7.5% Senior Secured Second Lien Notes due 2020 (CUSIP Nos X AG7, U02013 AA5) 1 and

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1 NOTICE AND INSTRUCTION FORM to the holders (the Second Lien Noteholders ) of 7.5% Senior Secured Second Lien Notes due 2020 (CUSIP Nos X AG7, U02013 AA5) 1 and 7.5% Senior Secured Second Lien Notes due 2020 (Series B) (CUSIP Nos X AH5, U02013 AB3) of ALPHA NATURAL RESOURCES, INC., as Issuer with respect to the opportunity to participate as a lender in the NewCo ABL Facility (as defined in Alpha Natural Resources, Inc. s Second Amended Joint Plan of Reorganization of Debtors and Debtors in Possession dated May 27, 2016 (the Plan )) in an aggregate principal amount not to exceed $42,500,000 1 Note: CUSIP numbers appearing herein have been included solely for the convenience of the Holders.

2 IMPORTANT NOTICE REGARDING THE OPPORTUNITY TO PARTICIPATE AS A LENDER IN THE NEWCO ABL FACILITY IF YOU ELECT TO PARTICIPATE AS A LENDER IN THE NEWCO ABL FACILITY, YOU WILL BE ENTERING INTO A BINDING LEGAL COMMITMENT TO PROVIDE THE FINANCIAL ACCOMMODATIONS MORE FULLY DESCRIBED BELOW. IF YOU SUBMIT A COMMITMENT TO PARTICIPATE IN THE NEWCO ABL FACILITY PURSUANT TO THIS NOTICE AND INSTRUCTION FORM AND FAIL TO ENTER INTO DEFINITIVE DOCUMENTATION AGREEING TO FUND THE COMMITMENT AMOUNT (AS SPECIFIED IN ITEM 2B OF THE SUBSCRIPTION FORM) BY THE EXPIRATION TIME, YOU WILL BE IN BREACH OF YOUR OBLIGATIONS TO NEWCO (AS DEFINED IN THE PLAN) AND NEWCO RESERVES ALL RIGHTS IT MAY HAVE AGAINST YOU AT LAW OR IN EQUITY. THE OPPORTUNITY (AS DEFINED BELOW) IS NOT BEING GIVEN TO HOLDERS IN ANY JURISDICTION IN WHICH THE ACCEPTANCE OF THE OPPORTUNITY OR MAKING AN OFFER IN CONNECTION THEREWITH WOULD NOT BE IN COMPLIANCE WITH THE LAWS OF SUCH JURISDICTION. EXCEPT AS MAY OTHERWISE BE MUTUALLY AGREED BETWEEN NEWCO AND THE NEWCO FACILITY BACKSTOP PARTIES (AS DEFINED BELOW), THE OPPORTUNITY IS BEING GIVEN ONLY TO HOLDERS WHO ARE (I) BENEFICIAL OWNERS OF SECOND LIEN NOTES AS OF THE EXPIRATION TIME (AS DEFINED BELOW) AND (II) NOT THE BORROWER OR AN AFFILIATE OF THE BORROWER. EXPIRATION TIME YOUR OPPORTUNITY (THE OPPORTUNITY ) TO ELECT TO BECOME A LENDER IN THE NEWCO ABL FACILITY WILL EXPIRE AT 5:00 P.M., NEW YORK CITY TIME, ON JULY 20, 2016 UNLESS EXTENDED OR EARLIER TERMINATED BY MUTUAL AGREEMENT OF NEWCO AND THE NEWCO FACILITY BACKSTOP PARTIES (SUCH DATE AND TIME, AS THE SAME MAY BE EXTENDED, THE EXPIRATION TIME ). THERE ARE NO WITHDRAWAL RIGHTS ONCE THE SUBSCRIPTION FORM ATTACHED TO THIS NOTICE AND INSTRUCTION FORM IS VALIDLY DELIVERED. IF NEWCO AND THE NEWCO FACILITY BACKSTOP PARTIES MUTUALLY DETERMINE TO ALLOW YOU TO WITHDRAW YOUR COMMITMENT, INCLUDING IN THE EVENT A MATERIAL CHANGE CAUSES NEWCO TO UPDATE THE INFORMATION RELATING TO THIS OPPORTUNITY TO PARTICIPATE AND EXTEND THE EXPIRATION TIME, ANY SUCH WITHDRAWAL WILL BE LIMITED AS SET FORTH IN ANY NOTICE THEREOF. YOUR SUBSCRIPTION DOCUMENTS MUST BE RECEIVED BY YOUR NOMINEE WITH SUFFICIENT TIME TO ALLOW YOUR NOMINEE TO COMPLETE THE NOMINEE CERTIFICATION ON YOUR BEHALF AND DELIVER IT TO THE INFORMATION AGENT BY THE EXPIRATION TIME. NO SUBSCRIPTION FORM SUBMISSIONS WILL BE VALID IF DELIVERED AFTER THE EXPIRATION TIME. THE INFORMATION AGENT (AS DEFINED BELOW) WILL DETERMINE WHETHER A SUBSCRIPTION FORM TRANSMITTING AN ELIGIBLE HOLDER S COMMITMENT TO PARTICIPATE HAS BEEN VALIDLY SUBMITTED, AND NEWCO AND THE NEWCO FACILITY BACKSTOP PARTIES WILL MUTUALLY DETERMINE WHETHER TO ACCEPT ANY SUBSCRIPTION FORM THAT HAS NOT BEEN VALIDLY EXECUTED AND DELIVERED. 2

