Insulet Corp. Securities Litigation
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1 Page 1 f 8 ELECTRONIC FILING INSTRUCTIONS Insulet Crp. Securities Litigatin READ THESE INSTRUCTIONS CAREFULLY AND IN THE ENTIRETY. YOU MUST COMPLY. Part I - Overview Electrnic claim submissin is available t institutins filing n their wn behalf r n behalf f thers as well as t claim preparers filing n behalf f clients. ALL ELECTRONIC CLAIMS SUBMISSIONS MUST BE ENTERED ON THE TEMPLATE THAT FOLLOWS THESE INSTRUCTIONS. Any file nt in accrdance with the required filing frmat r nt accmpanied by the required dcumentatin will be subject t rejectin. One claim is t be submitted fr each separate legal entity. A separate claim, but nly ne claim, shuld be submitted fr each separate legal entity (e.g., a claim n behalf f jint wners shuld nt include separate transactins f just ne f the jint wners, and a claim n behalf f an individual shuld nt cmbine his r her IRA transactins with transactins made slely in the individual s name). Cnversely, a single claim is t be submitted n behalf f ne legal entity including all transactins made by that persn r entity n matter hw many separate accunts that persn r entity has (e.g., a claim n behalf f a crpratin with multiple brkerage accunts MUST include all transactins made in all accunts in ne claim). The crrect cmplete, unabbreviated name f the beneficial wner(s) f the security supprting each claim MUST be prvided where called fr. Yur submissin may be rejected if yu d nt prvide this infrmatin. D nt include hnrifics (e.g., Mr., Mrs., Ms., Dr., Capt., Sgt.) and d nt put FBO r the like in frnt f the beneficial wner s name. PLEASE NOTE: A trustee, in that capacity, is nt the beneficial wner f the security; the full name f the trust shuld be entered fllwed by the full name(s) f the trustee(s). A cmma shuld separate the name f the trust and the name(s) f the trustee(s). The required dcumentatin set frth belw MUST be submitted with yur electrnic file. Yur electrnic claims will nt be eligible fr cnsideratin until all required dcuments are received. Please nte that ne dcument may meet mre than ne requirement.
2 Page 2 f 8 Part II Dcumentatin Requirements 1. ONE SIGNED PROOF OF CLAIM AND RELEASE Yu MUST cmplete the Claimant Infrmatin Page, (Part I, page 2) and Release f Claims and Signature Page, (Part IV, pages 6-7) f a single Prf f Claim and Release Frm ( Claim Frm ), which will serve as an umbrella r master claim frm fr all claims in yur electrnic file. The Claim Frm MUST be signed by an authrized signatry wh is listed n yur signature verificatin dcument and state the capacity (jb title) f the signatry. If yu are filing nly ne claim, i.e., yu are filing n behalf f nly ne beneficial wner, prvide the crrect, cmplete, unabbreviated name f the wner f the shares n the Claim Frm. If yu are filing n behalf f multiple beneficial wners, use the term Varius Beneficial Owners fr the Claimant name(s) (i.e., the beneficial wner(s) name(s)). Hwever, as nted abve, the crrect cmplete unabbreviated name f each beneficial wner (withut hnrifics) MUST be prvided fr each claim in yur electrnic claim submissin. 2. SIGNATURE VERIFICATION DOCUMENT If yu are an institutin filing n yur wn behalf r n behalf f ther beneficial wners r a claim preparer filing n behalf f beneficial wners, yu MUST prvide a dcument verifying that the individual wh signs the Claim Frm and any supplemental dcuments is authrized t sign n yur behalf. Sme cmmn types f dcuments that fulfill this requirement include the fllwing (this list is nt exclusive and nn-us entities may have different dcuments that fulfill this requirement. If yu are a nn-us entity, yu MUST submit an equivalent dcument): Cpy f filer s By-Laws, including signature page(s) Cpy f filer s Crprate Reslutin, including signature page(s) Ntarized Affidavit signed by an fficer f the filing institutin r cmpany clearly granting a specific individual(s) authrizatin r cnfirming his/her authrity t sign n behalf f his/her institutin r cmpany. 3. AUTHORIZATION DOCUMENT (IF FILING ON BEHALF OF BENEFICIAL OWNERS OTHER THAN YOURSELF) If yu are an institutin r claim preparer filing n behalf f beneficial wners ther than yurself, yu must prvide a current dcument verifying that yu are authrized
