American Stock Transfer and Trust Company Letter of Transmittal

Summary

This document is a Letter of Transmittal from American Stock Transfer and Trust Company. It is used by shareholders to submit stock certificates for transfer, exchange, or payment, and to provide necessary information for processing, including taxpayer identification details. The form includes instructions for lost certificates, special issuance or delivery requests, and requires the shareholder’s signature and completion of a substitute Form W-9 for tax purposes. The agreement outlines the process for handling stock certificates and related payments, and specifies the need for accurate identification and authorization.

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EX-2.4 2 0002.txt EXHIBIT 2.4 Exhibit 2.4
AMERICAN STOCK TRANSFER DELIVER BY MAIL TO: AND TRUST COMPANY DELIVER IN PERSON TO: AMERICAN STOCK TRANSFER AMERICAN STOCK TRANSFER AND TRUST COMPANY LETTER OF TRANSMITTAL AND TRUST COMPANY 59 MAIDEN LANE 59 MAIDEN LANE NEW YORK, NY 10038 NEW YORK, NY 10038 - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------- ACCOUNT NUMBER ---------------------------------------------------------- NUMBER OF SHARES CUSIP NUMBER - ------------------------------------------------------------------------------------------------------------------------------------ LIST ALL CERTIFICATES SUBMITTED CERTIFICATE NUMBER SHARES CERTIFICATE NUMBER SHARES PLEASE READ THE ACCOMPANYING INSTRUCTIONS CAREFULLY. SIGN ON THE REVERSE SIDE AND COMPLETE THE W-9 FORM BELOW. REGISTRATION - ------------ IF CERTIFICATES AND/OR CHECKS ARE TO BE ISSUED IN A NAME OTHER THAN THAT SHOWN AT THE TOP OF THIS FORM OR ARE TO BE SENT TO AN ADDRESS OTHER THAN THAT SHOWN AT THE TOP OF THIS FORM, PLEASE CHECK THE BOX AT THE RIGHT AND COMPLETE THE INFORMATION ON THE REVERSE SIDE OF THIS FORM. /___/ LOST CERTIFICATES - ----------------- IF YOUR SECURITIES HAVE BEEN EITHER LOST OR DESTROYED, PLEASE GIVE WRITTEN NOTIFICATION TO AMERICAN STOCK TRANSFER AND TRUST COMPANY, 59 MAIDEN LANE, NEW YORK, NY 10038, ATTENTION : LOST SECURITIES DEPT. SUBSTITUTE FORM W-9 REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION (PLEASE REFER TO ACCOMPANYING GUIDELINES) PART 1 - PLEASE ENTER YOUR SOCIAL SECURITY NUMBER OR EMPLOYER IDENTIFICATION NUMBER PART 2 - CERTIFICATION - Under Penalties of Perjury, I certify that: PART 3 - CERTIFICATION FOR FOREIGN RECORD HOLDERS (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 Under penalties of perjury, I certify that I am not a United States citizen or resident (or (2) I am not subject to backup withholding either because I have not been I am signing for a foreign corporation, partnership, notified by estate or trust). the Internal revenue Service ("IRS") that I estate or trust). am subject to backup withholding as a result of failure to report all interest or dividends, or the IRS has notified me that I am no longer Signature___________________________________________ subject to backup withholding. Date________________________________________________ Certificate Instructions - You may cross out item (2) in Part 2 above if you have been notified by the IRS that you are subject to backup withholding because of underreporting interest or dividends on your tax return. However, if after being notified by the IRS that you were subject to backup withholding you Date_____________________________________________ received another notification from the IRS stating that you are no longer subject to backup withholding, do not cross out item Date (2). Signature______________________________________________________________ NOTE: FAILURE TO COMPLETE AND RETURN THIS SUBSTITUTE FORM W-9 MAY RESULT IN BACKUP WITHHOLDING OF 31% OF ANY PAYMENTS MADE TO YOU.
SPECIAL ISSUANCE INSTRUCTIONS SPECIAL DELIVERY INSTRUCTIONS (SEE INSTRUCTIONS) (SEE INSTRUCTIONS) To be completed ONLY if certificate(s) and/or check(s) are To be completed ONLY if certificate(s) and/or check(s) are to be issued in the name of someone other than the to be maile to someone other than the registered holder(s), registered holder(s) or to such registered holder(s) at an address other than shown on the reverse side of this form. NAME:_______________________________________________________ NAME:_______________________________________________________ ADDRESS:____________________________________________________ ADDRESS:____________________________________________________ _____________________________________________________________ ____________________________________________________________ _____________________________________________________________ ____________________________________________________________ EMPLOYER IDENTIFICATION OR SOCIAL SECURITY NUMBER SIGN HERE SIGNATURE(S) OF STOCKHOLDER(S) ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ DATED:_______________________________ Must be signed by registered holder(s) exactly as name(s) appear(s) on the Certificate(s) or 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, officer of a corporation or other person acting in a fiduciary or representative capacity, please set forth the following information and see Instructions. NAME(S)___________________________________________________________________________________________________________________________ CAPACITY (full title)_____________________________________________________________________________________________________________ ADDRESS___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ AREA CODE AND TELEPHONE NO________________________________________________________________________________________________________ GUARANTEE OF SIGNATURE(s) (SEE INSTRUCTIONS) NAME OF FIRM _____________________________________________________________________________________________________________________ ADDRESS __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ AUTHORIZED SIGNATURE _____________________________________________________________________________________________________________ NAME______________________________________________________________________________________________________________________________ AREA CODE AND TELEPHONE NO________________________________________________________________________________________________________