VOTING INSTRUCTION CARD
BANK OF GENEVA EMPLOYEE STOCK OWNERSHIP PLAN
SPECIAL MEETING OF SHAREHOLDERS
December 12, 2018
The undersigned, being a participant in the Bank of Geneva Employee Stock Ownership Plan (the “ESOP”), does hereby instruct the Trustee of the ESOP to vote with respect to all shares of common stock of Limberlost Bancshares, Inc. (“LBI”) allocated to the undersigned in the ESOP as of October 26, 2018, at the Special Meeting of Shareholders (“Special Meeting”) to be held at the Clock Tower Inn, 1335 US Highway 27 North, Berne, Indiana 46711, on December 12, 2018 at 5:00 p.m., local time, or at any adjournment or postponement thereof. The Trustee is hereby authorized to cast all votes to which the undersigned is entitled as follows:
| 1. | To approve the Agreement and Plan of Reorganization and Merger, dated August 17, 2018, between Farmers & Merchants Bancorp, Inc. and LBI, and to approve the transactions contemplated thereby (the “Merger Proposal”). |
☐ FOR ☐ AGAINST ☐ ABSTAIN
| 2. | To approve one (1) or more adjournments of the Special Meeting, if necessary or appropriate, to solicit additional proxies in favor of the Merger Proposal. |
☐ FOR ☐ AGAINST ☐ ABSTAIN
| 3. | Such other matters which may properly be presented at the Special Meeting or any adjournment or postponement of the Special Meeting. |
The Board of Directors of LBI recommends that you vote“FOR” Proposals 1 and 2.
IF PROPERLY EXECUTED AND RETURNED TO THE TRUSTEE, SHARES ALLOCATED IN THE ESOP TO THE UNDERSIGNED WILL BE VOTED IN THE MANNER INSTRUCTED HEREIN BY THE UNDERSIGNED. IF NO INSTRUCTION IS MADE OR INSTRUCTIONS ARE NOT TIMELY RECEIVED, SHARES ALLOCATED IN THE ESOP TO THE UNDERSIGNED WILL BE VOTED BY THE TRUSTEE IN A MANNER CALCULATED TO MOST ACCURATELY REFLECT THE INSTRUCTIONS RECEIVED FROM OTHER ESOP PARTICIPANTS. ON ANY OTHER MATTERS THAT MAY PROPERLY COME BEFORE THE SPECIAL MEETING OR ANY ADJOURNMENT OR POSTPONEMENT OF THE SPECIAL MEETING, THESE INSTRUCTIONS WILL BE VOTED BY THE TRUSTEE IN A MANNER INTENDED TO REPRESENT THE BEST INTEREST OF PARTICIPANTS OF THE ESOP. AT THIS TIME, LBI KNOWS OF NO OTHER BUSINESS TO BE PRESENTED AT THE SPECIAL MEETING.
The undersigned acknowledges receipt of the Notice of Special Meeting of Shareholders, the proxy statement/prospectus relating to the Special Meeting, and a Voting Instructions Letter.
Please sign your name exactly as it appears on the label affixed. When signing as attorney, executor, administrator, trustee, guardian, or in another fiduciary capacity or representative capacity, please give full title as such.
Your voting instruction card must bereceived by the Trustee no later than 11:59 p.m., local time, on December 7, 2018.
PLEASE PROMPTLY COMPLETE, SIGN, AND DATE, AND RETURN THIS VOTING INSTRUCTION CARD TO THE TRUSTEE IN THE ENCLOSED POSTAGE-PREPAID ENVELOPE.
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Dated: ___________________, 2018 | | Signature of Participant |
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| | Printed Name of Participant |