WorldCom, Inc. Securities Litigation c/o The Garden City Group, Inc. Claims Administrator P.O. Box 9000 #6247 Merrick, NY

Transcription

1 Complete and Sign this Form and Return Postmarked No Later Than March 4, 2005 WorldCom, Inc. Securities Litigation c/o The Garden City Group, Inc. Claims Administrator P.O. Box 9000 #6247 Merrick, NY WCM *P-WCMF-POC/1* IDENTITY OF CLAIMANT: Claim Number: PROOF OF CLAIM AND RELEASE Control Number: WRITE ANY NAME AND ADDRESS CORRECTIONS BELOW OR IF THERE IS NO PREPRINTED DATA TO THE LEFT, YOU MUST PROVIDE YOUR FULL NAME AND ADDRESS HERE: Name: Address: IF THE ABOVE AREA IS BLANK, YOU MUST ENTER YOUR FULL NAME AND ADDRESS HERE City: State/Country: Zip Code: PLEASE COMPLETE THE FOLLOWING: Claimant Identification: (Please check the applicable box) Individual Partnership Joint Owners Corporation IRA, Keogh, or other type of Retirement Plan (specify type of plan): Other (specify): Name of Beneficial Owner (if different than Claimant): The Social Security (Taxpayer or Employer Identification) number and telephone number of the beneficial owner may be used in verifying the claim. Failure to provide any of the foregoing information could delay verification of your claim or result in rejection of your claim. Social Security Number/Taxpayer Identification Number: Employer Identification Number: Daytime Telephone Number: ( ) Address (if available): Evening Telephone Number: ( ) For informational purposes, you must also respond to the following question: Was claimant an officer, director or employee of WorldCom, Inc. at any time from April 29, 1999 through and including June 25, 2002? Yes No If yes, state position(s) held, and date(s) of employment or affiliation: QUESTIONS? CALL TOLL-FREE (866) OR VISIT

2 *P-WCMF-POC/2* GENERAL INSTRUCTIONS 1. It is important that you completely read and understand the Notice of Proposed Settlement of Class Action Against the Citigroup Defendants (the "Notice") that accompanies this Proof of Claim and Release. The Notice describes the proposed Settlement, how Class Members are affected by it and the manner in which the Settlement Fund will be distributed, if the Settlement and Plan of Allocation (the "Plan") described in the Notice are approved by the Court. The Notice also contains the definitions of many of the defined terms (which are indicated by initial capital letters) used in this Proof of Claim and Release. By signing and submitting the Proof of Claim and Release, you will be certifying that you have read and understood the Notice. 2. IN ORDER TO PARTICIPATE IN THE SETTLEMENT, YOU MUST MAIL YOUR COMPLETED AND SIGNED PROOF OF CLAIM AND RELEASE, BY FIRST-CLASS MAIL, POSTAGE PREPAID, POSTMARKED ON OR BEFORE MARCH 4, 2005, ADDRESSED TO: WorldCom, Inc. Securities Litigation c/o The Garden City Group, Inc. Claims Administrator P.O. Box 9000 #6247 Merrick, NY NOTE: TO RECEIVE MONEY FROM THE SETTLEMENT WITH THE CITIGROUP DEFENDANTS AND ANY OTHER RECOVERY OBTAINED BY LEAD PLAINTIFF FOR THE CLASS, WHETHER BY FUTURE SETTLEMENTS OR THROUGH TRIAL, YOU MUST SUBMIT A PROOF OF CLAIM AND RELEASE FORM BY MARCH 4, THE PROOF OF CLAIM AND RELEASE FORM TO BE SUBMITTED NOW WILL BE THE BASIS OF ALL FUTURE DISTRIBUTIONS. NO FURTHER PROOF OF CLAIM FORMS WILL BE REQUIRED. 3. This Proof of Claim and Release is directed to: all purchasers or acquirers of publicly traded securities of WorldCom, Inc. during the period from April 29, 1999 through and including June 25, 2002 (the "Class Period"), and who were injured thereby. The Class includes persons or entities who acquired shares of WorldCom common stock by any method, including but not limited to in the secondary market, in exchange for shares of acquired companies pursuant to a registration statement, or through the exercise of options including options acquired pursuant to employee stock plans, and persons or entities who acquired debt securities of WorldCom in the secondary market or pursuant to a registration statement, and who were injured thereby. 4. Excluded from the Class are: (i) defendants in the Class Action; (ii) members of the families of each individual defendant; (iii) any entity in which any defendant in the Action has a controlling interest; (iv) officers and directors of WorldCom and its subsidiaries and affiliates; and (iv) the legal representatives, heirs, successors or assigns of any such excluded party. The exclusion of "any entity in which any defendant in the Action has a controlling interest" means that any such entity is excluded from the Class to the extent that the entity itself had a proprietary (i.e. for its own account) interest in WorldCom common stock or debt securities. In the event that any such entity beneficially owned WorldCom common stock or debt securities in a fiduciary capacity or otherwise held WorldCom common stock or debt securities on behalf of third party clients or any employee benefit plans that otherwise fall within the class, such third party clients and employee benefit plans shall not be excluded from the Class, irrespective of the identity of the entity or person in whose name the WorldCom common stock or debt securities were beneficially owned or otherwise held. For example, WorldCom common stock or debt securities shall not be excluded from the Class to the extent held (i) in a registered or unregistered investment company (including a unit investment trust) for which an entity in which any defendant in the Litigation has a controlling interest serves as investment manager, investment adviser or depositor; or (ii) (a) in a life insurance company separate account, or (b) in a segment or subaccount of a life insurance company's general account to the extent associated with insurance contracts under which the insurer's obligation is determined by the investment return and/or market value of the assets held in such segment or subaccount. A defendant shall be deemed to have a "controlling interest" in an entity if such defendant has a beneficial ownership interest, directly or indirectly, in more than 50% of the total outstanding voting power of any class or classes of capital stock that entitle the holders thereof to vote in the election of members of the Board of Directors of such entity. "Beneficial ownership" shall have the meaning ascribed to such term under Rule 13d-3 of the Securities Exchange Act of 1934, as amended, or any successor statute or statutes thereto. 5. Also excluded from the Class are those persons and entities who served a Request for Exclusion from the Class, and who did not subsequently revoke such Request for Exclusion by the time of the deadline for persons to exclude themselves from the Class. 2 QUESTIONS? CALL TOLL-FREE (866) OR VISIT