3 Page 3 f 8 t file and sign claims n behalf f the beneficial wners f the securities. Sme cmmn types f dcuments that fulfill this requirement include the fllwing (this list is nt exclusive and nn-us entities may have different dcuments that fulfill this requirement. If yu are a nn-us entity, yu must submit an equivalent dcument): Pwer f Attrney Service Agreement Signed/dated letter n client s cmpany letterhead specifically granting yur cmpany authrity t file/sign claims n their behalf Ntarized affidavit r signed letter n yur cmpany s letterhead cnfirming yur authrity t file and sign claims n behalf f each client fr whm yu filed a claim. It must be executed by an fficer f the cmpany wh is als listed n yur signature verificatin dcument and reference the capacity and cntact infrmatin f the signatry. 4. DATA VERIFICATION DOCUMENT(S) If yu are an institutin filing n yur wn behalf r n behalf f ther beneficial wners r a claim preparer filing n behalf f beneficial wners, yu MUST prvide a ntarized affidavit r signed letter n yur firm s letterhead which meets the fllwing criteria: Cnfirms the number f separate claims and transactins in yur file. Sets frth the surce f the data fr each Claim included in yur file. Attests t the truth and accuracy f the data fr each claim in yur file. Is executed by an authrized signatry wh is listed n yur firm s signature verificatin dcument, and specifies bth the capacity and cntact infrmatin f that signatry. 5. ADDITIONAL DOCUMENTATION (IF REQUESTED) - DATA INTEGRITY AUDIT Filers may be requested, as deemed apprpriate by Analytics and/r Lead Cunsel, t prvide additinal dcumentatin t supprt the claims submitted. This data integrity audit is designed t verify the verall integrity f a data file. Accrdingly, yu MUST prvide all the requested dcumentatin and the dcumentatin prvided MUST be independent in nature. Even if yu prvided a letter/affidavit attesting t the truth and accuracy f the data yu initially submitted with yur electrnic file, we will require specific dcumentary evidence, which may include trade cnfirmatins, mnthly statements, r equivalent,
4 Page 4 f 8 t independently verify the details f transactins and/r hlding psitins. If yur file is selected fr a data integrity audit, yu MUST prvide all the requested infrmatin. FAILURE TO COMPLY WITH THIS AUDIT REQUEST MAY RESULT IN THE REJECTION OF ALL CLAIMS ON YOUR ELECTRONIC SUBMISSION Part III Case Specific Infrmatin 1. Eligible Security: Insulet Crp. cmmn stck (NASDAQ TICKER: PODD ). 2. Settlement Class Perid: May 7, 2013 thrugh and including April 30, Settlement Class: All persns (including crprate r ther legal entities) wh purchased Insulet cmmn stck during the perid cmmencing n May 7, 2013 thrugh April 30, 2015, inclusive, and were damaged thereby, except thse persns and entities that are excluded (see Settlement Ntice page 6 part 3 fr list f excluded persns and entities). 3. Electrnic filers MUST prvide fr each claim submitted: (i) Beginning hldings: the number f shares f Insulet cmmn stck held as f the pening f trading n May 7, (ii) Each and every purchase/acquisitin (including free receipts) f Insulet cmmn stck frm after the pening f trading n May 7, 2013 thrugh the clse f trading n April 30, (iii) The ttal number f shares purchased/acquired frm after the pening f trading n May 1, 2015 thrugh the clse f trading n July 29, (iv) Each and every sale (including free deliveries) f Insulet cmmn stck frm after the pening f trading n May 7, 2013 thrugh the clse f trading n July 29, (v) Ending hldings: the ttal number f shares f Insulet cmmn stck held as f the clse f trading n July 29, Claim Filing Deadline: September 4, 2018 Part IV Methds f Submissin Analytics prefers that e-files be submitted n its Secure File Transfer site. T utilize that secured prtal, click n the E-File hyperlink in the lwer right sectin f the Hme Page. Yu may send yur infrmatin via , but please be sure t passwrd-prtect r encrypt the file and send t Inf@insuletsecuritieslitigatin.cm. E-file submissins may als be via CD. If yu are mailing via UPS r FedEx, please send t Analytics physical address: Lake Drive E,
5 Page 5 f 8 Chanhassen, MN 55317, and be sure t reference the case name. Fr any questins r cncerns regarding yur submissin ptins, please call us tll-free at r us at Inf@ insuletsecuritieslitigatin.cm. Electrnic files will nt be deemed submitted unless Analytics sends yu an acknwledging receipt f yur file. D nt assume that yur file has been received until yu receive this . If yu d nt receive such an within 10 days f yur submissin, yu shuld cntact the electrnic filing department at t inquire abut yur file and cnfirm it was received. Part V Required Filing Frmat General Instructins Files shuld be submitted as an Excel spreadsheet. All fields in the belw frmat must be included n yur file. Any fields that d nt apply t the claims yu submit must be left blank (d nt delete any fields). Yur file must include ne header rw with each f the clumn headings specified belw. Yur file must be srted in the fllwing rder: cmplete crrect name f the beneficial wner f the securities supprting the claim transactin type If a maximum character length fr any field is specified, d nt exceed the limit. D nt leave any blank rws n yur file. Any files nt in accrdance with the belw layut are subject t rejectin. Fr Excel spreadsheets: Whenever pssible, yur file shuld be limited t ne tab that cntains all the fields listed belw. The Length clumn in the belw frmat specifies the maximum number f characters fr each Excel field as t which a maximum character number applies.
