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SC TO-I Filing
Hilltop (HTH) SC TO-IIssuer tender offer statement
Filed: 2 May 22, 6:02am
| | THE TENDER OFFER, THE PRORATION PERIOD AND WITHDRAWAL RIGHTS EXPIRE AT 12:00 MIDNIGHT, NEW YORK CITY TIME, AT THE END OF THE DAY ON MAY 27, 2022, UNLESS THE TENDER OFFER IS EXTENDED OR TERMINATED. | | |
| | Description of Shares Tendered | | | ||||||||||||||||
| | Name(s) and Address(es) of Registered Owner(s) (If blank, please fill in exactly as name(s) appear(s) on Share Certificate(s)) | | | | Shares Surrendered (Attach additional list if necessary) | | | ||||||||||||
| Certificate Number(s) and/or indicate Book- Entry | | | | Total Number of Shares Represented by Certificate(s)(1) | | | | Book-Entry Shares Tendered(2) | | | | Total Number of Shares Tendered | | | |||||
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| Total Shares | | | | | | | | | | | | | | | |||||
| | (1) If you wish to tender fewer than all shares represented by any certificate listed above, please indicate in this column the number of shares you wish to tender. Otherwise, all Shares represented by Share Certificates delivered to the Depositary Agent will be deemed to have been tendered. See Instruction 4. | | | ||||||||||||||||
| | (2) If shares are held in Book-Entry form you must indicate the number of shares you are tendering. | | |
| | ☐ $28.00 | | | | ☐ $28.25 | | | | ☐ $28.50 | | | | ☐ $28.75 | | | | ☐ $29.00 | | | | ☐ $29.25 | | |
| | ☐ $29.50 | | | | ☐ $29.75 | | | | ☐ $30.00 | | | | ☐ $30.25 | | | | ☐ $30.50 | | | | ☐ $30.75 | | |
| | ☐ $31.00 | | | | ☐ $31.25 | | | | ☐ $31.50 | | | | ☐ $31.75 | | | | ☐ $32.00 | | | | | | |
| | NOTE: SIGNATURES MUST BE PROVIDED BELOW PLEASE READ THE ACCOMPANYING INSTRUCTIONS CAREFULLY | | |
| | ODD LOTS (See Instruction 6) | | |
| | To be completed only if shares are being tendered by or on behalf of a person owning, beneficially or of record, an aggregate of fewer than 100 shares. The undersigned: | | |
| | ☐ is the beneficial or record owner of an aggregate of fewer than 100 shares, all of which are being tendered. | | |
| | CONDITIONAL TENDER (See Instruction 14) | | |
| | A tendering stockholder may condition his, her or its tender of shares upon the Company purchasing a specified minimum number of the shares tendered, all as described in Section 6 of the Offer to Purchase. Unless at least the minimum number of shares that you indicate below is purchased by the Company pursuant to the terms of the tender offer, none of the shares tendered will be purchased. It is the tendering stockholder’s responsibility to calculate the minimum number of shares that must be purchased if any are purchased, and each stockholder is urged to consult his, her or its own tax advisor. Unless this box has been checked and a minimum specified, your tender will be deemed unconditional. | | |
| | ☐ The minimum number of shares that must be purchased, if any are purchased, is: shares. If, because of proration, the minimum number of shares designated will not be purchased, the Company may accept conditional tenders by random lot, if necessary. However, to be eligible for purchase by random lot, the tendering stockholder must have tendered all of his, her or its shares and checked the box below: | | |
| | ☐ The tendered shares represent all shares held by the undersigned. | | |
| | SPECIAL PAYMENT INSTRUCTIONS (See Instructions 1, 7, 8 and 9) | | | |||
| | To be completed ONLY if the check for the Purchase Price of shares purchased (less any applicable withholding taxes) is to be issued in the name of someone other than the undersigned. | | | |||
| | Name(s) | | | | | |
| | | | | (Please Print) | | |
| | Address(es) | | | | | |
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| | (RECIPIENT MUST COMPLETE AND RETURN THE ATTACHED IRS FORM W-9 OR AN APPLICABLE IRS FORM W-8) | | |
| | SPECIAL DELIVERY INSTRUCTIONS | | | |||
| | To be completed ONLY if the check for the Purchase Price of shares purchased (less any applicable withholding taxes) is to be mailed to someone other than the undersigned or to the undersigned at an address other than that shown below the undersigned’s signature(s). | | | |||
| | Name(s) | | | | | |
| | | | | (Please Print) | | |
| | Address(es) | | | | | |
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| | SIGN HERE (Please also complete the attached IRS Form W-9 or an applicable IRS Form W-8) | | | |||
| | (Must be signed by registered holder(s) exactly as name(s) appear(s) on stock certificate(s) or on a security position listing or by persons(s) authorized to become registered holder(s) by certificates and documents transmitted herewith. If signature is by a trustee, executor, administrator, guardian, attorney-in-fact, agent, officer of a corporation or other person acting in a fiduciary or representative capacity, please set forth full title and see Instruction 7.) | | | |||
| | Signature of Owner: | | | |||
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| | Signature of Owner: | | | |||
| | Name(s): | | | | | |
| | | | | (Please Print) | | |
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| | Dated: | | | |||
| | Capacity (full title): | | | |||
| | Address: | | | | | |
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| | (MAKE ANY ADDRESS CORRECTION, THIS WILL BE A PERMANENT ADDRESS CHANGE) APPLY MEDALLION GUARANTEE STAMP BELOW | | | |||
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