CERTIFICATE OF EXCHANGE. To DST Rights Exchange Trust (the “Trust”): The undersigned hereby requests distribution of [ ] shares of common stock, par value $.0001 per share (the “Common Stock”), of DST Systems, Inc. (the “Company”), distributable to the undersigned pursuant to the exchange declared on [ ] (the “Exchange”) pursuant to the terms of the Rights Agreement between the Company and Computershare Trust Company, N.A. as successor rights agent (as amended and restated, the “Rights Agreement”). The undersigned further requests that certificates representing such shares of Common Stock be issued in the name of: The undersigned hereby certifies as of the date hereof that he/she/it (a) was the holder of record of that number of shares indicated above as of the Close of Business (as defined in the Rights Agreement) on [ ] and is entitled to distribution of such number of shares pursuant to the Exchange, (b) is a “Beneficiary” under the Trust Agreement, dated as of [ ], between the Company and [ ], as Trustee (the “Trust Agreement”), (c) is not, and immediately prior to the declaration of the Exchange was not, an Acquiring Person or an Affiliate or Associate of an Acquiring Person (as such terms are defined in the Rights Agreement) (d) shall cease to be a Beneficiary of the Trust upon distribution of the shares identified herein. Signature Date:
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Sources: Rights Agreement (DST Systems Inc)
CERTIFICATE OF EXCHANGE. To DST Ballantyne Strong Rights Exchange Trust (the “"Trust”"): The undersigned hereby requests distribution of [ [__________] shares of common stock, par value $.0001 .01 per share (the “"Common Stock”Shares"), of DST SystemsBallantyne Strong, Inc. (the “"Company”"), distributable to the undersigned pursuant to the exchange declared on [ [__________] (the “"Exchange”") pursuant to the terms of the Rights Agreement between the Company and Computershare Trust CompanyInc., N.A. as successor rights agent (as amended and restated, the “"Rights Agreement”"). The undersigned further requests that certificates representing such shares of Common Stock Shares be issued in the name of: The undersigned hereby certifies as of the date hereof that he/she/it (a) was the holder of record of that number of shares indicated above as of the Close of Business (as defined in the Rights Agreement) on [ [__________] and is entitled to distribution of such number of shares pursuant to the Exchange, (b) is a “"Beneficiary” " under the Trust Agreement, dated as of [ [__________], between the Company and [ ], as Trustee (the “"Trust Agreement”"), (c) is not, and immediately prior to the declaration of the Exchange was not, an Acquiring Person or an Affiliate or Associate of an Acquiring Person or a Person (or an Affiliate or Associate of such Person) Acting in Concert with an Acquiring Person (or any Affiliate or Associate of an Acquiring Person) (as such terms are defined in the Rights Agreement) and (d) shall cease to be a Beneficiary of the Trust upon distribution of the shares identified herein. Signature Date:
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CERTIFICATE OF EXCHANGE. To DST Euronet Worldwide Rights Exchange Trust (the “"Trust”"): The undersigned hereby requests distribution of [ [__________] shares of common stock, par value $.0001 .02 per share (the “"Common Stock”Shares"), of DST SystemsEuronet Worldwide, Inc. (the “"Company”"), distributable to the undersigned pursuant to the exchange declared on [ [__________] (the “"Exchange”") pursuant to the terms of the Rights Agreement between the Company and Computershare Trust Company, N.A. N.A., as successor rights agent (as amended and restated, the “"Rights Agreement”"). The undersigned further requests that certificates representing such shares of Common Stock Shares be issued in the name of: The undersigned hereby certifies as of the date hereof that he/she/it (a) was the holder of record of that number of shares indicated above as of the Close of Business (as defined in the Rights Agreement) on [ [__________] and is entitled to distribution of such number of shares pursuant to the Exchange, (b) is a “"Beneficiary” " under the Trust Agreement, dated as of [ [__________], between the Company and [ [], as Trustee (the “"Trust Agreement”"), (c) is not, and immediately prior to the declaration of the Exchange was not, an Acquiring Person or an Affiliate or Associate of an Acquiring Person or a Person (or an Affiliate or Associate of such Person) Acting in Concert with an Acquiring Person (or any Affiliate or Associate of an Acquiring Person) (as such terms are defined in the Rights Agreement) and (d) shall cease to be a Beneficiary of the Trust upon distribution of the shares identified herein. Signature Date:
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