Beazley plc Dividend Access Plan Rules (the Rules)

Transcription

1 Beazley plc Dividend Access Plan Rules (the Rules) 1. Participation Participation in the Beazley plc Dividend Access Plan (the Plan) is optional and is open to members of Beazley plc (the Company) who hold fully paid ordinary shares in the capital of the Company (the Shares) in accordance with paragraph 3 below. 2. Extent of Participation Subject to paragraph 4 below, participation in the Plan will be for all of the Shares registered in the name of a Plan Participant (as defined in paragraph 10.1 below) (including future acquisitions of Shares by that Plan Participant) on the Company's share register in Jersey (the Share Register). 3. Method of Participation 3.1 Members who hold 300,000 or fewer Shares at the Record Date (as defined in paragraph 3.2 below) shall be deemed to have served a Notice of Election and Participation (Election Notice) and have elected to participate in the Plan and will receive their dividends via the Plan. Members who hold 300,000 or fewer Shares at the Record Date (as defined in paragraph 3.2 below) and who have elected previously to withdraw from the Plan pursuant to paragraph 4 below but who wish to elect to participate in the Plan shall be required to serve an Election Notice. An Election Notice shall be in the form set out in Appendix 1 to these Rules. On receipt (or deemed receipt) of an Election Notice (the Company to determine when such receipt is deemed to have taken place), the Company will procure that the Registrar (as defined in paragraph 3.2 below) will note in the Share Register that the relevant member is a Plan Participant in respect of all the Shares held by that Plan Participant from time to time (subject to paragraph 3.2). 3.2 An Election Notice will take effect forthwith upon its receipt (or deemed receipt) by the Company's registrar (the Registrar) provided that if an Election Notice is so received by the Registrar after the date on which the Company specifies that a person must be recorded as a member in the Share Register (Record Date) for entitlement in respect of any particular dividend announced or payable by the Company but before payment of the dividend in question, the Election Notice shall be deemed to have become effective immediately after payment of that dividend. 3.3 An Election Notice received (or deemed received) by the Registrar will take effect in respect of the member's entire holding of Shares as shown in the Share Register as at the date the Election Notice takes effect and, subject to paragraphs 4.5 and 4.6, in respect of further Shares acquired by the member, as and when those Shares are registered in the name of the member in the Share Register. Any Election Notice received by the Registrar in which a member purports to elect to participate in the Plan in respect of less than the member's entire holding of Shares will be disregarded. The Share Register on any date shall be conclusive evidence in determining participation and no responsibility will be taken for transfers that are not entered on, or are removed from, the Share Register prior to a notice becoming effective. 3.4 Members who were entered on the Share Register: (a) (b) at 6p.m. on 30 April 2012 and who hold more (or whose shareholding is aggregated by the Company into a holding greater) than 5,000,000 Shares on any Record Date; or at 6p.m. on 30 April 2012 and holding more than 300,000 Shares but 5,000,000 or fewer Shares on any Record Date and who were not a Plan Participant at 6p.m. on 30 April 2012; or 1