3 *P-WCMF-POC/3* 6. The relevant securities are listed below. - Section I: WorldCom common stock (whether purchased on the open market, acquired in exchange for shares of common stock of companies that WorldCom acquired during the Class Period, or through the exercise of options including options acquired pursuant to employee stock plans); - Section II: WorldCom-issued MCI Tracking stock (whether purchased on the open market, acquired in exchange for shares of common stock of companies that WorldCom acquired during the Class Period, or through the exercise of options including options acquired pursuant to employee stock plans); - Section III: WorldCom publicly traded notes issued in the May 2000 Offering, including: A. Floating Rate Notes due November 26, 2001; B % Notes due May 15, 2003; C % Notes due May 15, 2006; and D % Notes due May 15, Section IV: WorldCom publicly traded notes issued in the May 2001 Offering, including: E. 6.50% Notes due May 15, 2004; F. 7.50% Notes due May 15, 2011; G. 8.25% Notes due May 15, 2031; H. 6.75% Notes ( ) due May 15, 2008; and I. 7.25% Notes ( ) due May 15, WorldCom publicly traded notes issued before the Class Period (the "pre-existing bonds"), but purchased on the open market during the Class Period and, with respect to the Intermedia bonds listed below, purchased after WorldCom's acquisition of Intermedia on July 1, Such bonds include, but are not limited to: - Section V: WorldCom Bonds: DATE BOND % DUE J. August 7, % 2003 K. August 7, % 2005 L. August 7, % 2028 M. April 1, % 2004 N. April 1, % 2007 O. April 1, % QUESTIONS? CALL TOLL-FREE (866) OR VISIT

4 *P-WCMF-POC/4* - Section VI: WorldCom Predecessor Bonds COMPANY BOND % DUE DATE P. Intermedia Comm 9.50% 2009 June 4, 1999 Q. Intermedia Comm 12.25% 2009 February 24, 1999 R. Intermedia Comm 8.60% 2008 August 6, 1998 S. Intermedia Comm 8.50% 2008 March 11, 1998 T. Intermedia Comm 8 7/8% 2007 February 12, 1998 U. Intermedia Comm 11.25% 2007 September 29, 1997 V. Intermedia Comm 11.25% 2007 July 9, 1997 W. Brooks Fiber 10 7/8% 2006 August 15, 1998 X. Brooks Fiber 10% 2007 July 26, 1997 Y. MCI Commun Corp 6.50% 2010 April 22, 1998 Z. MCI Commun Corp 6.95% 2006 August 9, 1996 AA. MCI Commun Corp 7 1/8% 2027 June 24, 1996 BB. MCI Commun Corp 7.75% 2025 March 24, 1994 CC. MCI Commun Corp 7.75% 2024 March 15, 1993 DD. MCI Commun Corp 8.25% 2023 January 20, 1993 EE. MCI Commun Corp 7.50% 2004 August 20, 1992 The foregoing securities are collectively referred to herein as the "Subject Securities." 7. "Class Member" means any person or entity who is a member of the Class, but excluding those persons or entities who submitted timely Requests for Exclusion in accordance with the procedures set forth in a previous Notice of Class Action, dated December 11, 2003, which, as amended by a Hearing Order of July 16, 2004, required requests for exclusion to be postmarked or delivered by hand no later than September 1, Persons or entities who revoke their Request for Exclusion before September 1, 2004, are members of the Class. 8. "Claimant" means the person or entity who submits a Proof of Claim and Release or on whose behalf a Proof of Claim and Release is submitted. 9. IF YOU ARE NOT A CLASS MEMBER, OR IF YOU, OR SOMEONE ACTING ON YOUR BEHALF, FILED A REQUEST FOR EXCLUSION FROM THE CLASS WHICH WAS NOT SUBSEQUENTLY REVOKED, DO NOT SUBMIT A PROOF OF CLAIM AND RELEASE. YOU MAY NOT, DIRECTLY OR INDIRECTLY, PARTICIPATE IN THE SETTLEMENT. 10. To recover as a Class Member, you must complete and sign this Proof of Claim and Release and mail it to the Administrator on or before March 4, If you fail to file a timely, properly addressed, and completed Proof of Claim and Release, your claim may be rejected and you may be precluded from receiving any distribution from the Settlement Fund. 4 QUESTIONS? CALL TOLL-FREE (866) OR VISIT

