Stock Information Center
IGA Federal Savings
213 West Street Road
Feasterville, Pennsylvania 19053
Stock Order Form
_________________________________________________________________
Deadline the Subscription Offering ends at _________ p.m.,
Eastern Time, on ________, 1999. Your original Stock Order and
Certification Form, properly executed and with the correct
payment, must be received at the address on the top of this form
by this deadline, or it will be considered void.
_________________________________________________________________
(1) Number of Shares Price Per Share (2) Total Amount Due
____________________ X $10.00 = $___________________
The minimum number of shares that may be subscribed for is 25.
The maximum individual subscription, when combined with exchange
shares, is 30,000 shares in the Subscription Offering and Direct
Community Offering.
_________________________________________________________________
Method of Payment
(3) [ ] Enclosed is a check, bank draft or money order payable
to JADE FINANCIAL CORP. for $__________ (or cash if
presented in person).
(4) [ ] I authorize IGA Federal Savings to make withdrawals
from my IGA Federal Savings certificate or savings
account(s) shown below, and understand that the amounts
will not otherwise be available for withdrawal:
Account Number(s) Amount(s)
__________________ __________________
__________________ __________________
__________________ __________________
__________________ __________________
Total Withdrawal __________________
_________________________________________________________________
(5) [ ] Check here if you are a director, officer or employee
of IGA Federal Savings or a member of such person's
immediate family.
_________________________________________________________________
(6) [ ] Associate - Acting in Concert
Check here and complete the reverse side of this form,
if you or any associates (as defined on the reverse
side of this form) or persons acting in concert with
you have submitted other orders for shares in the
Subscription Offering and/or Direct Community Offering.
_________________________________________________________________
(7) Purchaser Information (additional space on back of form)
(a) [ ] Eligible Account Holder - Check here if you were a
depositor with IGA Federal Savings as of March 31,
1998. Enter information below for all deposit accounts
that you had at IGA Federal Savings on March 31, 1998.
(b) [ ] Supplemental Eligible Account Holder - Check here if
you were a depositor with IGA Federal Savings as of
June 30, 1999, but are not an Eligible Account Holder;
Enter information below for all deposit accounts that
you had at IGA Federal Savings on June 30, 1999.
(c) [ ] Other Member - Check here if you were a depositor of
IGA Federal Savings as of ______ ___, 1999 or a
borrower of IGA Federal Savings with loans outstanding
as of __________________ which continue to be
outstanding as of __________________, 1999 but are not
an Eligible Account Holder or a Supplemental Eligible
Account Holder. Enter information below for all
deposit accounts that you had at IGA Federal Savings on
__________________, 1999.
(d) [ ] Local Community - Check here if you are a permanent
resident of Philadelphia, Bucks, Chester or Delaware
Counties, Pennsylvania.
Account Title (Names on Accounts) Account Number
_________________________________ ______________
_________________________________ ______________
_________________________________ ______________
_________________________________________________________________
(8) Stock Registration
[ ] Individual
[ ] Joint Tenants
[ ] Tenants in Common
[ ] Uniform Transfer to Minors
[ ] Uniform Gift to Minors
[ ] Corporation
[ ] Partnership
[ ] Individual Retirement Account
[ ] Fiduciary Trust (Under Agreement Dated __________)
_________________________________________________________________
Name __________________ Social Security or Tax I.D. ___________
Name __________________ Social Security or Tax I.D. ___________
Street Address __________________________________________________
Daytime Telephone __________________
City ____________________ State _________ Zip Code ______________
Evening Telephone __________________
_________________________________________________________________
[ ] NASD Affiliation (This section only applies to those
individuals who meet the delineated criteria)
Check here if you are a member of the National Association
of Securities Dealers, Inc. ("NASD"), a person associated
with an NASD member, a member of the immediate family of any
such person to whose support such person contributes,
directly or indirectly, or the holder of an account in which
an NASD member or person associated with an NASD member had
a beneficial interest. To comply with conditions under
which an exemption from the NASD's interpretation With
Respect to Free-Riding and Withholding is available, you
agree, if you have checked the NASD affiliation box: (1) not
to sell, transfer or hypothecate the stock for a period of
three months following the issuance and (2) to report this
subscription in writing to the applicable NASD member within
one day of the payment therefor.