3 To the Holders: On August 3, 2015, Alpha Natural Resources, Inc. and certain of its subsidiaries (collectively, the Debtors ) filed voluntary petitions (the Chapter 11 Petitions ) for relief under the provisions of Chapter 11 of Title 11 of the United States Code ( Chapter 11 ) in the United States Bankruptcy Court for the Eastern District of Virginia (the Bankruptcy Court ). On May 26, 2016, the Bankruptcy Court entered an order (Docket No. 2549) (the Disclosure Statement Order ), approving the Second Amended Disclosure Statement with Respect to the Second Amended Joint Plan of Reorganization of Debtors and Debtors in Possession (the Disclosure Statement ) and authorizing the Debtors to solicit votes in connection with the confirmation of the Second Amended Joint Plan of Reorganization of Debtors and Debtors in Possession, dated May 27, 2016 (the Plan ) and attached as Exhibit A to the Notice of Filing of Solicitation Versions of (A) Second Amended Joint Plan of Reorganization and (B) Related Second Amended Disclosure Statement (Docket No. 2549), filed with the Bankruptcy Court on June 2, If the Plan is confirmed and consummated, all Second Lien Noteholders will be given the Opportunity (as defined below) to participate in the NewCo ABL Facility, as set forth herein and subject to the procedures and documentation detailed herein. You have received this Notice and Instruction Form because the Debtors have determined that, as of June 30, 2016 (the Commencement Date ), you were a holder of the Debtors Second Lien Notes. Pursuant to Section II.B.3 of the Plan and subject to the terms hereof, you are being given notice of your opportunity (the Opportunity ) to be a Lender in a delayed draw asset-based lending facility (the NewCo ABL Facility ). Notwithstanding the foregoing, only Holders that satisfy all of the following are Eligible Holders : (i) a beneficial owner of Second Lien Notes as of the Expiration Time and (ii) not the Borrower or an Affiliate of the Borrower. If you are not an Eligible Holder, you may not participate in the Opportunity. Please use the attached Subscription Form (the Subscription Form ) to transmit your elections, if any (such Subscription Form being the Subscription Form referred to in the NewCo ABL Facility Syndication Procedures, attached as Exhibit A to the Notice of Filing of NewCo ABL Facility Syndication Procedures (Docket No. 2549)). To participate in the Opportunity, you must: (i) complete and execute the subscription documents, including the enclosed Subscription Form, a counterpart signature page to the credit agreement for the NewCo ABL Facility (which may take the form of a counterpart signature page to an assignment agreement for transfer of an interest in the NewCo ABL Facility), the administrative detail document, the accredited investor certification, 3 and applicable tax forms, each of which are attached hereto, and such other documents as the Administrative Agent may reasonably require (collectively, the Subscription Documents ); and (ii) deliver such Subscription Documents to the nominee holding your Second Lien Notes with sufficient time to allow your nominee to complete the nominee certification attached hereto (the Nominee Certification ) on your behalf and deliver it to Kurtzman Carson Consultants LLC (the Information Agent ) by no later than the Expiration Time. If you are a Second Lien Noteholder and your Second Lien Notes are held through more than one nominee, please have each nominee complete a nominee certification for the respective Second Lien Notes held. Certain principal terms of the NewCo ABL Facility and the Debtors contemplated restructuring are set forth in the Plan (including Exhibit I.A.162 thereto) and Disclosure Statement, each of which is available at (by clicking on the link for Home ). A draft of the proposed credit agreement related to the NewCo ABL Facility will be made available separately and will be available at (by clicking on the link for NewCo ABL Syndication ). The NewCo ABL Facility provides for the ability of NewCo to borrow up to $42,500,000 in the aggregate of term loans (the ABL Loans ), which ABL Loans shall be guaranteed by Newco s existing and newly acquired or created material wholly-owned domestic restricted subsidiaries, and any other subsidiaries of Newco that from time to time guaranty the $300,000,000 takeback notes financing (the Takeback Notes ) (collectively, Guarantors and, together with Borrower, Loan Parties ), and secured on a first priority basis by all the Loan Parties existing and future ABL Priority Collateral (to be defined in the NewCo ABL Facility in a customary manner) and on a second priority basis by all of the Loan Parties existing and future Notes Priority Collateral (to be defined in the NewCo 2 Capitalized terms used but not defined herein shall have the meanings given to them in the Plan. 3 A holder of the Second Lien Notes is not required to be an accredited investor to participate in the Opportunity. However, the form of consideration received as a result of a holder s participation in the NewCo ABL Facility will depend on whether such holder is an accredited investor as defined under Rule 501(a) of the Securities Act. S-1

