EX-99.7 10 ex997tos1a105558_03232011.htm ex997tos1a105558_03232011.htm
Exhibit 99.7
 
EMPIRE RESORTS, INC.
 
39,606,201 SHARES OF COMMON STOCK
ISSUABLE UPON EXERCISE OF SUBSCRIPTION RIGHTS
 
BENEFICIAL OWNER ELECTION FORM
 
I (We) acknowledge receipt of your letter and the enclosed materials relating to the offering of shares of EMPIRE RESORTS, INC. common stock, par value $0.01 per share (the “Common Stock”), issuable upon the exercise of subscription rights (“Subscription Rights”).
 
In this form, I (we) instruct you whether to exercise Subscription Rights to purchase shares of Common Stock distributed with respect to the Common Stock held by you for my (our) account, pursuant to the terms and subject to the conditions set forth in the prospectus dated [     ] [  ], 2011 (the “Prospectus”).
 
 
BOX 1.
o
Please do not exercise Subscription Rights for shares of Common Stock.
 
BOX 2.
o
Please exercise Subscription Rights for me (us) and purchase shares of the Common Stock as set forth below:

Number of shares owned as of the date hereof:
           
   
NUMBER
OF SHARES
 
SUBSCRIPTION
PRICE
     
PAYMENT
 
Basic Subscription Rights
   
X
$0.8837
 
=
 
$
            
(line 1)
 
Oversubscription Rights
   
X
$0.8837
 
=
 
$
            
(line 2)
 
     
Total payment required
(sum of line 1 and 2)
 
=
 
$
   
 
 
BOX 3.
o
Payment in the following amount is enclosed: $__________
     
(This amount must equal the amount set forth under “Total payment required” above)

 
BOX 4.
o
Please deduct payment from the following account maintained by you as follows:
 
 
Type of Account:       Account No.:  
         
Amount to be deducted: $         
         
         
         
     
Signature
 
Date
 
         
       
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