5 11. Submission of this Proof of Claim and Release does not ensure that you will share in the proceeds of the Settlement Fund. Distributions from the Settlement Fund will be governed by the Plan of Allocation, as approved by the Court, and a Supplemental Plan of Allocation that Lead Plaintiff anticipates proposing to the Court at a later date, as approved by the Court. The proposed Plan of Allocation, which is subject to the Court's approval, is contained at paragraph 22 of the Notice. 12. If you have questions concerning the Proof of Claim and Release, or need additional copies of the Proof of Claim and Release or Notice, you may contact the Administrator, The Garden City Group, Inc., at the address shown on the top of page 1 or by toll-free phone at , or you can your inquiries through or download the documents from the Administrator's Internet website, or from the website established and maintained by Lead Counsel, If you are a Class Member and you, or someone acting on your behalf, did not submit a timely Request for Exclusion, and if the Court approves the Settlement, you will be bound by the terms of any judgment that the Court enters, whether or not you submit a Proof of Claim and Release, including that part of the judgment that enjoins the filing or continued prosecution of Released Claims and that releases the Released Claims against the Released Parties, including those that are subject to pending lawsuits or arbitrations. 14. You are required to submit genuine and sufficient documentation for all your transactions in the Subject Securities during the Class Period from April 29, 1999 through and including June 25, 2002 and, where indicated, thereafter. In addition, you are required to submit genuine and sufficient documentation to show your holdings in the Subject Securities as of the opening period for each of the Subject Securities, as identified on the Proof of Claim form, and, where shown, on June 25, 2002 or the date of the filing of your Proof of Claim form. This documentation may be photocopies of stockbrokers' confirmation slips; stockbrokers' monthly statements (reflecting your opening and closing balances for the months specified on the actual claim form, and in which transactions during the Class Period occurred); schedules attached to tax filings; or signed letters from brokers, on their letterheads, giving all the information that would be found on a confirmation slip. If such documents are not in your possession, please obtain copies or equivalent contemporaneous documents from your broker or tax advisor. Failure to supply this documentation could result in rejection of your claim. Do not send original stock certificates. 15. All joint purchasers must sign this Proof of Claim and Release. *P-WCMF-POC/5* 16. Agents, executors, administrators, guardians, and trustees must complete and sign the Proof of Claim and Release on behalf of persons represented by them and they must: (a) expressly state the capacity in which they are acting; (b) identify the name, account number, Social Security/Taxpayer ID Number (or Employer Identification Number), address and telephone number of the beneficial owner of (or other person or entity on whose behalf they are acting with respect to) the Subject Securities; and (c) furnish herewith evidence of their authority to bind the person or entity on whose behalf they are acting to the Proof of Claim and Release. (Authority to complete and sign a Proof of Claim and Release cannot be established by stockbrokers only demonstrating that they have discretionary authority to trade stock in another's accounts.) 17. By submitting a signed Proof of Claim and Release, you will be swearing that: (a) you are a member of the Class defined in paragraph 3 above, or you are duly authorized to file this Proof of Claim and Release on behalf of such Class member; and (b) you own(ed) the Subject Securities you have listed in the Proof of Claim and Release, or you are expressly authorized to act on behalf of the owner thereof. 18. By submitting a signed Proof of Claim and Release, you will be swearing to the truth of the statements contained therein and the genuineness of the documents attached thereto, subject to penalties of perjury under the laws of the United States of America. The making of false statements, or the submission of forged or fraudulent documentation, will result in the rejection of your claim and may subject you to civil liability or criminal prosecution. 5 QUESTIONS? CALL TOLL-FREE (866) OR VISIT

6 *P-WCMF-POC/6* SECTION I. SCHEDULE OF TRANSACTIONS IN WORLDCOM COMMON STOCK Separately list each of your purchases or acquisitions of WorldCom common stock below. Attach a separate schedule if more space is needed. Be sure to include your name and Social Security/Taxpayer ID Number or Employer ID Number on any additional sheets. The date of purchase or acquisition is the trade or contract date, and not the settlement or payment date. ALL STATED HOLDINGS AND LISTED TRANSACTIONS MUST BE ACCOMPANIED BY SUPPORTING DOCUMENTATION. BEGINNING HOLDINGS Please state the number of shares of WorldCom common stock held as of the close of trading on April 28, 1999: PURCHASES / ACQUISITIONS Please list all purchases or acquisitions of WorldCom common stock, from April 29, 1999 through and including June 25, 2002: Date of Purchase/Acquisition Number of Shares Purchased/Acquired Purchase Share Total Purchase Price Mark, A for Acquisition / / / / / / / / / / / / / / / / / / / / 6

7 *P-WCMF-POC/7* SECTION I. SCHEDULE OF TRANSACTIONS IN WORLDCOM COMMON STOCK (CONTINUED) Separately list each of your sales of WorldCom common stock below. Attach a separate schedule if more space is needed. Be sure to include your name and Social Security/Taxpayer ID Number or Employer ID Number on any additional sheets. The date of sale is the trade or contract date, and not the settlement or payment date. ALL STATED HOLDINGS AND LISTED TRANSACTIONS MUST BE ACCOMPANIED BY SUPPORTING DOCUMENTATION. SALES Please list all sales of WorldCom common stock from April 29, 1999 through and including June 25, 2002: Date of Sale Number of Shares Sold Sale Share Total Sale Price / / / / / / / / / / / / / / / / / / / / UNSOLD HOLDINGS Please state the number of shares of WorldCom common stock held at the close of trading on June 25, 2002: 7