4 ABL Facility in a customary manner). The ABL Loans may be made in not more than three drawings following effectiveness of the NewCo ABL Facility, until the date that is six months following such effectiveness. Drawings of ABL Loans are limited by a borrowing base that requires an agreed minimum amount of excess coverage (the Required Coverage Amount ) under such borrowing base, and prepayment of the ABL Loans shall be required to the extent such excess coverage under the borrowing base falls below such Required Coverage Amount. ABL Loans outstanding shall mature four years after the closing date of the NewCo ABL Facility and bear interest at the rate of (at the option of NewCo) (i) LIBOR plus 5.0% (with a LIBOR floor of 1.0%) or (ii) Base Rate plus 4.0% (with a Base Rate floor of 2.0%), and commitment fees to be set forth in the definitive documents for the NewCo ABL Facility shall accrue on unfunded commitments thereunder. In connection with the NewCo ABL Facility, the Eligible Holders that elect to participate in the NewCo ABL Facility, and the NewCo Facility Backstop Parties 4, will receive, consistent with the treatment afforded to the Second Lien Noteholders pursuant to the terms of the Plan, their allocated share of the Second Lien Noteholder Distribution (as defined in the Plan). Each Eligible Holder may elect to participate in this Opportunity and lend up to its respective Pro Rata Share (as defined below) of the aggregate $42,500,000 (the Maximum Facility Amount ) of commitments under the NewCo ABL Facility. The foregoing description of the NewCo ABL Facility is a summary only and does not purport to be complete. It is subject and qualified in its entirety by reference to the definitive documents for the NewCo ABL Facility and the Plan. Each Eligible Holder s Pro Rata Share ( Pro Rata Share ) shall be equal to a fraction (expressed as a factor) (i) the numerator of which is the principal amount of Second Lien Notes owned by such party as of the Commencement Date and (ii) the denominator of which is the aggregate principal amount of all outstanding Second Lien Notes; provided, however, that to the extent you transfer, sell, assign or purchase Second Lien Notes from the Commencement Date until you submit your Subscription Documents, your respective Pro Rata Share shall be calculated based on your beneficial ownership of such Second Lien Notes as of the Expiration Time, as certified by you in Subscription Documents. If an Eligible Holder submits its Subscription Documents and elects to participate in this Opportunity, such Eligible Holder will not be permitted to sell or assign all or any portion of its Second Lien Notes after such submission and prior to the Effective Date of the Plan. Eligible Holders will not have rights to participate in or lend under the NewCo ABL Facility in an amount in excess of their respective Pro Rata Shares of the ABL Loans. A commitment to participate may not be withdrawn, unless otherwise mutually determined by NewCo and the NewCo Facility Backstop Parties. Additionally, the Information Agent and the Administrative Agent will mutually determine whether any Holder is an Eligible Holder, has made the representations referenced above, has properly executed and delivered the required documentation and funded (if applicable) its proposed amount of the NewCo ABL Facility. NewCo and the NewCo Facility Backstop Parties will mutually determine whether to reject or accept any subscription to participate that has not been properly completed and delivered. If the Debtors syndication process is terminated by the mutual agreement of NewCo and the NewCo Facility Backstop Parties for any reason, the Subscription Documents submitted by participating Eligible Holders