2 (c) after 6p.m. on 30 April 2012 and who hold more than 300,000 Shares on any Record Date (and, for the avoidance of doubt, this includes any member who had previously served (or deemed to have served) an Election Notice), (each an Excluded Member), are prima facie ineligible to participate in the Plan. The Company may, however, exercise its discretion to permit an Excluded Member to participate in the Plan upon application by the Excluded Member by means of a discretionary participation application form (in the form set out in Appendix 3) (Participation Form) setting out the reasons why the Excluded Member wishes the Company to exercise its discretion in the Excluded Member's favour. The Company may take into account such matters at it may think appropriate when determining whether or not to exercise its discretion in favour of the Excluded Member. Without prejudice to the generality of the foregoing, it is expected that discretionary participation would be granted: (i) (ii) to shareholders who are interested in more than 300,000 Shares and whose holding is not (following any aggregation by the Company) more than 5,000,000 Shares, as a matter of course; and to all other Excluded Members, only in limited circumstances (for example, where an Excluded Member is not able to take advantage of an exemption from Irish dividend withholding tax by any other means). 3.5 In calculating a member's holding of Shares for the purposes of paragraphs 3 and 4, the Company may aggregate a member's holding of Shares with other Shares. For the purposes of determining a member's aggregate interest, the Company may take into account all relevant information available to the Company, including any indirect or beneficial shareholdings of that member in the Company, including any Shares held under common control of a fund manager. 4. Cessation of Participation 4.1 Subject to paragraphs 4.5 and 4.6, a Plan Participant who wishes to withdraw from participation in the Plan must complete, sign and lodge with the Registrar a Notice of Withdrawal (Withdrawal Notice). A Withdrawal Notice shall be in the form set out in Appendix 2 to these Rules. 4.2 A Withdrawal Notice will take effect forthwith upon its receipt by the Registrar provided that if a Withdrawal Notice is received by the Registrar after the Record Date for entitlement in respect of any particular dividend announced or payable by the Company but before payment of the dividend in question, the Withdrawal Notice shall be deemed to have become effective immediately after payment of that dividend. 4.3 A Withdrawal Notice received by the Registrar will apply in respect of all relevant Shares registered in the name of the member in the Share Register and participating in the Plan at the date the Withdrawal Notice takes effect. Partial withdrawal is not permitted. 4.4 On a sale or other transfer of Shares, such Shares shall no longer be subject to participation in the Plan. For the avoidance of doubt, participation in the Plan in respect of all remaining Shares held by a Plan Participant following a sale or disposal of Shares by such Plan Participant shall continue until a Withdrawal Notice is received by the Registrar and takes effect in accordance with paragraph 4.2 above. Where an account is reduced to zero and subsequently has Shares credited to reactivate it, any election previously recorded will remain valid until a Withdrawal Notice has been received and processed by the Registrar. 2

3 4.5 If a Plan Participant who was entered on the Share Register at 6p.m. on 30 April 2012 holds more than 5,000,000 Shares on a Record Date, then unless that Plan Participant became (initially or at any time thereafter) a Plan Participant in accordance with paragraph 3.4 by reference to its holding of shares on that particular Record Date, that Plan Participant shall be deemed to have withdrawn from the Plan on the day immediately preceding the relevant Record Date. 4.6 If either: (a) a member was entered on the Share Register at 6p.m. on 30 April 2012 but was not a Plan Participant at that time but thereafter became one; or (b) a Plan Participant who was entered on the Share Register after 6p.m. on 30 April 2012, holds more than 300,000 Shares on a Record Date, then unless that Plan Participant became (initially or at any time thereafter) a Plan Participant in accordance with paragraph 3.4 by reference to a holding of Shares in excess of 300,000, that Plan Participant shall be deemed to have withdrawn from the Plan on the day immediately preceding the relevant Record Date. 5. Operation of the Plan 5.1 Each Plan Participant shall, subject to paragraphs 5.7 and 5.8 hereof, at each Interim Distribution Date (as defined in paragraph 5.11 below): (a) (b) be entitled to receive a cash distribution from the Dividend Access Trust (as defined in paragraph 5.11 below) of an amount calculated in accordance with paragraph 5.2 hereof; and by electing, or being deemed to have elected, for the Plan, have waived the dividend from the Company he would otherwise have been entitled to receive in respect of such number of Shares registered in the name of the Plan Participant in the Share Register which are elected to participate in the Plan at the Record Date in accordance with these Rules in respect of that Interim Distribution Date. 5.2 Subject to paragraph 5.8 hereof, the amount of the cash distribution from the Dividend Access Trust which a Plan Participant will be so entitled to receive at an Interim Distribution Date will be calculated on the basis of the following formula: A x B where: A is the amount of the cash dividend (being an amount equivalent to the dividend announced and to be paid by the Company) per Share payable by the Company on the Interim Distribution Date in question; B is such number of Shares registered in the name of the Plan Participant in the Share Register at the Record Date for the First Interim Dividend in question. 5.3 Each Plan Participant shall, subject to paragraphs 5.7 and 5.8 hereof, at each Second Interim Distribution Date: (a) be entitled to receive a cash distribution from the Dividend Access Trust of an amount calculated in accordance with paragraph 5.4 hereof; and 3