8 *P-WCMF-POC/8* SECTION II. SCHEDULE OF TRANSACTIONS IN WORLDCOM-ISSUED MCI TRACKING STOCK Separately list each of your purchases or acquisitions of WorldCom-issued MCI Tracking Stock below. Attach a separate schedule if more space is needed. Be sure to include your name and Social Security/Taxpayer ID Number or Employer ID Number on any additional sheets. The date of purchase or acquisition is the trade or contract date, and not the settlement or payment date. ALL STATED HOLDINGS AND LISTED TRANSACTIONS MUST BE ACCOMPANIED BY SUPPORTING DOCUMENTATION. BEGINNING HOLDINGS Please state the number of shares of the WorldCom-issued MCI Tracking Stock received in the spinoff on or about June 7, 2001: PURCHASES / ACQUISITIONS Please list all purchases or acquisitions of WorldCom-issued MCI Tracking Stock purchased or acquired after the spinoff on or about June 7, 2001 through and including June 25, 2002: Date of Purchase/Acquisition Number of Shares Purchased/Acquired Purchase Share Total Purchase Price Mark, A for Acquisition / / / / / / / / / / / / / / / / / / / / 8

9 *P-WCMF-POC/9* SECTION II. SCHEDULE OF TRANSACTIONS IN WORLDCOM-ISSUED MCI TRACKING STOCK (CONTINUED) Separately list each of your sales of WorldCom-issued MCI Tracking Stock below. Attach a separate schedule if more space is needed. Be sure to include your name and Social Security/Taxpayer ID Number or Employer ID Number on any additional sheets. The date of sale is the trade or contract date, and not the settlement or payment date. ALL STATED HOLDINGS AND LISTED TRANSACTIONS MUST BE ACCOMPANIED BY SUPPORTING DOCUMENTATION. SALES Please list all sales of WorldCom-issued MCI Tracking Stock purchased or acquired after the spinoff on or about June 7, 2001 through and including June 25, 2002: Date of Sale Number of Shares Sold Sale Share Total Sale Price / / / / / / / / / / / / / / / / / / / / UNSOLD HOLDINGS Please state the number of shares of WorldCom-issued MCI Tracking Stock held at the close of trading on June 25, 2002: 9

10 *P-WCMF-POC/10* SECTION III. SCHEDULE OF TRANSACTIONS IN WORLDCOM NOTE OFFERING OF MAY 2000 Separately list each of your purchases and sales of WorldCom Notes below. Attach a separate schedule if more space is needed. Be sure to include your name and Social Security/Taxpayer ID Number or Employer ID Number on any additional sheets. The date of purchase or sale is the trade or contract date, and not the settlement or payment date. ALL STATED HOLDINGS AND LISTED TRANSACTIONS MUST BE ACCOMPANIED BY SUPPORTING DOCUMENTATION. Please use the corresponding Note Code below for each transaction listed. Note Codes A for Floating Rate Notes due November 26, 2001 B for 7.875% Notes due May 15, 2003 C for 8.000% Notes due May 15, 2006 D for 8.250% Notes due May 15, 2010 PURCHASES Please list all purchases of the WorldCom Note Offering of May 2000, from May 2000 to the date of filing of this Proof of Claim: Date of Purchase / / Enter Corresponding Note Code (See Above) of Notes Purchased Purchase Note Total Purchase Price / / / / SALES NOTE THAT DEFINITION OF SALE FOR THIS SECTION INCLUDES ANY REDEMPTION OF BONDS THROUGH THE BANKRUPTCY COURT PROCEEDINGS AS WELL AS ACTUAL SALES: Please list all sales of the WorldCom Note Offering of May 2000, from May 2000 to the date of filing of this Proof of Claim: Date of Sale Enter Corresponding Note Code (See Above) of Notes Sold Sale Note / / / / / / Total Sale Price UNSOLD HOLDINGS Please state the of the WorldCom Note Offering of May 2000 held at the date of filing of this Proof of Claim: A B C D 10

11 *P-WCMF-POC/11* SECTION IV. SCHEDULE OF TRANSACTIONS IN WORLDCOM NOTE OFFERING OF MAY 2001 Separately list each of your purchases and sales of WorldCom Notes below. Attach a separate schedule if more space is needed. Be sure to include your name and Social Security/Taxpayer ID Number or Employer ID Number on any additional sheets. The date of purchase or sale is the trade or contract date, and not the settlement or payment date. ALL STATED HOLDINGS AND LISTED TRANSACTIONS MUST BE ACCOMPANIED BY SUPPORTING DOCUMENTATION. Please use the corresponding Note Code below for each transaction listed. Note Codes E for 6.50% Notes due May 15, 2004 F for 7.50% Notes due May 15, 2011 G for 8.25% Notes due May 15, 2031 H for 6.75% Notes ( ) due May 15, 2008 I for 7.25% Notes ( ) due May 15, 2008 PURCHASES Please list all purchases of the WorldCom Note Offering of May 2001, from May 2001 to the date of filing of this Proof of Claim: Date of Purchase of Notes Purchased Purchase Note / / Enter Corresponding Note Code (See Above) Total Purchase Price / / / / SALES NOTE THAT DEFINITION OF SALE FOR THIS SECTION INCLUDES ANY REDEMPTION OF BONDS THROUGH THE BANKRUPTCY COURT PROCEEDINGS AS WELL AS ACTUAL SALES: Please list all sales of the WorldCom Note Offering of May 2001, from May 2001 to the date of filing of this Proof of Claim: Date of Sale Enter Corresponding Note Code (See Above) of Notes Sold Sale Note / / / / / / Total Sale Price UNSOLD HOLDINGS Please state the of the WorldCom Note Offering of May 2001 held at the date of filing of this Proof of Claim: E F G H I 11