will terminate. Before you deliver the executed Subscription Documents, please carefully review the filings on the Debtors docket with the Bankruptcy Court related to their Chapter 11 Petitions, available at (the Bankruptcy Filings ) and (ii) the Debtors current and periodic reports (the Exchange Act Reports ), which were filed by the Debtors with the Securities and Exchange Commission (the SEC ) pursuant to the Securities Exchange Act of 1934, as amended, and the rules and regulations promulgated thereunder, and which are available on the SEC s website at Participating as a lender in the NewCo ABL Facility entails risks, including, but not limited to, the risk that NewCo may be liquidated or may be unsuccessful executing its business plan, and as a result may be unable to repay all or part of your commitment. In addition, if NewCo is unable to execute its business plan, it may be unable to meet 4 The term NewCo Facility Backstop Parties means certain entities owned, controlled, managed, advised or subadvised by Steelhead Partners, LLC; Bain Capital Credit; Blue Mountain Capital Management, LLC; River Birch Capital, LLC; and Bennett Management, who are beneficial owners of Second Lien Notes. S-2

5 its obligations under the NewCo ABL Facility. In either case, NewCo may be unable to repay loan amounts borrowed from you and you may lose all or part of your loan commitment. This Notice and Instruction Form relates only to the opportunity to participate as a lender in the NewCo ABL Facility. S-2

6 SUBSCRIPTION FORM IMPORTANT PLEASE READ AND FOLLOW THE ATTACHED INSTRUCTIONS CAREFULLY. ON OR BEFORE THE EXPIRATION TIME, YOU MUST COMPLETE, SIGN, DATE AND DELIVER THIS SUBSCRIPTION FORM AND THE OTHER SUBSCRIPTION DOCUMENTS ANNEXED HERETO TO YOUR NOMINEE WITH SUFFICIENT TIME TO ALLOW YOUR NOMINEE TO COMPLETE THE NOMINEE CERTIFICATION ON YOUR BEHALF AND DELIVER IT TO THE INFORMATION AGENT BEFORE THE EXPIRATION TIME. IF ANY SUCH SUBSCRIPTION DOCUMENTS ARE NOT COMPLETED, SIGNED AND RECEIVED BY THE INFORMATION AGENT ON OR BEFORE THE EXPIRATION TIME, THE INSTRUCTION TRANSMITTED BY THIS SUBSCRIPTION FORM MAY NOT BE COUNTED. YOU SHOULD REVIEW THE EXCHANGE ACT REPORTS, BANKRUPTCY FILINGS, NOTICE AND INSTRUCTION FORM AND THE INSTRUCTIONS CONTAINED HEREIN BEFORE YOU ELECT TO PARTICIPATE IN THE OPPORTUNITY. YOU MAY WISH TO SEEK LEGAL AND/OR FINANCIAL ADVICE CONCERNING THE OPPORTUNITY. Capitalized terms used herein but not defined herein have the meanings ascribed to them in the Notice and Instruction Form to which this Subscription Form was attached. Item 1. Representations of the Holder. The undersigned hereby represents that it: 5 is sophisticated with respect to the decision to participate as a lender in a commercial loan of the type represented by the ABL Loans and is, or the entity exercising discretion in making this decision to participate in the funding of the ABL Loans is, experienced in participating as a lender in such commercial loans; has received, or has been accorded the opportunity to receive or have access to, the NewCo ABL Facility Credit Agreement, and has received, or has been accorded the opportunity to receive or have access to, to the extent available, copies of the most recent annual and quarterly financial statements of the Debtors and such other documents and information as it deems appropriate to make its own credit analysis and decision to participate in the funding of such NewCo ABL Facility (including access to the docket of the Debtors Chapter 11 Cases); has (i) independently and without reliance on any other participant as a lender in the NewCo ABL Facility or on any of the Debtors, NewCo or any of their respective affiliates or the Indenture Trustee for the Second Lien Notes, and (ii) based on such documents and information as it has deemed appropriate, made its own credit analysis and decision to participate in the funding of the NewCo ABL Facility; and is not a Borrower or an Affiliate of the Borrower. 5 Note that NewCo and the NewCo Facility Backstop Parties may waive these requirements, in their sole discretion, upon their mutual agreement. S-1

