EXHIBIT 99.2
BETTERLIFE PHARMA INC.
| Security Class: Common Shares |
FORM OF PROXY
Annual General Meeting to be held on Tuesday December 14, 2021
This Form of Proxy is solicited by and on behalf of Management.
Notes to proxy
Every holder has the right to appoint some other person or company of their choice, who need not be a holder, to attend and act on their behalf at the meeting or any adjournment or postponement thereof. If you wish to appoint a person or company other than the persons whose names are printed herein, please insert the name of your chosen proxyholder in the space provided (see reverse).
If the securities are registered in the name of more than one owner (for example, joint ownership, trustees, executors, etc.), then all those registered should sign this proxy. If you are voting on behalf of a corporation or another individual you must sign this proxy with signing capacity stated, and you may be required to provide documentation evidencing your power to sign this proxy.
This proxy should be signed in the exact manner as the name(s) appear(s) on the proxy.
If this proxy is not dated, it will be deemed to bear the date on which it is mailed by Management to the holder.
If you appoint the Management Nominees to vote your securities, they will vote in accordance with your instructions or, if no instructions are given, in accordance with the Management Voting Recommendations highlighted for each Resolution overleaf. If you appoint someone else to vote your securities, they will also vote in accordance with your instructions or, if no instructions are given, as they in their discretion choose.
This proxy confers discretionary authority in respect of amendments or variations to matters identified in the Notice of Meeting or other matters that may properly come before the meeting or any adjournment or postponement thereof.
This proxy should be read in conjunction with the accompanying documentation provided by Management.
Proxies submitted must be received by 10:00 am, Pacific Standard Time, on Friday December 10, 2021, or in the case of any adjournment or postponement of the Meeting not less than 48 hours (Saturdays, Sundays and holidays excepted) before the time of the adjourned or postponed meeting.
VOTING METHODS | |
MAIL or HAND DELIVERY | National Securities Administrators Ltd. |
FACSIMILE – 24 Hours a Day | 604-559-8908 |
proxy@transferagent.ca | |
ONLINE | As listed on Form of Proxy or Voter Information Card |
If you vote by FAX, EMAIL or On-Line, DO NOT mail back this proxy.
Voting by mail may be the only method for securities held in the name of a corporation or securities being voted on behalf of another individual.
Voting by mail, fax or by email are the only methods by which a holder may appoint a person as proxyholder other than the Management nominees named on the reverse of this proxy.
BETTERLIFE PHARMA INC.
Appointment of Proxyholder
I/We, being holder(s) of BETTERLIFE PHARMA INC. hereby appoint: Ahmad Doroudian, Chief Executive Officer, or, failing him, Moira Ong, Chief Financial Officer |
OR | Print the name of the person you are appointing if this person is someone other than the Management Nominee listed herein. |
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as my/our proxyholder with full power of substitution and to attend, act and to vote for and on behalf of the shareholder in accordance with the following direction (or if no directions have been given, as the proxyholder sees fit) and all other matters that may properly come before the Annual General Meeting of shareholders of BETTERLIFE PHARMA INC. to be held at via conference call (Dial-In: +1 778 907 2071 (Vancouver), +1 647 374 4685 (Toronto), +1 646 558 8656 (New York), +49 69 7104 9922 (Germany), or find your local number at https://us02web.zoom.us/u/kcZ6qRNh69; Meeting ID: 816 4566 2182; Passcode: 056009) on Tuesday December 14, 2021 at 10:00 am, Pacific Standard Time, and at any adjournment or postponement thereof.
VOTING RECOMMENDATIONS ARE INDICATED BY HIGHLIGHTED TEXT OVER THE BOXES.
1. Number of Directors | For |
| Against |
The number of Directors shall be set to 4 (four); | ☐ |
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2. Election of Directors | For |
| Withheld |
i) Ahmad Doroudian | ☐ |
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ii) Robert Metcalfe | ☐ |
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iii) Ralph Anthony Pullen | ☐ |
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iv) Wolfgang Renz | ☐ |
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3. Appointment of Auditor | For |
| Withheld |
To appoint MNP LLP as auditor of the Company for the ensuing year and to authorize the directors to fix their remuneration; | ☐ |
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4. Other Matters | For |
| Against |
To transact such other business that may be brought properly before the Meeting and any adjournment or postponement of the Meeting. | ☐ |
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Authorized Signature(s) – This section must be completed for your instructions to be executed. |
| Signature(s) |
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I/We authorize you to act in accordance with my/our instructions set out above. I/We hereby revoke any proxy previously given with respect to the Meeting. If no voting instructions are indicated above, this Proxy will be voted as recommended by Management. |
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| Print Name(s) & Signing Capacity(ies), if applicable |
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| Date (MM-DD-YY) |
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| THIS PROXY MUST BE DATED |
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BETTERLIFE PHARMA INC.
INTERIM FINANCIAL STATEMENTS |
| ANNUAL FINANCIAL STATEMENTS | ||
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☐ | Mark this box if you would like to receive Interim Financial Statements by mail. |
| ☐ | Mark this box if you would like to receive Annual Financial Statements by mail. |
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Financial Statements Request Form |
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Under securities regulations, a reporting issuer must send annually a form to holders to request the Interim Financial Statements and MD&A and/or the Annual Financial Statements and MD&A. If you would like to receive the report(s) by mail, please make your selection and return to: 1275 West 6th Avenue, #300, Vancouver, B.C., Canada V6H 1A6 or AP@blifepharma.com.
Alternatively, you may choose to access the report(s) online at www.sedar.com
BETTERLIFE PHARMA INC. will use information collected solely for the mailing of such financial statements.
If you wish to receive the financial statements by email, please provide your email address below.
Email Address |
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- OR -
Please place my name on your financial statement mailing list.
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