4 (b) by electing, or being deemed to have elected, for the Plan, have waived the dividend from the Company he would otherwise have been entitled to receive in respect of such number of Shares registered in the name of the Plan Participant in the Share Register which are elected to participate in the Plan at the Record Date in accordance with these Rules in respect of that Second Interim Distribution Date. 5.4 Subject to paragraph 5.8 hereof, the amount of the cash distribution from the Dividend Access Trust which a Plan Participant will be so entitled to receive at a Second Interim Distribution Date (as defined in paragraph 5.11 below) will be calculated on the basis of the following formula: A x B where: A is the amount of the cash dividend (being an amount equivalent to the dividend announced and to be paid by the Company) per Share announced by the Company for payment on the Second Interim Distribution Date in question; B is such number of the Shares registered in the name of the Plan Participant in the Share Register at the Record Date for the Second Interim Dividend in question. 5.5 Each Plan Participant shall, subject to paragraphs 5.7 and 5.8 hereof, at each Special Dividend Distribution Date (as defined in paragraph 5.11 below): (a) (b) be entitled to receive a cash distribution from the Dividend Access Trust (as defined in paragraph 5.11 below) of an amount calculated in accordance with paragraph 5.6 hereof; and by electing, or being deemed to have elected, for the Plan, have waived the dividend from the Company he would otherwise have been entitled to receive in respect of such number of Shares registered in the name of the Plan Participant in the Share Register which are elected to participate in the Plan at the Record Date in accordance with these Rules in respect of that Special Dividend Distribution Date. 5.6 Subject to paragraph 5.8 hereof, the amount of the cash distribution from the Dividend Access Trust which a Plan Participant will be so entitled to receive at a Special Dividend Distribution Date will be calculated on the basis of the following formula: A x B where: A is the amount of the cash dividend (being an amount equivalent to the dividend announced and to be paid by the Company) per Share payable by the Company on the Special Dividend Distribution Date in question; B is such number of Shares registered in the name of the Plan Participant in the Share Register at the Record Date for the Special Dividend in question. 5.7 If at any Distribution Date the amount available for distribution to all Plan Participants from the Dividend Access Trust is not sufficient to satisfy all Plan Participants' full entitlement calculated in accordance with paragraph 5.2, paragraph 5.4 or paragraph 5.6 hereof (as the case may be) or if UK Dividend Company has not paid a dividend on the Dividend Access Share in respect of the period to which the relevant Distribution Date (as defined in paragraph 5.11 below) relates, then: 4

5 (a) (b) (c) each Plan Participant's entitlement to a cash distribution from the Dividend Access Trust shall be to its pro-rata share of the amount of the dividend paid (if any) on the Dividend Access Share; to the extent that such dividend (if any) is not sufficient to satisfy all Plan Participants' full entitlement calculated in accordance with paragraph 5.2, paragraph 5.4 or paragraph 5.6 hereof (as the case may be) the waiver referred to in paragraph 5.1, paragraph 5.3 or paragraph 5.5 hereof, as the case may be, shall only apply to the extent that such dividend is actually paid; and each Plan Participant shall be entitled to the balance (or, if appropriate, the full amount) by way of a dividend from the Company of an amount equal to the shortfall per Share multiplied by such number of Shares registered in the name of the Plan Participant in the Share Register at the Record Date for the First Interim Dividend, or (as the case may be) the Second Interim Dividend or the Special Dividend as are elected to participate in the Plan in accordance with these Rules. 5.8 Any amount payable by the Dividend Access Trustee or UK Dividend Company by way of dividend pursuant to paragraphs 5.1, 5.2, 5.3, 5.4, 5.5 or 5.6 will be deemed to include any amount that the Dividend Access Trustee or UK Dividend Company may be compelled by law to withhold or deduct so that a net amount only will be paid. Any amount payable by the Company by way of dividend pursuant to paragraph 5.7(c) will be deemed to include any amount that the Company may be compelled by law to withhold or deduct so that a net amount only will be paid. 5.9 Any amount to which a Plan Participant is entitled in accordance with paragraph 5.2, 5.4 or paragraph 5.6 hereof and which is being held by the Dividend Access Trustee but which is unclaimed will be subject to the relevant article of UK Dividend Company's articles of association which relates to unclaimed dividends, and the Plan Participants instruct the Dividend Access Trustee to pay any such amount to the UK Dividend Company For the avoidance of doubt, nothing in this paragraph 5 shall affect the entitlement of a member who has not lodged an Election Notice (or deemed to have lodged an Election Notice in accordance with paragraph 3.1 hereof) in accordance with these Rules to receive a dividend per Share from the Company in respect of Shares in the Company registered in the name of that member in the Share Register at the relevant Record Date For the purpose of this paragraph 5 the following expressions shall have the following meanings: Distribution Date means an Interim Distribution Date, a Second Interim Distribution Date or a Special Dividend Distribution Date as the context shall require; Dividend Access Share means the dividend access share in the capital of UK Dividend Company having a nominal value of 1 and allotted and issued to the Dividend Access Trustee by UK Dividend Company and held by the Dividend Access Trustee pursuant to the terms of the Dividend Access Trust; Dividend Access Trust means the trust established by a deed made between UK Dividend Company, the Company, Beazley Group Limited (the English sub) and the Dividend Access Trustee; Dividend Access Trustee means Lloyds TSB Offshore Trust Company Limited, a company incorporated in Jersey with registered number 7748, whose registered office is at P.O. Box 160, 25 New Street, St. Helier, Jersey JE4 8RG or such other person as may be appointed to act as dividend access trustee from time to time; 5