7 Item 2. Participation in the Opportunity. The undersigned certifies that as of the date hereof, the undersigned (a) is a beneficial owner of the Second Lien Notes in the following principal amount (insert amount in the boxes below) and (b) wishes to make the following commitment (i.e., the Total Commitment to Participate in the NewCo ABL Facility, as listed below in Item 2b, and not greater than your Maximum Participation Amount, as computed as set forth below) to participate in the NewCo ABL Facility with regard to the Opportunity 6 : Name / Address Total Principal Amount of Second Lien Notes Held as of the Date Hereof (the Total Principal Amount ): Item 2a. Calculation of the Maximum Participation Amount. You are entitled to participate up to your full Pro Rata Share of the Maximum Facility Amount, or some smaller portion thereof. In order for you to understand the maximum for which you are entitled to participate, your maximum Pro Rata Share of the Maximum Facility Amount is calculated as follows: $ (Insert Total Principal Amount from Item 2 above) * = $ (Your Maximum Participation Amount ) Item 2b. Your Desired Participation Amount. You are entitled to participate up to, but no more than, your Maximum Participation Amount. Therefore, please insert below the amount you wish to participate for: $ (Your Desired Participation Amount ) 6 Note that, to the extent you transfer, sell, assign, or purchase your Second Lien Notes from the Record Date until you submit a Subscription Document, your respective Pro Rata Share must be calculated based on your beneficial ownership of such Second Lien Notes, as certified by you in the applicable Subscription Documents. If an Eligible Holder elects to participate in this Opportunity, such Eligible Holder will not be permitted to sell or assign all or any portion of its Second Lien Notes prior to the Effective Date of the Plan is equal to (a) the total amount of ABL Loans that all holders of Second Lien Notes are entitled to participate for in the NewCo ABL Facility (i.e., $42,500,000) divided by (b) the total principal amount of Second Lien Notes outstanding (i.e., $713,647,000). S-2

8 Item 3. Certification. By signing this Subscription Form, the undersigned certifies that it understands that the right to participate in the Opportunity is subject to all the terms and conditions set forth in the Notice and Instruction Form, and agrees that the commitment to participate in the NewCo ABL Facility as specified in Item 2 above, constitutes an irrevocable offer by the undersigned to fund the ABL Loans up to the amount so specified. Name of Holder: (Print or Type) Federal Tax I.D. No.: (If Applicable) Signature: Print Name: Title: Facsimile Number: Address: Street Address: City, State, Zip Code: Telephone: ( ) Date Completed: PLEASE RETURN YOUR SUBSCRIPTION DOCUMENTS TO YOUR NOMINEE IN SUFFICIENT TIME TO ALLOW YOUR NOMINEE TO COMPLETE THE NOMINEE CERTIFICATION ON YOUR BEHALF SO THAT IT IS RECEIVED BY THE INFORMATION AGENT AT ITS ADDRESS AT ANRNEWCOABL@KCCLLC.COM, OR AT THE ADDRESS LISTED BELOW BEFORE 5:00 P.M., NEW YORK CITY TIME, ON JULY 20, ANR NEWCO ABL FACILITY SYNDICATION c/o Kurtzman Carson Consultants LLC 1290 Avenue of the Americas, 9 th Floor New York, NY Telephone: (877) S-3

9 INSTRUCTIONS FOR COMPLETING THE SUBSCRIPTION FORM EXPIRATION TIME/INFORMATION AGENT: The Expiration Time for the receipt of instructions is 5:00 p.m., New York City Time, on July 20, 2016 unless extended or earlier terminated. To elect to participate in the Opportunity, you must complete, sign, and return this Subscription Form and the other Subscription Documents to your nominee with sufficient time to allow your nominee to complete the Nominee Certification on your behalf so that it is received by the Information Agent at its address at or at the below address no later than the Expiration Time. ANR NewCo ABL Facility Syndication c/okurtzman Carson Consultants LLC 1290 Avenue of the Americas, 9 th Floor New York, NY To effect a subscription, you must take the following steps: a. Review the representations in Item 1 of the Subscription Form; b. In Item 2 of the Subscription Form, specify the amount of Second Lien Notes you currently hold; c. In