_________________________________________________________________
Acknowledgment. By signing below, I acknowledge receipt of the
Prospectus dated __________________, 1999 and understand I may
not change or revoke any order once it is received by JADE
FINANCIAL CORP. I also certify that this stock order is for my
account and there is no agreement or understanding regarding any
further sale or transfer of these shares. Federal regulations
prohibit any persons from transferring, or entering into any
agreement directly or indirectly to transfer the legal or
beneficial ownership of conversion subscription rights or the
underlying securities to the account of another person. IGA
Federal Savings will pursue any and all legal and equitable
remedies in the event it becomes aware of the transfer of
subscription rights and will not honor orders known by it to
involve such transfer. Under penalties of perjury, I further
certify that: (1) the social security number or taxpayer
identification number given above is correct; and I am not
subject to backup withholding. You must cross out this item
above, if you have been notified by the Internal Revenue Service
that you are subject to backup withholding because of the under-
reporting of interest or dividends on your tax return. By
signing below, I also acknowledge that I have not waived any
rights under the Securities Act of 1933 and the Securities
Exchange Act of 1934.
Signature. THIS FORM MUST BE SIGNED AND DATED TWICE: Here and
on the Certification Form on the reverse side. THIS ORDER IS NOT
VALID IF THE STOCK ORDER FORM AND CERTIFICATION FORM ARE NOT BOTH
SIGNED. YOUR ORDER WILL BE FILLED IN ACCORDANCE WITH THE
PROVISIONS OF THE PROSPECTUS. When purchasing as a custodian,
corporate officer, etc., include your full title. An additional
signature is required only if payment is by withdrawal from an
account that requires more than one signature to withdraw funds.
THE SHARES OF COMMON STOCK HEREBY ARE NOT SAVINGS ACCOUNTS AND
ARE NOT INSURED OR GUARANTEED BY THE FEDERAL DEPOSIT INSURANCE
CORPORATION. THE SAVINGS ASSOCIATION INSURANCE FUND OR ANY OTHER
GOVERNMENTAL AGENCY.
________________________ _____________________ ______________
Signature Title (if applicable) Date
________________________ _____________________ ______________
Signature Title (if applicable) Date
FOR OFFICE Date Rec'd ___/___/___ Order # ____________
USE Check ______________ Category ____________
Batch #_________ Amount $______________ Deposit $____________
_________________________________________________________________
JADE FINANCIAL CORP.
Proposed Holding Company for IGA Federal Savings
_________________________________________________________________
Item (6)
Associates listed Number of
other stock orders shares ordered
___________________________ ______________
___________________________ ______________
___________________________ ______________
Item (7) continued: Purchaser Information
Account Title (Names on Accounts) Account Number
___________________________ ______________
___________________________ ______________
___________________________ ______________
Definition of Associate
The term "associate" of a person is defined to mean (i) any
corporation or other organization (other than JADE FINANCIAL
CORP. ("Holding Company"), IGA Federal Savings, (or a majority
owned subsidiary of IGA Federal Savings) of which such person is
a director, officer or partner or is directly or indirectly the
beneficial owner of 10% or more of any class of equity
securities; (ii) any trust or other estate in which such person
has a substantial beneficial interest or as to which such person
serves as trustee or in a similar fiduciary capacity, provided,
however, that such term shall not include any tax-qualified
employee stock benefit plan of JADE FINANCIAL CORP. or IGA
Federal Savings in which such person has a substantial beneficial
interest or serves as a trustee or in a similar fiduciary
capacity, provided, however, that such term shall not include any
tax-qualified employee stock benefit plan of JADE FINANCIAL CORP.
or IGA Federal Savings in which such person has a substantial
beneficial interest or serves as a trustee or in a similar
fiduciary capacity; and (iii) any relative or spouse of such
person, or any relative of such person, who either has the same
home as such person or who is a director or officer of JADE
FINANCIAL CORP. or IGA Federal Savings or any of their
subsidiaries.
