Exhibit 99.1
BNY MELLON
BNY Mellon Corporate Actions RO. Box 43031 Providence.RI 02940-3031 Within USA, US territories & Canada 888 BNY ADRS Outside USA, US territories & Canada 201 680 6825
www.mybnymdr.com
OI S.A. - IN JUDICIAL REORGAMZATION COMMON ADS RIGHI5 SUBSCRIPTION FORM
SUBSCRIPTION PERIOD EXPIRES AT 5:00 P.M. (NYT>, EASTERN TIME, ON DECEMBER5, 2018 (“Expiration Date”)
IN ORDER TO EXERCISE YOUR RIGHTS, YOU MUST COMPLETE BOTH SIDES OF THISCARD.
Terms used in this Subscription Form have the meanings given them in the Prospectus dated Novemberõ, 2018 of Oi S.A. - In Judicial Reorganization (the “Prospectus”), which you should access and read before completing this Subscription Form.
This Subscription Form shows the number of Common ADS Rights that were originally issued to you by Oi S.A. - In Judicial Reorganization The Common ADS Rights are uncertificated securities, this Form is not a security certificate.
Each Common ADS Right entitles you to subscribe for one New Common ADS, on the terms and subject to the conditions set forth in the Prospectus You must deposit with the ADS Rights Agent $ (the “New Common ADS Deposit Amount”) for each New Common ADS for which you subscribe.
In addition to your Common ADS Rights entitlement to purchase New Common ADSs, you may mamfestyour intention to subscribe for additional New Common ADSs (“Excess New Common ADSs”) in excess of the number to which you are entitled, up to all of the Excess New Common ADSs available. Followmg the expiration of the subscription period in connection with the Common Share Rights offering, to the extent unsubscribed New Common Shares are available as a resulf of unexercised Common Share Rights, each requesting Common ADS Rights holder will be allocated Excess New Common ADSs in accordance with the allocation principies described in the Prospectus. If you seek to purchase Excess New Common ADSs, you must mdicate on this Subscription Form the number of Excess New Common ADSs you want and pay the New Common ADS Deposit Amount for all those Excess New Common ADSs with this Subscription Form Please see the Prospectus for a description of actions you must take if you wish to maximize the number of Excess New Common ADSs you may receive
You may not subscribe for fractions of New Common ADSs (including fractions of Excess New Common ADSs) and fractionai entitlements wiii be reduced to the nearest whole number of New Common ADSs.
All payments must be in U.S. dollars, and only cashiehs checks drawn on a U.S. bank and made payable to “The Bank of New York Mellon” wili be accepted.
Common ADS Rights may be exercisedby completing, signmg and presentmg this Subscription Form to the ADS Rights Agent at the addresses shown on the other side of this Subscription Form accompamed by payment of the applicable Common ADS Rights Deposit Amount
Any exercise of Common ADS Rights or msfruction to the ADS Rights Agent wili be irrevocable upon delivery of this Subscription Form and may not be canceled or modified after such delivery.
A transfer of Common ADS Rights may be registered by dehvering a proper transfer instruction including a medallion signature guarantee and any other documentation the ADS Rights Agent requires, to the ADS Rights Agent Please contact the ADS Rights Agent at the address shown on the other side of this Subscription Form ifyou wish to transfer your Common ADS Rights
Holder ID COY Class Rights Qty Issued Rights StàscrfJtion Form #
Signature of Owner and U.S. Person for Tax Certification Signature of Co-Owner (if more than one registered holder listed) Date (mm/dd/yyyy)
X RT 2
02H0DG
To subscribe for your New Common ADS entitlement please complete line “A” below. To apply for Excess New Common ADSs, please complete line “B” below. Payment for New Common ADSs: Full payment for the NewCommon ADSs must accompany this subscription.
FOR A MORE COMPLETE DESCRIPTION OF THE TERMS AND CONDITIONS OF THIS RIGHTS OFFERING, PLEASE REFER TO THE PROSPECTUS, WHICH IS INCORPORATED HEREIN BY REFERENCE. COPIES OF THE PROSPECTUS ARE AVAILABLE UPON REQUEST FROM THE INFORMATION AGENT, D.F. King, BY CALLING TOLL-FREE AT 1-800-628-8536.
Please complete all applicable Information and retum to theADS Rights Agent:
PLEASE PRINT ALL INFORMATION CLEARLY AND LEGIBLY
Exercise of Subscription Rights
A. n Exercise ofADS Common Rights:
(no. of New Common ADSs)
Request for Excess New Common ADSs: x $ = $
(no. of New Common ADSs)
C. Total Amount Enclosed
$ II
X $
(Please sign and date front of form).
SECTION 1: TO SUBSCRIBE: I hereby irrevocably subscribe for the number of New Common ADSs indicated above hereon upon the terms and conditions specified in the Prospectus incorporated by reference herein, receipt of which is acknowledged. I hereby agree that if I fail to pay in full for the New Common ADSs for which I have subscribed or requested, BNY Mellon may exercise any of the remedies provided for in the Prospectus.
Address (Number and Street)
Name (Please Print First, Middle & Last Name)
(Address of Guarantor Firm)
(Title of Officer Signing this Guarantee) (City, State & Zip Code) Address (Number and Street)
Special Transfer Instructions Signature Medallion Guarantee Special Mailing Instructions
(Tax Identification or Social Security Number) (Name of Guarantor - Please Print) (City, State & Zip Code)
If you want your New Common ADSs to be issued in another name, fill in this section
If you wish for your New Common ADSs to be issued in name, your signature must be guaranteed by an Eligible another Guarantor Institution, as that term is defined in Rule 17Ad-15 of the Securities Exchange Act of 1934, as amended. The original medallion guarantee must be imprinted below.
Fill in ONLY if you want your New Common ADS Direct Registration System Advice to be mailed to someone other than the registered holder or to the registered holder at an address other than that shown on the front of this Subscription Form.
Name (Please Print First, Middle & Last Name)
The signature(s) on this Form must correspond with the name(s) of the registered holder(s) exactly as it appears on the ADS Rights Agenfs register without any alteration or change whatsoever. In the case of joint registered holders, each person must sign this Form in accordance with the foregoing. If you sign this Form in your capacity as a trustee, executor, administrator, guardian, attomey-in-fact, agent, officer of a Corporation or other fiduciary or representative, you must indicate the capacity in which you are signing when you sign and, if requested by the ADS Rights Agent in its sole and absolute discretion, you must present to the ADS Rights Agent satisfactory evidence of your authority to sign in that capacity.
Please complete all applicable information and return to the ADS Rights Agent at one of the addresses below.
Overnight courier is recommended.
By Mail:
The Bank of New York Mellon Voluntary Corporate Actions Suite V P.O. Box 43031 Providence, RI 02940-3031
By Overnight Delivery:
The Bank of New York Mellon Voluntary Corporate Actions Suite V 250 Royall Street Canton, MA 02021
For Assistance Please Contact:
Information Agent D.F. King
US Toll Free Number for ADS Holders: 1-800-628-8536