12 *P-WCMF-POC/12* SECTION V. SCHEDULE OF TRANSACTIONS IN PRE-EXISTING WORLDCOM BONDS Separately list each of your purchases of pre-existing WorldCom Bonds below. Attach a separate schedule if more space is needed. Be sure to include your name and Social Security/Taxpayer ID Number or Employer ID Number on any additional sheets. The date of purchase is the trade or contract date, and not the settlement or payment date. ALL STATED HOLDINGS AND LISTED TRANSACTIONS MUST BE ACCOMPANIED BY SUPPORTING DOCUMENTATION. Please use the corresponding Bond Code below for each transaction listed. August 7, 1998 J for 6.25% Due 2003 K for 6.40% Due 2005 L for 6.95% Due 2028 Bond Codes April 1, 1997 M for 7.55% Due 2004 N for 7.75% Due 2007 O for 7.75% Due 2027 BEGINNING HOLDINGS Please state the of pre-existing WorldCom Bonds held as of the close of trading on April 28, 1999: J K L M N O PURCHASES Please list all purchases of pre-existing WorldCom Bonds from April 29, 1999 to the date of filing of this Proof of Claim: Date of Purchase Enter Corresponding Bond Code (See Above) of Bonds Purchased Purchase Bond Total Purchase Price / / / / / / / / / / / / / / / / 12

13 *P-WCMF-POC/13* SECTION V. SCHEDULE OF TRANSACTIONS IN PRE-EXISTING WORLDCOM BONDS (CONTINUED) Separately list each of your sales of pre-existing WorldCom Bonds below. Attach a separate schedule if more space is needed. Be sure to include your name and Social Security/Taxpayer ID Number or Employer ID Number on any additional sheets. The date of sale is the trade or contract date, and not the settlement or payment date. ALL STATED HOLDINGS AND LISTED TRANSACTIONS MUST BE ACCOMPANIED BY SUPPORTING DOCUMENTATION. Please use the corresponding Bond Code below for each transaction listed. Bond Codes SALES Date of Sale / / August 7, 1998 J for 6.25% Due 2003 K for 6.40% Due 2005 L for 6.95% Due 2028 Enter Corresponding Bond Code (See Above) of Bonds Sold April 1, 1997 M for 7.55% Due 2004 N for 7.75% Due 2007 O for 7.75% Due 2027 NOTE THAT DEFINITION OF SALE FOR THIS SECTION INCLUDES ANY REDEMPTION OF BONDS THROUGH THE BANKRUPTCY COURT PROCEEDINGS AS WELL AS ACTUAL SALES: Please list all sales of pre-existing WorldCom Bonds from April 29, 1999 to the date of filing of this Proof of Claim: Sale Bond Total Sale Price / / / / / / / / / / / / / / UNSOLD HOLDINGS Please state the of pre-existing WorldCom Bonds held at the date of filing of this Proof of Claim: J K L M N O 13

14 *P-WCMF-POC/14* SECTION VI. SCHEDULE OF TRANSACTIONS IN WORLDCOM PREDECESSOR BONDS Separately list each of your purchases of WorldCom Predecessor Bonds below. Attach a separate schedule if more space is needed. Be sure to include your name and Social Security/Taxpayer ID Number or Employer ID Number on any additional sheets. The date of purchase is the trade or contract date, and not the settlement or payment date. ALL STATED HOLDINGS AND LISTED TRANSACTIONS MUST BE ACCOMPANIED BY SUPPORTING DOCUMENTATION. Please use the corresponding Bond Code below for each transaction listed. Bond Codes Intermedia Comm Bonds: For the Intermedia bonds purchased after WorldCom's acquisition of Intermedia on July 1, 2001 P for June 4, % Due 2009 Q for February 24, % Due 2009 R for August 6, % Due 2008 S for March 11, % Due 2008 Y for April 22, % Due 2010 Z for August 9, % Due 2006 AA for June 24, /8% Due 2027 BB for March 24, % Due 2025 T for February 12, /8% Due 2007 U for September 29, % Due 2007 V for July 9, % Due 2007 BEGINNING HOLDINGS NOTE: For Intermedia Comm Bonds (P - V), please state the held at the beginning of trading on July 1, 2001: For Brooks Fiber Bonds and MCI Commun Corp. Bonds (W - EE), please state the held as of the close of trading on April 28, 1999: Brooks Fiber Bonds: W for August 15, /8% Due 2006 X for July 26, % Due 2007 MCI Commun Corp Bonds: CC for March 15, % Due 2024 DD for January 20, % Due 2023 EE for August 20, % Due 2004 P Q R S T U V W X Y Z AA BB CC DD EE NOTE: PURCHASES For Intermedia Comm Bonds (P - V), please list all purchases from July 2, 2001 to the date of filing of this Proof of Claim: For Brooks Fiber Bonds and MCI Commun Corp. Bonds (W - EE), please list all purchases from April 29, 1999 to the date of filing of this Proof of Claim: Date of Purchase Enter Corresponding Bonds Code (See Above) of Bonds Purchased Purchase Bond Total Purchase Price / / / / / / / / 14