Item 2a of the Subscription Form, calculate your Maximum Participation Amount ; d. In Item 2b of the Subscription Form, specify the NewCo ABL Facility Desired Participation Amount to participate in the Opportunity; e. Review the certification in Item 3 of the Subscription Form; f. In Item 3, sign and date the Subscription Form, and provide the remaining information requested; g. Complete and execute the counterpart signature page to the credit agreement for the NewCo ABL Facility (which may take the form of a counterpart signature page to an assignment agreement for transfer of an interest in the NewCo ABL Facility), the administrative detail document, the accredited investor certification, the relevant tax forms, and each such other documents as the Administrative Agent reasonably requires; h. Coordinate with the nominee holding your Second Lien Notes to arrange for delivery of the completed Subscription Documents to its offices; and i. Instruct your nominee to complete the Nominee Certification and deliver the completed, executed Subscription Documents so as to be received by the Information Agent before the Expiration Time. PLEASE NOTE: IF YOU HAVE ANY QUESTIONS REGARDING THIS SUBSCRIPTION FORM, ANY OTHER SUBSCRIPTION DOCUMENT OR THE PROCEDURES RELATED HERETO PLEASE CALL THE INFORMATION AGENT, KURTZMAN CARSON CONSULTANTS LLC AT (877) Alpha Natural Resources, Inc. and certain of its subsidiaries have filed voluntary petitions for relief under Chapter 11 of Title 11 ( Chapter 11 ) of the United States Code, 11 U.S.C. 101 et seq. (the Bankruptcy Code ) and are operating their businesses and managing their property as debtors-in-possession pursuant to the Bankruptcy Code. Nothing herein, nor in any of the accompanying forms and letters, shall constitute or be deemed to constitute a solicitation by any party of votes to approve or reject a Chapter 11 plan for any debtor. S-4

10 NOMINEE S CERTIFICATION OF HOLDINGS For each Second Lien Noteholder, your ownership of Second Lien Notes must be confirmed to participate in the NewCo ABL Facility Offer For each Second Lien Noteholder, the nominee(s) holding your Second Lien Notes must complete Box A on your behalf. Box B is only required if any or all of your Second Lien Notes were on loan as of the Expiration Date (as determined by your nominee). Please attach a separate Nominee Certification if your Second Lien Notes are held through more than one Nominee. Box A For Use Only by the Nominee Box B Nominee Proxy - Only if Needed DTC Participant Name: DTC Participant Name: DTC Participant Number: Principal Amount of 7.5% Second Lien Notes due 2020 (CUSIP No X AG7), held by this account as of the Expiration Date: Principal Amount of 7.5% Second Lien Notes due 2020 (CUSIP No. U02013 AA5), held by this account as of the Expiration Date: Principal Amount of 7.5% Second Lien Notes due 2020 (Series B) (CUSIP No X AH5) held by this account as of the Expiration Date: Principal Amount of 7.5% Second Lien Notes due 2020 (Series B) (CUSIP No. U02013 AB3) held by this account as of the Expiration Date: DTC Participant Number: Principal Amount of 7.5% Second Lien Notes due 2020 (CUSIP No X AG7), held on behalf of, and hereby assigned to, the Nominee listed in Box A as of the Expiration Date: Principal Amount of 7.5% Second Lien Notes due 2020 (CUSIP No. U02013 AA 5), held on behalf of, and hereby assigned to, the Nominee listed in Box A as of the Expiration Date: Principal Amount of 7.5% Second Lien Notes due 2020 (Series B) (CUSIP No X AH5) held on behalf of, and hereby assigned to, the Nominee listed in Box A as of the Expiration Date: Principal Amount of 7.5% Second Lien Notes due 2020 (Series B) (CUSIP No. U02013 AB3) held on behalf of, and hereby assigned to, the Nominee listed in Box A as of the Expiration Date: Medallion Guarantee (or provide list of authorized signatories): Medallion Guarantee (or provide list of authorized signatories): Nominee authorized signatory: Nominee contact name: Nominee contact Contact telephone number: Beneficial Holder name: Nominee authorized signatory: Nominee contact name: Nominee contact Contact telephone number: Beneficial Holder name: