Special Power Of Attorney Of Representation

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SPECIAL POWER OF ATTORNEY OF REPRESENTATION
IN ORDINARY GENERAL ASSEMBLY OF SHAREHOLDERS
SC PRODLACTA SA
on 28 / 29.04.2016
The undersigned [legal entity________________________________________ with headquarter in___________________,
___________ County, _______________________ registered in the Trade Register under no. _____________________, Unique
Registration Code __________________]
The
undersigned
[citizen
____________________________
residing
in
______________________________________________, ______________________________, identified with Passport /
Identity Card number_________________ issued by ___________________, on ___________, NSO____________________]
owner of a number of _______________ ____________ shares of the total shares issued by SC Prodlacta SA, which gives me the
right of ____________ votes in the General Assembly of Shareholders, representing _______ of the total voting rights mandate
hereby on:
Society____________________________having
FIC_________________registered
in
the
Trade
Register____________________ № ._______________, the registered office of which is in_________________________,
legally
represented________________________________,
performs
BI/CI
series_____no.______________NSO____________________________________
Mr. (Ms.) __________________________________ individual, legitimized (a) with CI / BI __________________ CNP
________________________, residing (a)_____________________________________________
as my representative within the Ordinary General Assembly of Shareholders of SC Prodlacta SA, that will take place on
April 28, 2016, at 10.00 o’clock, at company’s registered office in Brasov, 5 Ecaterina Teodoroiu street., or April 29, 2016, at
10.00 o’clock, in case if the former could not exercise the voting rights of my shares registered within the shareholder Register
respectively 18.04.2016, as follows:
The text of the motions submitted for voting
Pro
Against
Abstention
1.
Presentation, discussion and approval of the annual financial statements
prepared for the financial year 2015, based on reports of the Board of
Directors and the financial auditor;
2.
Presentation, discussion and approval of the annual report of the directors
prepared in accordance with Regulation no. 1/2006 of NSC
3.
Granting discharge the directors for the financial year ended December
31, 2015.
4.
Presentation, discussion and adoption of the budget of income and
expenses for the year 2015 and the programme of activities for the year
2015
5.
Election by secret ballot of two members of the Board of Directors as a
result of resignations administrators Mr. Serghei Puşcuţă and Mr. Victor
Cibotaru. The duration of their mandate being limited to the term of
office of the Board of Directors in operation (term 2015-2019), the
indemnity being established within the AGOM on April 29, 2015.

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