15 *P-WCMF-POC/15* SECTION VI. SCHEDULE OF TRANSACTIONS IN WORLDCOM PREDECESSOR BONDS (CONTINUED) Separately list each of your sales of WorldCom Predecessor Bonds below. Attach a separate schedule if more space is needed. Be sure to include your name and Social Security/Taxpayer ID Number or Employer ID Number on any additional sheets. The date of sale is the trade or contract date, and not the settlement or payment date. ALL STATED HOLDINGS AND LISTED TRANSACTIONS MUST BE ACCOMPANIED BY SUPPORTING DOCUMENTATION. Please use the corresponding Bond Code below for each transaction listed. Bond Codes Intermedia Comm Bonds: For the Intermedia bonds purchased after WorldCom's acquisition of Intermedia on July 1, 2001 SALES NOTE THAT DEFINITION OF SALE FOR THIS SECTION INCLUDES ANY REDEMPTION OF BONDS THROUGH THE BANKRUPTCY COURT PROCEEDINGS AS WELL AS ACTUAL SALES: NOTE: P for June 4, % Due 2009 Q for February 24, % Due 2009 R for August 6, % Due 2008 S for March 11, % Due 2008 Y for April 22, % Due 2010 Z for August 9, % Due 2006 AA for June 24, /8% Due 2027 BB for March 24, % Due 2025 Date of Sale / / Enter Corresponding Bonds Code (See Above) Brooks Fiber Bonds: W for August 15, /8% Due 2006 X for July 26, % Due 2007 MCI Commun Corp Bonds: of Bonds Sold Sale Bond / / / / T for February 12, /8% Due 2007 U for September 29, % Due 2007 V for July 9, % Due 2007 CC for March 15, % Due 2024 DD for January 20, % Due 2023 EE for August 20, % Due 2004 For Intermedia Comm Bonds (P - V), please list all sales from July 2, 2001 to the date of filing of this Proof of Claim: For Brooks Fiber Bonds and MCI Commun Corp. Bonds (W - EE), please list all sales from April 29, 1999 to the date of filing of this Proof of Claim: Total Sale Price UNSOLD HOLDINGS Please state the of the WorldCom Predecessor Bonds held at the date of filing of this Proof of Claim: P Q R S T U V W X Y Z AA BB CC DD EE 15

16 *P-WCMF-POC/16* SECTION VII. SCHEDULE OF TRANSACTIONS IN OTHER PRE-EXISTING WORLDCOM BONDS Separately list below each of your purchases and sales of other WorldCom Bonds issued prior to the Class Period but purchased on the open market during the Class Period. Attach a separate schedule if more space is needed. Be sure to include your name and Social Security/Taxpayer ID Number or Employer ID Number on any additional sheets. The date of purchase or sale is the trade or contract date, and not the settlement or payment date. ALL STATED HOLDINGS AND LISTED TRANSACTIONS MUST BE ACCOMPANIED BY SUPPORTING DOCUMENTATION. BEGINNING HOLDINGS Please state any other WorldCom Bonds held at the close of trading April 28, 1999: Bond Description Percent Due Date % / / % / / PURCHASES Please list all purchases of any other WorldCom Bonds during the period April 29, 1999 to the date of filing of this Proof of Claim: Date of Purchase Percent Bond Description Due Date of Bonds Purchased Purchase 1000 Bond / / % / / / / % / / / / % / / Total Purchase Price commissions, taxes, and fees) SALES NOTE THAT DEFINITION OF SALE FOR THIS SECTION INCLUDES ANY REDEMPTION OF BONDS THROUGH THE BANKRUPTCY COURT PROCEEDINGS AS WELL AS ACTUAL SALES: Please list all sales of any other WorldCom Bonds during the period April 29, 1999 to the date of filing of this Proof of Claim: Date of Sale Bond Description Percent Due Date of Bonds Sold Sale 1000 Bond Total Sale Price commissions, taxes, and fees) / / % / / / / % / / / / % / / UNSOLD HOLDINGS Please state any other WorldCom Bonds held at the date of filing of this Proof of Claim: Bond Description Percent Due Date % / / % / / 16