6 Interim Distribution Date means, in respect of any first interim dividend announced by the Company to be a first interim dividend (the First Interim Dividend) in respect of a financial year, the date which the Company specifies for payment of such dividend; Beazley Group Limited, a company incorporated in England and Wales with registered number , whose registered office is at Plantation Place South, 60 Great Tower Street, London, EC3R 5AD(English Sub). Second Interim Distribution Date means, in respect of a dividend announced by the Company to be a second interim dividend (the Second Interim Dividend) in respect of a financial year, the date which the Company specifies for payment of such dividend; Special Dividend Distribution Date means, in respect of a dividend announced by the Company to be a special dividend (the Special Dividend) in respect of a financial year, the date which the Company specifies for payment of such dividend; and UK Dividend Company means the subsidiary of the Company which issues the Dividend Access Share and which is a party to the Dividend Access Trust (which as at the date of entry into the Dividend Access Trust is Beazley DAS Limited). 6. Death of Plan Participant If a Plan Participant dies, the participation of any other person with whom the deceased was a joint holder will continue until terminated in accordance with paragraph 4 above. If a Plan Participant who does not hold Shares jointly dies, the participation in the Plan of his estate will be terminated upon receipt by the Company of notice in writing of the death of such Plan Participant along with such other evidence as the Registrar may require. 7. Variation and Termination 7.1 The directors of the Company (the Directors) may vary these Rules and any notice or form referred to herein and each agreement between the Company and a Plan Participant as and when they consider appropriate. The Company shall notify a regulatory information service that is approved by the Financial Services Authority (a Regulatory Information Service) and any Plan Participant of any such variation unless in the opinion of the Directors the variation is of a minor nature or of a formal or technical nature only or does not materially prejudice the interests of Plan Participants. Where any such notification is required, such notification shall be given as soon as practicable after the variation has been made. 7.2 The Directors may as and when they consider it appropriate suspend or terminate the Plan and each contract between the Company and a Plan Participant by notifying each Plan Participant in writing and notifying a Regulatory Information Service. 8. Administration of the Plan The Plan will be administered by the Directors who shall have the power: (a) (b) to determine appropriate procedures for administration of the Plan consistent with these Rules; to resolve conclusively all questions of fact or interpretation in connection with these Rules; and 6

7 (c) to delegate to any one or more persons, for such period and upon such conditions as they may determine, the exercise of any of their powers or discretions under these Rules. 9. Governing Law The Plan and these Rules, and any non-contractual obligations arising out of or in connection therewith, shall be governed by the laws of England and Wales. 10. General 10.1 In these Rules the singular shall include the plural and vice versa, words importing any gender shall include any other gender, words importing persons shall include bodies corporate and unincorporate and vice versa and Plan Participant means a member of the Company who elects (or is deemed to have elected) to participate in the Plan and whose Election Notice has become effective (or is deemed to have become effective) or a member of the Company which the Company in its discretion (pursuant to paragraph 3.4) has permitted to participate in the Plan and in either case whose participation in the Plan has not ceased in accordance with these Rules A prospective Plan Participant should satisfy himself that his participation in the Plan is in accordance with all applicable laws in any relevant territory prior to lodging (or being deemed to have lodged) an Election Notice or prior to lodging a Participation Form. 7

8 election NOTICE APPENDIX 1 8

9 Beazley plc Dividend Access Plan Election Notice This Election Notice is important and requires your immediate attention. If you are in any doubt as to the action you should take, you are recommended to seek immediately your own personal financial advice from your stockbroker, bank manager, solicitor, accountant or other independent financial adviser authorised under the Financial Services and Markets Act 2000 if you are in the United Kingdom, or, if not, from another appropriately authorised independent financial adviser. If you hold 300,000 or fewer ordinary shares in Beazley plc and you wish to participate in the Dividend Access Plan you should take no further action, unless you have previously lodged a Withdrawal Notice and now wish to participate in the Plan. If you hold 300,000 or fewer ordinary shares in Beazley plc or you hold more than 300,000 ordinary shares in Beazley plc but you have previously successfully submitted an Election Notice but in either case you do not wish to participate in the Dividend Access Plan, you should complete a Withdrawal Notice. If you hold more than 300,000 ordinary shares in Beazley plc and you do not wish to participate in the Dividend Access Plan you should take no further action. If you hold more than 300,000 ordinary shares in Beazley plc and you wish to participate in the Dividend Access Plan you should complete a Discretionary Participation Application Form, which is available on the Beazley plc website. Information on the Dividend Access Plan to which this Election Notice relates is set out in the Dividend Access Plan Rules (as may be amended from time to time) (the Plan Rules) which should be read carefully before any action is taken. Unless the context otherwise requires, expressions defined in the Plan Rules bear the same meanings in this Election Notice. This Election Notice represents a right to elect to participate in the Dividend Access Plan of Beazley plc. A shareholder of Beazley plc who holds ordinary shares in the Company may apply to participate in the Dividend Access Plan in respect of all ordinary shares registered in his/her/its name from time to time including future acquisitions, subject to the Plan Rules. Participation will take effect upon receipt by the Registrar of this Election Notice (duly completed) subject to the terms and conditions of the Plan Rules. If you wish to elect to participate in the Dividend Access Plan you should complete your details in Box A below and then sign and date this Election Notice in Box B below and return the Election Notice using the reply paid envelope, if supplied with this Election Notice, either by post or by hand to the Registrar at Equiniti (Jersey) Limited, c/o Equiniti Limited, Aspect House, Spencer Road, Lancing, West Sussex, BN99 6ZL. If you do not wish to participate in the Dividend Access Plan you should take no further action unless you hold 300,000 or fewer ordinary shares in Beazley plc in which case you should complete a Withdrawal Notice. Box A Please complete below NAME OF SHAREHOLDER(S) ADDRESS OF FIRST NAMED SHAREHOLDER(S) I/We being the Shareholder(s) whose details are set out in Box A above hereby elect to participate in the Dividend Access Plan on and subject to the Terms and Conditions of the Plan Rules. Box B Please complete below DATE SIGNATURE(S) (all joint holders must sign) Queries relating to this Election Notice should be referred to the Shareholder's helpline, the number for which is (or from outside the United Kingdom). Calls cost 8 pence (plus VAT) per minute from a standard BT landline. 9

10 APPENDIX 2 WITHDRAWAL NOTICE 10

11 Beazley plc Dividend Access Plan Withdrawal Notice THIS WITHDRAWAL NOTICE IS IMPORTANT AND REQUIRES YOUR IMMEDIATE ATTENTION. If you are in any doubt as to the action you should take, you are recommended to seek your own personal financial advice immediately from your stockbroker, bank manager, solicitor, accountant or other independent financial adviser authorised under the Financial Services and Markets Act 2000 if you are in the United Kingdom, or, if not, from another appropriately authorised independent financial adviser. Full details of the Dividend Access Plan to which this Withdrawal Notice relates are set out in the Dividend Access Plan Rules (as may be amended from time to time) (the Plan Rules) which should be read carefully before any action is taken. Unless the context otherwise requires, expressions defined in the Plan Rules bear the same meanings in this Withdrawal Notice. This Withdrawal Notice represents a right to withdraw from participation in the Dividend Access Plan of Beazley plc. A shareholder of Beazley plc who holds ordinary shares in Beazley plc registered in his/her/its name and participates (or is deemed to participate) in the Dividend Access Plan may apply to withdraw from the Dividend Access Plan in respect of all such ordinary shares. Withdrawal shall take effect upon receipt by the Registrar of this Withdrawal Notice (duly completed), subject to the terms and conditions of the Plan Rules, and shall apply to all ordinary shares registered in the name of the shareholder in the Beazley plc share register and participating in the Dividend Access Plan. If you wish to withdraw from participation in the Dividend Access Plan you should complete your details in Box A below and then sign and date this Withdrawal Notice in Box B below and return the Withdrawal Notice either by post or by hand to the Registrar at Equiniti (Jersey) Limited, c/o Equiniti Limited, Aspect House, Spencer Road, Lancing, West Sussex, BN99 6ZL. Box A Please complete below NAME SHAREHOLDER(S) OF ADDRESS OF FIRST NAMED SHAREHOLDER I/We being the shareholder(s) whose details are set out in Box A above hereby elect to withdraw from the Dividend Access Plan on and subject to the Plan Rules. Box B Please sign here in the case of joint holders all shareholders must sign Date Telephone SIGNATURE SIGNATURE SIGNATURE SIGNATURE A body corporate should execute this form under its common seal or otherwise in accordance with applicable statutory requirements. This form should be sent to the Registrar at Equiniti (Jersey) Limited, c/o Equiniti Limited, Aspect House, Spencer Road, Lancing, West Sussex, BN99 6ZL 11

