PART VI – RELEASE OF CLAIMS AND SIGNATURE
YOU MUST ALSO READ THE RELEASE AND CERTIFICATION BELOW AND SIGN THIS CLAIM FORM.
I (we) hereby acknowledge that, as of the Effective Date of the PwC Greece Partial Settlement, pursuant to the terms set forth in
the PwC Greece Stipulation, I (we), on behalf of myself (ourselves) and my (our) heirs, executors, administrators, predecessors,
successors, affiliates and assigns, in their capacities as such, shall be deemed to have, and by operation of law and of the Order
and Final Judgment with Prejudice Regarding PwC Greece shall have, fully, finally and forever released, relinquished and discharged
all PwC Released Claims (as defined in the PwC Greece Stipulation and in the Notice) against PwC Greece, PricewaterhouseCoopers
International Limited, PricewaterhouseCoopers LLP and the other PwC Released Parties (as defined in the PwC Greece Stipulation and
in the Notice), whether served or unserved with any complaint in the Action, and shall have covenanted not to sue the PwC Released
Parties with respect to any such PwC Released Claims, and shall be permanently barred and enjoined from asserting, commencing,
prosecuting, instituting, assisting, instigating or in any way participating in the commencement or prosecution of any action or
other proceeding, in any forum, asserting any PwC Released Claims, either directly, representatively, derivatively or in any other
capacity, against any of the PwC Released Parties.
I (we) hereby acknowledge that, as of the Effective Date of the Deloitte Greece Partial Settlement, pursuant to the terms set forth
in the Deloitte Greece Stipulation, I (we), on behalf of myself (ourselves) and my (our) heirs, executors, administrators,
predecessors, successors, affiliates and assigns, in their capacities as such, shall be deemed to have, and by operation of law and
of the Order and Final Judgment with Prejudice Regarding Deloitte Greece shall have, fully, finally and forever released,
relinquished and discharged all Deloitte Released Claims (as defined in the Deloitte Greece Stipulation and in the Notice) against
Deloitte Greece, Deloitte Touche Tohmatsu Limited, Deloitte & Touche LLP and the other Deloitte Released Parties (as defined in the
Deloitte Greece Stipulation and in the Notice), whether served or unserved with any complaint in the Action, and shall have
covenanted not to sue the Deloitte Released Parties with respect to any such Deloitte Released Claims, and shall be permanently
barred and enjoined from asserting, commencing, prosecuting, instituting, assisting, instigating or in any way participating in the
commencement or prosecution of any action or other proceeding, in any forum, asserting any Deloitte Released Claims, either directly,
representatively, derivatively or in any other capacity, against any of the Deloitte Released Parties.
By signing and submitting this Claim Form, the Claimant(s) or the person(s) who represent(s) the Claimant(s) certifies (certify), as
follows:
1. that I (we) have read and understand the contents of the Notice and this Claim Form, including the releases provided for in the
Settlement and the terms of the PwC Greece Plan of Allocation and the Deloitte Greece Plan of Allocation;
2. that the Claimant(s) is a (are) Settlement Class Member(s), as defined in the Notice and in paragraph 2 on page 3 of this Claim
Form, and is (are) not excluded from the Settlement Class by definition or pursuant to request as set forth in the Notice and in
paragraph 3 on page 3 of this Claim Form;
3. that I (we) own(ed) Aegean Securities and have not assigned the claim against either of the Settling Defendants,
PricewaterhouseCoopers International Limited, PricewaterhouseCoopers LLP, Deloitte Touche Tohmatsu Limited, Deloitte & Touche LLP,
or the other PwC Released Parties or the Deloitte Released Parties to another or that, in signing and submitting this Claim Form,
I (we) have the authority to act on behalf of the owner(s) thereof;
4. that the Claimant(s) has (have) not submitted any other Claim covering the same purchases/acquisitions of Aegean Securities and
knows (know) of no other person having done so on the Claimant’s (Claimants’) behalf;
5. that the Claimant(s) submit(s) to the jurisdiction of the Court with respect to Claimant’s (Claimants’) Claim and for purposes of
enforcing the releases set forth herein;
6. that I (we) agree to furnish such additional information with respect to this Claim Form as Lead Counsel, the Claims
Administrator or the Court may require;
7. that the Claimant(s) waive(s) the right to trial by jury, to the extent it exists, and agree(s) to the Court’s summary
disposition of the determination of the validity or amount of the Claim made by this Claim Form;
8. that I (we) acknowledge that the Claimant(s) will be bound by and subject to the terms of any judgment(s) that may be entered
in the Action; and
9. that the Claimant(s) is (are) NOT subject to backup withholding under the provisions of Section 3406(a)(1)(C) of the Internal
Revenue Code because (a) the Claimant(s) is (are) exempt from backup withholding or (b) the Claimant(s) has (have) not been notified
by the IRS that he/she/it is subject to backup withholding as a result of a failure to report all interest or dividends or (c) the IRS has
notified the Claimant(s) that he/she/it is no longer subject to backup withholding.
If the IRS has notified the Claimant(s) that he,
she or it is subject to backup withholding, please strike out the language in the preceding sentence indicating that the claim is
not subject to backup withholding in the certification above
.