17 *P-WCMF-POC/17* RELEASE OF CLAIMS Definitions For the purpose of the Proof of Claim and Release, defined terms have the following meanings. (Other defined terms have the meanings given them in the Notice.) "Effective Date" means the first day following the date on which the Judgment is finally affirmed on appeal and/or is no longer subject to review by appeal or certiorari and the time for any petition for rehearing, appeal, or review, by certiorari or otherwise, has expired. "Judgment" means the Order or Orders entered by the Court if and upon approval of the Settlement, dismissing the Litigation as to the Citigroup Defendants with prejudice and without costs (except to the extent awarded by the Court) to any party, releasing all Released Claims as against the Released Parties, and enjoining Class Members from instituting, continuing or prosecuting any action asserting any Released Claims against any Released Party. "Released Claims" means: (i) with respect to the Citigroup Releasees, defined below, the release by Lead Plaintiff, the Named Plaintiffs and all Class Members of all claims of every nature and description, known and unknown, arising out of or relating to investments (including, but not limited to, purchases, sales, exercises, and decisions to hold) in securities issued by WorldCom, and/or in options or derivative instruments based in whole or in part on the value of securities issued by WorldCom (including Targeted Growth Enhanced Terms Securities with respect to MCI WorldCom, Inc. and GOALs issued by UBS AG), including without limitation all claims arising out of or relating to any analyst research reports or other statements made or issued by the Citigroup Defendants concerning WorldCom, any disclosures, registration statements or other statements by WorldCom, as well as all claims asserted by or that could have been asserted by Plaintiffs or any member of the Class in the Action against the Citigroup Releasees, defined below. Provided, however, that the "Released Claims" described in this paragraph do not operate to preclude any Class Member or Authorized Claimant from making any claim with respect to any funds made available as a result of the WorldCom bankruptcy, WorldCom's settlement with the Securities and Exchange Commission, or any other regulatory agency fund. (ii) with respect to Lead Plaintiff, the Named Plaintiffs and all other Class Members, the release by the Citigroup Defendants of the Plaintiff Releasees, as defined below, from any claims relating to the institution or prosecution of this Action. "Released Parties" means: (i) with respect to the Citigroup Defendants, the Citigroup Defendants, their respective present and former parents, subsidiaries, divisions and affiliates, the present and former employees, officers and directors of each of them, the present and former attorneys, accountants, insurers, and agents of each of them, and the predecessors, heirs, successors and assigns of each (together, the "Citigroup Releasees"), and any person or entity which is or was related to or affiliated with any Citigroup Releasee or in which any Citigroup Releasee has or had a controlling interest and the present and former employees, officers and directors, attorneys, accountants, insurers, and agents of each of them. However, the term "Citigroup Releasees" shall not include any Non-Settling Entity/Individual, defined below. (ii) with respect to Plaintiffs, the Lead Plaintiff, Named Plaintiffs and all other Class Members, their respective present and former parents, subsidiaries, divisions and affiliates, the present and former employees, officers and directors of each of them, the present and former attorneys, accountants, insurers, and agents of each of them, and the predecessors, heirs, successors and assigns of each (together, the "Plaintiff Releasees"), and any person or entity in which any Plaintiff Releasee has or had a controlling interest or which is or was related to or affiliated with any Plaintiff Releasee. However, the term "Plaintiff Releasees" shall not include any Non-Settling Defendant, defined below. 17 YOU MUST READ THE RELEASE OF CLAIMS AND SIGN ON PAGE 19.

18 "Non-Settling Defendants" means the Non-Settling Defendant Companies and Non-Settling Individual Defendants, as follows: (i) The Non-Settling Defendant Companies are: Arthur Andersen LLP, J.P. Morgan Chase & Co., J.P. Morgan Securities, Inc., J.P. Morgan Securities Ltd., Banc of America Securities LLC, Deutsche Bank Alex. Brown Inc. (formerly known as Deutsche Bank Securities Inc.), Chase Securities Inc., Lehman Brothers Inc., Blaylock & Partners, L.P., Credit Suisse First Boston Corp., Goldman, Sachs & Co., UBS Warburg LLC, ABN/AMRO Inc., Utendahl Capital Partners, L.P., Tokyo-Mitsubishi International plc, Westdeutsche Landesbank Girozentrale, BNP Paribas Securities Corp., Caboto Holding SIM S.p.A., Fleet Securities, Inc., and Mizuho International plc. (ii) The Non-Settling Individual Defendants are: Bernard Ebbers, Scott Sullivan, David Myers, Buford Yates, James C. Allen, Judith Areen, Carl J. Aycock, Max E. Bobbitt, Francesco Galesi, Clifford L. Alexander, Jr., Stiles A. Kellett, Jr., Gordon S. Macklin, John A. Porter, Bert C. Roberts, Jr., John W. Sidgmore, and Lawrence C. Tucker. The Release Without further action by anyone, on and after the Effective Date, each Class Member, including Class Members who are parties to any other actions, arbitrations, or other proceedings against any of the Citigroup Defendants that are pending on the Effective Date, on behalf of themselves, their heirs, executors, administrators, successors, assigns, and any person they represent, for good and sufficient consideration, the receipt and adequacy of which are hereby acknowledged, shall be deemed to have, and by operation of law and of the Final Judgment shall have fully, finally, and forever released, relinquished, settled and discharged all Released Claims against each and every one of the Released Parties, including such Released Claims as already may have been asserted in any pending actions, arbitrations, or other proceedings, and whether or not a Proof of Claim and Release is executed and delivered by, or on behalf of, such Class Member; provided, however, that nothing in the Judgment: (a) shall bar any action or claim to enforce the terms of the Stipulation and Agreement of Settlement with the Citigroup Defendants, or the Judgment; and (b) shall bar the Claimant from continuing to pursue claims, as a member of the Class, against the Non-Settling Defendants in the Litigation, In re WorldCom, Inc. Securities Litigation, Master File No. 02 Civ (DLC). Class Members also specifically waive the benefit of the provisions of Section 1542 of the Civil Code of the State of California, which provides as follows: "A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS FAVOR AT THE TIME OF EXECUTION OF THE RELEASE, WHICH IF KNOWN BY HIM MUST HAVE MATERIALLY AFFECTED HIS SETTLEMENT WITH THE DEBTOR." Class Members acknowledge the significance and consequence of this waiver of the provision of Section 1542, waive the provisions and protections of Section 1542, assume full responsibility for any loss that may be incurred by reason of such waiver, and hereby release unknown and unsuspected claims. UNDER THE PENALTY OF PERJURY, I (WE) CERTIFY THAT: Substitute Form W-9 The number shown on this form is my (our) correct Social Security Number/Taxpayer Identification Number (SSN/TIN) or Employer Identification Number (EIN); and I (we) certify that I am (we are) NOT subject to backup withholding under the provisions of Section 3406(a)(l)(C) of the Internal Revenue Code, because (a) I am (we are) exempt from backup withholding; or (b) I (we) have not been notified by the Internal Revenue Service that I am (we are) subject to backup withholding as a result of a failure to report all interest or dividends; or (c) the Internal Revenue Service has notified me (us) that I am (we are) no longer subject to backup withholding. The Internal Revenue Service ( IRS ) requires you to include your taxpayer identification number. If you fail to provide this information, your claim may be rejected. NOTE: If you have been notified by the Internal Revenue Service that you are subject to backup withholding, check this box. If you are not a U.S. Resident or U.S. Resident Alien, check this box. *P-WCMF-POC/18* The Internal Revenue Service does not require your consent to any provision of this document other than the certification required to avoid backup withholding. 18 YOU MUST READ THE RELEASE OF CLAIMS AND SIGN ON PAGE 19.

19 *P-WCMF-POC/19* Signature and Certification By signing and submitting this Proof of Claim and Release, the Claimant or the person who represents the Claimant certifies, as follows: 1. that the Claimant is a Class Member, as defined in the Notice; 2. that I (we) have read and understand the contents of the Notice and the Proof of Claim and Release; 3. that I (we) are not acting for any of the Defendants, nor am I (are we) such a Defendant or otherwise excluded from the Class; 4. that I (we) have not filed a Request for Exclusion from the Class (which Request for Exclusion has not been revoked) and that I (we) do not know of any Request for Exclusion from the Class (which Request for Exclusion has not been revoked) filed on my (our) behalf with respect to my (our) transactions in the Subject Securities; 5. that I (we) own(ed) the Subject Securities identified in the Proof of Claim and Release, or that, in signing and submitting this Proof of Claim and Release, I (we) have the authority to act on behalf of the owner(s) thereof; 6. that Claimant may be entitled to receive a distribution from the Net Settlement Fund; 7. that Claimant desires to participate in the Settlement described in the Notice and agrees to the terms and conditions thereof; 8. that I (we) submit to the jurisdiction of the United States District Court for the Southern District of New York for purposes of investigation and discovery under the Federal Rules of Civil Procedure with respect to this Proof of Claim and Release; 9. that I (we) agree to furnish such additional information with respect to this Proof of Claim and Release as the parties or the Court may require; and 10. that I (we) waive trial by jury, to the extent it exists, and agree to the Court's summary disposition of the determination of the validity or amount of the claim made by this Proof of Claim and Release. I declare, under penalty of perjury under the laws of the United States of America, that the statements made and answers given in this Proof of Claim and Release are true and correct and that the documents submitted herewith are true and genuine. Signature of Claimant Print the name of Claimant Date Signature of Joint Claimant, if any Print the name of Joint Claimant Date If Claimant is other than an individual, or if Claimant is not the person completing this form, the following also must be provided: Signature of person completing form Print the name of the person Date completing the form Capacity of person signing (if acting on behalf of another, provide proof of authority to act) 19 YOU MUST READ THE RELEASE OF CLAIMS AND SIGN THIS PAGE.

20 REMINDER CHECKLIST 1. Please sign the Proof of Claim and Release on page 19. *P-WCMF-POC/20* 2. If this claim is being made on behalf of joint claimants, then both must sign. 3. Please remember to attach supporting documents. ACCEPTABLE FORMS OF DOCUMENTATION INCLUDE: a) a broker confirmation slip that lists the name of the security, name of the beneficial owner, the date of the transaction, the number of shares, the price per share and the amount of the transaction; b) a monthly statement that will detail all account activity within a month; c) a statement on broker letterhead with detailed information to support your claim; 4. If you move, please send us your new address along with your previous address. 5. DO NOT SEND ORIGINALS OF ANY SUPPORTING DOCUMENTS. 6. Do not use highlighter on the Proof of Claim and Release Form or supporting documentation. 7. Keep a copy of your Proof of Claim and Release and all documentation submitted for your records. 8. You will receive a postcard confirmation that your Proof of Claim and Release has been received. If you do not receive such a confirmation within 30 days of mailing your Proof of Claim, it is your responsibility to contact the Administrator at the address listed above to ensure that your Proof of Claim has not been lost. You may also send your Proof of Claim via Certified Mail, Return Receipt Requested or by some other means which provide you with proof of receipt. Your claim is not deemed filed until you receive an acknowledgement postcard. If you do not receive an acknowledgement postcard, please call the Administrator toll-free at 1 (866) THIS PROOF OF CLAIM MUST BE SUBMITTED NO LATER THAN MARCH 4, 2005, AND MUST BE MAILED TO: WorldCom, Inc. Securities Litigation c/o The Garden City Group, Inc. Claims Administrator P.O. Box 9000 #6247 Merrick, NY THANK YOU FOR YOUR PATIENCE 20