12 APPENDIX 3 DISCRETIONARY PARTICIPATION APPLICATION FORM 12

13 Beazley plc Dividend Access Plan Discretionary Participation Application Form Account No: Name of Registered Shareholder: THIS DISCRETIONARY PARTICIPATION APPLICATION FORM IS IMPORTANT AND REQUIRES YOUR IMMEDIATE ATTENTION. If you are in any doubt as to what action you should take, you are recommended to seek your own personal financial advice immediately from your stockbroker, bank manager, solicitor, accountant or other independent financial adviser authorised under the Financial Services and Markets Act 2000 if you are resident in the United Kingdom or, if not, from another appropriately authorised independent financial adviser. Information on the Dividend Access Plan is set out in the Beazley plc Dividend Access Plan Rules (as may be amended from time to time) (the Plan Rules). You should carefully read the Plan Rules prior to taking any action in relation to this form. Whether or not you should make a discretionary participation application will depend on your own circumstances. Dividend Access Participation Application I/We hereby confirm that I/we am/are not a member of the Dividend Access Plan and I/we am/are not eligible to elect to join the Dividend Access Plan pursuant to the Plan Rules. I/we further confirm that I/we wish for Beazley plc to exercise its discretion to enable me/us to participate in the Dividend Access Plan for the following reasons: I/We acknowledge that Beazley plc may or may not choose to exercise its discretion in my/our favour. Notes: 1. Pursuant to the Plan Rules, the following shareholders are not eligible to join the Dividend Access Plan unless Beazley plc decides to exercise its discretion in their favour following receipt of a Discretionary Participation Application Form: (i) (ii) (iii) Shareholders on Beazley plc's register of members at 6p.m. on 30 April 2012 whose holding exceeds 5,000,000 shares, or whose holding has been aggregated by Beazley plc into a holding in excess of 5,000,000 shares; and Shareholders on Beazley plc's register of members at 6p.m. on 30 April 2012 whose holding exceeds 300,000 shares but has not been aggregated by Beazley plc into a holding in excess of 5,000,000 shares and who is not a member of the Dividend Access Plan at 6p.m. on 30 April 2012; Shareholders entered on Beazley plc's register of members after 6p.m. on 30 April 2012 whose holding exceeds 300,000 shares. 2. To be valid in respect of any particular dividend, this Application Form must be received by Beazley plc and Beazley plc must exercise its discretion in the applicant's favour by the relevant dividend record date for that dividend. Any successful application shall remain effective unless and until a Dividend Access Plan Withdrawal Notice is lodged at any time in accordance with the Plan Rules. 3. The Dividend Access Plan may be varied, suspended or terminated at any time and for any reason by Beazley plc. It is expected that dividends will be paid to participants in the Dividend Access Plan from Beazley DAS Limited but there can be no certainty that dividends will be paid in this way. 13

14 4. Shareholders who receive dividends from Beazley plc may be subject to Irish dividend withholding tax in respect of such dividends. Please sign here in the case of joint holders all shareholders must sign Signature: Date: Tel: Signature: Date: Tel: Signature: Date: Tel: Signature: Date: Tel: A body corporate should execute this form under its common seal or otherwise in accordance with applicable statutory requirements. This form should be sent to The Company Secretary, Beazley plc at 2 Northwood Avenue, Northwood Park, Santry Demesne, Santry, Dublin 9, Ireland. 14