous Disclosure Obligations (the “Rule”) together establish a framework for communication between issuers and their registered and non-registered shareholders.

The Rule exempts companies from having to deliver interim financial statements and management’s discussion and analysis (“MD&A”) to their registered shareholders if the companies send interim financial statements and MD&A to those shareholders, whether registered or not, who request in writing to receive them.

If you are a registered or non-registered shareholder, and wish to be placed on a supplemental mailing list for the receipt of these financial statements and MD&A, you must complete and return the Supplemental Return Card below.

The supplemental mailing list will be updated each year and, therefore, a Supplemental Return Card will be required from you annually in order for you to receive interim financial statements and MD&A. All other shareholder mailings will continue to be mailed to registered shareholders in the normal manner without the completion of a Return Card.

TO:

Gold Reserve Inc. (the “Company”) Cusip # 38068 N 10 8

 

The undersigned certifies that he/she/it is the owner of securities of the Company, and requests that he/she/it be placed on the Company’s Supplemental Mailing List in respect of its interim financial statements and MD&A.

Name (please print)

Address

City/Province (or State)/Postal Code

Signature of shareholder, or if shareholder is a Company, signature of authorized signatory

Dated

 

If you are interested in receiving the abovementioned information, please complete and return this document to:

Computershare Investor Services
P.O. Box 505000
Louisville, KY 40233

As the supplemental list will be updated each year, a supplemental return card will be required from you annually in order for your name to remain on the list.