CERTIFICATION FORM
(This Certification Must Be Signed In Addition
to the Stock Order Form On Reverse Side)
I ACKNOWLEDGE THAT THE SHARES OF COMMON STOCK, $0.01 PAR VALUE
PER SHARE, OF JADE FINANCIAL CORP. IS NOT A DEPOSIT OR AN ACCOUNT
AND IS NOT FEDERALLY INSURED, AND IS NOT GUARANTEED BY IGA
FEDERAL SAVINGS, OR BY THE FEDERAL GOVERNMENT.
If anyone asserts that the shares of common stock are federally
insured or guaranteed, or are as safe as an insured deposit, I
should call the Office of Thrift Supervision, Northeast Regional
Director, Michael Simone, at __________________.
I further certify that, before purchasing the shares of common
stock of JADE FINANCIAL CORP., I received a copy of the
Prospectus dated, August ___, 1999 which discloses the nature of
the shares of common stock being offered thereby and describes
the following risks involved in an investment in the common stock
under the heading "Risk Factors" beginning on page 1 of the
Prospectus:
1. IGA is Now a Taxable Institution
2. Our Return on Equity Will Decrease and Our Expenses
Will Increase After Conversion
3. Risk of Making Commercial Real Estate Loans and
Commercial Business Loans
4. Rising Interest Rates May Hurt Our Profits
5. The Creation of the Charitable Foundation Will Reduce
Our Earnings
6. If our Computer Systems Do Not Properly Work on
January 1, 2000, our Business Operations Will be
Disrupted
7. The Amount of Common Stock We Will Control, Our
Articles of Incorporation and Bylaws and State and
Federal Statutory Provisions Could Discourage Hostile
Acquisitions of Control
__________________ _________ __________________ _________
Signature Date Signature Date
JADE FINANCIAL CORP.
Stock Ownership Guide and Stock Order Form Instructions
Stock Order Form Instructions
Item 1 and 2 - Fill in the number of shares that you wish to
purchase and the total payment due. The amount due is determined
by multiplying the number of shares ordered by subscription price
of $10.00 per share. The minimum purchase is 25 shares. The
maximum individual subscription is 30,000 shares in the
Subscription and Direct Community Offerings. JADE FINANCIAL
CORP. reserves the right to reject the subscription of any order
received in the Direct Community Offering, if any, in whole or in
part.
Item 3 - Payment for shares may be made in cash (only if
delivered by you in person), by check, bank draft or money order
payable to JADE FINANCIAL CORP. DO NOT MAIL CASH. Your funds
will earn interest at IGA Federal Saving's current passbook rate
of _________%.
Item 4 - To pay by withdrawal from a savings account or
certificate at IGA Federal Savings, insert the account number(s)
and the amount(s) you wish to withdraw from each account. If
more than one signature is required to withdraw, each must sign
in the signature box on the front of this form. To withdraw from
an account with checking privileges, please write a check. No
early withdrawal penalty will be charged on funds used to
purchase stock. A hold will be placed on the account(s) for the
amount(s) you show. Payments will remain in account(s) until the
stock offering closes. If a certain withdrawal reduces the
balance of a certificate account to less than the applicable
minimum, the remaining balance will thereafter earn interest at
the passbook rate.
Item 5 - Please check this box to indicate whether you are a
director, officer or employee of IGA Federal Savings, or a member
of such person's immediate family.
Item 6 - Please check this box if you or any associate (as
defined on the reverse side of the Stock Order Form) or person
acting in concert with you has submitted another order for shares
and complete the reverse side of the Stock Order Form.
Item 7 - Please check the appropriate box if you were:
(a) A depositor at IGA Federal Savings as of March 31,
1998. Enter information below for all deposit
accounts that you had a IGA Federal Savings on
March 31, 1998.
(b) A depositor at IGA Federal Savings as of June 30,
1999, but are not an Eligible Account Holder.