6 Page 6 f 8 REQUIRED FILE LAYOUT COL A FIELD Cmpany Name START POSITION LENGTH NOTES 1 40 Name f Cmpany fr Mailing f Checks Include a c/ befre yur cmpany name if yu require checks made ut t the beneficial wner c/ yur cmpany. Include an FBO (r similar wnership acrnym) after yur cmpany name if yu require checks t be made ut t yur cmpany fr the benefit f the beneficial wner. B Address Address 1 Infrmatin fr Mailing f Checks C Address Address 2 Infrmatin fr Mailing f Checks D City City fr Mailing f Checks E State Character State Abbreviatin fr Mailing f Checks F Zip Digit Zip fr Mailing f Checks G Zip Digit Zip fr Mailing f Checks H Cuntry Cde character Cuntry abbreviatin (nly fr freign addresses) I J K Shrt beneficial wner name Accunt Number(s) f Beneficial Owner Security Identifier Number Shrt Name f Beneficial Owner, fr printing/mailing purpses Yu MUST als prvide the crrect, cmplete, unabbreviated name f the beneficial wner in Clumn U f yur submissin List the accunt numbers fr all f the accunts thrugh which the beneficial wner trades CUSIP, ISIN, r SEDOL Number f the Security
7 Page 7 f 8 COL L FIELD Transactin Type START POSITION LENGTH NOTES B = Beginning Hldings P = Purchase (includes purchases t cver shrt sales) S = Sale (includes shrt sales) U = Unsld (Ending) Hldings R = Free Receipt (transfer in) D = Free Deliver (transfer ut) Nte: When inputting beginning and unsld hldings, the trade date clumn MUST indicate the hlding date. Price per share and net amunt clumns MUST be left blank. M Trade Date Trade date in MM/DD/YYYY frmat (including freign entities) N Quantity Number f shares assciated with this transactin (this value can ONLY be negative fr shrt beginning r ending hldings psitins). O Price Per Share Price f each Share P Aggregate Cst /Amunt Received This clumn shuld be blank ONLY when prviding beginning r ending hldings r shares invlved in a receipt r deliver Ttal value f the transactin (excluding cmmissins, taxes, and fees); This clumn shuld be blank ONLY when prviding beginning r ending hldings r shares invlved in a receipt r deliver. Q Currency Type Type f currency assciated t transactin (USD, EUR, GBP, etc.)
8 Page 8 f 8 COL R S T U FIELD Submitting Filer s Client Name(s) Submitting Filer s Name Beneficial Owner s SSN r Tax ID Number Cmplete Beneficial Owner Name START POSITION LENGTH NOTES If yu are a third-party claim preparer filing n behalf f clients either: (i) fr the client as beneficial wner (in which case the entry in this field will be the same as the entry in Field I); r (ii) fr a client which represents the beneficial wner(s), prvide the cmplete name f yur client in this clumn Name f filer submitting electrnic claim Last fur digits f Scial Security Number r Tax ID Number f beneficial wner (leave clumn blank fr freign entities) 407 n/a Full Name f Beneficial Owner MUST be the crrect, cmplete, unabbreviated name f the beneficial wner. D nt include hnrifics, e.g., Mr., Mrs., Ms., Dr., Capt., Sgt., and d nt put FBO r the like in frnt f the beneficial wner s name. Please nte: A trustee, in that capacity, is nt the beneficial wner f the security; the full name f the trust shuld be entered fllwed by the name(s) f the trustee(s). A cmma shuld separate the name f the trust and the name(s) f the trustee(s). YOUR SUBMISSION MAY BE REJECTED IF THIS INFORMATION IS NOT INCLUDED.
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