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SC TO-T Filing
Lumos Pharma (LUMO) SC TO-TThird party tender offer statement
Filed: 14 Nov 24, 8:22am
| | THE OFFER AND WITHDRAWAL RIGHTS WILL EXPIRE AT ONE MINUTE AFTER 11:59 P.M., NEW YORK CITY TIME, ON DECEMBER 11, 2024, UNLESS THE OFFER IS EXTENDED | | |
| Computershare Trust Company, N.A. | | | | | |||
| By Mail: | | | If Delivering via UPS, FedEx or Overnight Courier: | | | ||
| Computershare Trust Company, N.A. Attn: Corporate Actions Voluntary Offer P.O. Box 40311 Providence, RI 02940-3011 | | | Computershare Trust Company, N.A. Attn: Corporate Actions Voluntary Offer 150 Royall St, Suite V Canton, MA 02021 | | |
| | DESCRIPTION OF SHARES SURRENDERED | | | ||||||||||||||||
| | Name(s) and Address(es) of Registered Holder(s) (Please fill in, if blank, exactly as name(s) appear(s) on certificate(s)) (Attach additional signed list if necessary) | | | | Certificated Shares** | | | | Book Entry Shares Surrendered | | | ||||||||
| Certificate Number(s)* | | | | Total Number of Shares Represented by Certificate(s)* | | | | Number of Shares Surrendered** | | | |||||||||
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| | | | | | Total Shares | | | | | | | | | | | | | | |
| | * Need not be completed by book-entry stockholders. ** Unless otherwise indicated, it will be assumed that all shares of common stock represented by certificates described above are being surrendered hereby. | | |
| Name of Tendering Institution: | | | | |
| | | | | |
| Transaction Code Number: | | | | |
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| DTC Account Number: | | | | |
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| | SPECIAL PAYMENT INSTRUCTIONS (See Instructions 1, 5, 6 and 7) | | |
| | To be completed ONLY if the check for the purchase price of Shares accepted for payment and/or Certificates not tendered or not accepted for payment are to be issued in the name of someone other than the undersigned. | | |
| | Issue check and/or Certificates to: | | |
| | Name: | | |
| | (Please Print) | | |
| | Address: | | |
| | | | |
| | | | |
| | (Include Zip Code) | | |
| | (Taxpayer Identification No. (e.g., Social Security No.)) (Also complete, as appropriate, IRS Form W-9 included below) | | |
| | SPECIAL DELIVERY INSTRUCTIONS (See Instructions 1, 5, 6 and 7) To be completed ONLY if the check for the purchase price of Shares accepted for payment and/or Certificates evidencing Shares not tendered or not accepted are to be mailed to someone other than the undersigned or to the undersigned at an address other than that shown above. | | |
| | Mail check and/or Certificates to: | | |
| | Name: | | |
| | (Please Print) | | |
| | Address: | | |
| | | | |
| | | | |
| | (Include Zip Code) | | |
| | IMPORTANT STOCKHOLDER: YOU MUST SIGN BELOW (U.S. Holders: Please complete and return the IRS Form W-9 included below) (Non-U.S. Holders: Please obtain, complete and return appropriate IRS Form W-8) | | |
| | (Signature(s) of Holder(s) of Shares) | | |
| | Dated: | | |
| | Name(s): | | |
| | (Please Print) | | |
| | Capacity (Full Title) (See Instruction 5): | | |
| | Address: | | |
| | | | |
| | | | |
| | (Include Zip Code) | | |
| | Area Code and Telephone No.: | | |
| | Tax Identification No. (e.g., Social Security No.) (See IRS Form W-9 included below): | | |
| | (Must be signed by registered holder(s) exactly as name(s) appear(s) on Certificate(s) or on a security position listing or by person(s) authorized to become registered holder(s) by Certificates and documents transmitted herewith. If signature is by a trustee, executor, administrator, guardian, agent, officer of a corporation or other person acting in a fiduciary or representative capacity, please set forth full title and see Instruction 5.) | | |
| | Guarantee of Signature(s) (If Required — See Instructions) | | |
| | [Place Stamp Here] | | |
| | Authorized Signature: | | |
| | Name: | | |
| | Name of Firm: | | |
| | Address: | | |
| | | | |
| | (Include Zip Code) | | |
| | Area Code and Telephone No.: | | |
| | Dated: [•], 2024 | | |
| Computershare Trust Company, N.A. | | |||
| By Mail | | | If Delivering via UPS, FedEx or Overnight Courier: | |
| Computershare Trust Company, N.A. Attn: Corporate Actions Voluntary Offer:COY NLNK P.O. Box 4031 Providence, RI 02940-3011 | | | Computershare Trust Company, N.A. Attn: Corporate Actions Voluntary Offer:COY NLNK 150 Royall St, Suite V Canton, MA 02021 | |