Enter information below for all deposit accounts
that you had at IGA Federal Savings on June 30,
1999.
(c) A depositor of IGA Federal Savings as of
__________________, 1999 or a borrower of IGA
Federal Savings with loans outstanding as of
___________________________ which continue to be
outstanding as of __________________, 1999, but
are not an Eligible Account Holder or a
Supplemental Eligible Account Holder. Enter
information below for all deposit accounts that
you had at IGA Federal Savings on _______________,
1999.
(d) A permanent resident of Philadelphia, Bucks,
Chester or Delaware Counties, Pennsylvania.
Item 8 - The stock transfer industry has developed a uniform
system of shareholder registrations that we will use in the
issuance of JADE FINANCIAL CORP. common stock. Please complete
this section as fully and accurately as possible, and be certain
to supply your social security or Tax ID number(s) and your
daytime and evening phone numbers. We will need to call you if
we cannot execute your order as given. If you have any questions
regarding the registration of your stock, please consult your
legal advisor. Subscription rights are not transferable. If you
are a qualified member, to protect your priority over other
purchasers as described in the Prospectus, you must take
ownership in at least one of the accountholder's names.
Stock Ownership Guide
Individual - The Stock is to be registered in an
individual's name only. You may not list beneficiaries for this
ownership.
Joint Tenants - Joint tenants with rights of survivorship
identifies two or more owners. When stock is held by joint
tenants with rights of survivorship, ownership automatically
passes to the surviving joint tenant(s) upon the death of any
joint tenant. You may not list beneficiaries for his ownership.
Tenants in Common - Tenants in common may also identify two
or more owners. When stock is to be held by tenants in common,
upon the death of one co-tenant, ownership of the stock will be
held by the surviving co-tenant(s) and by the heirs of the
deceased co-tenant. All parties must agree to the transfer or
sale of shares held by tenants in common. You may not list
beneficiaries for this ownership.
Uniform Gift to Minors - For residents of many states, stock
may be held in the name of a custodian for the benefit of a minor
under the Uniform Gift to Minors Act. For residents in other
states, stock may be held in a similar type of ownership under
the Uniform Transfer to Minors Act of the individual state. For
either ownership, the minor is the actual owner of the stock with
the adult custodian being responsible for the investment until
the child reaches legal age. Only one custodian and one minor
may be designated.
Restrictions - On the first name line, print the first name,
middle initial and last name of the custodian, with the
abbreviation "CUST" after the name. Print the first name, middle
initial and last name of the minor on the second name line. Use
the minor's social security number.
Corporation/Partnership - Corporation/Partnerships may
purchase stock. Please provide the Corporation/Partnership's
legal name and Tax I.D. To have a depositor rights, the
Corporation/Partnership must have an account in the legal name.
Please contact the Stock Information Center to verify depositor
rights and purchase limitations.
Individual Retirement Account - Individual Retirement
Account ("IRA") holders may make stock purchases from their
deposits through a prearranged "trustee-to-trustee" transfer.
Stock may only be held in a self-directed IRA. IGA Federal
Savings does not offer a self-directed IRA. Please contact the
Stock Information Center if you have any questions about your IRA
account.
Fiduciary Trust - Generally, fiduciary relationships (such
as Trusts, Estates, Guardianships, etc.) are established under a
form of trust agreement or pursuant to a court order. Without
legal document establishing a fiduciary relationship, your stock
may not be registered in a fiduciary capacity.
Restrictions - On the first name line, print the first name,
middle initial and last name of the fiduciary if the fiduciary is
an individual. If the fiduciary is a corporation, list the
corporate title on the first name line. Following the name,
print the fiduciary title such as trustee, executor, personal
representative, etc. On the second name line, print the name of
the maker, donor or testator or the name of the beneficiary.
Following the name, indicate the type of legal document
establishing the fiduciary relationship (agreement, court order,
etc.). In the blank after "Under Agreement Dated," fill in the
dame of the document governing the relationship. The date of the
document need not be provided for a trust created by a Will.