PROXY AUTHORIZATION LETTER – LEGAL PERSON
PROXY AUTHORIZATION LETTER for the 25th General Meeting of the company Pivovarna Laško, d.d., Trubarjeva 28, 3270 Laško
___________________________________________ (shareholder company name)
___________________________________________ (shareholder registration number)
___________________________________________ (business address and seat of the shareholder)
___________________________________________ (first and last name of shareholder's statutory representative)
hereinafter: the Authorizing Entity
hereby authorize _________________________________ (first and last name/company name of the proxy):
_________________________________
(proxy personal registration number – EMŠO / registration number )
_________________________________ (proxy address/seat)
_________________________________ (first and last name of the proxy representative, if the proxy is a legal person)
hereinafter: the Proxy, to attend on my behalf the 25th General Meeting of the company Pivovarna Laško, d.d., Trubarjeva 28, 3270 Laško, taking place on Monday, April 11, 2015, at 15:00 in business premises of Pivovarna Laško, d.d., and exercise there the voting right pertaining to all my shares of the issuer Pivovarna Laško, d.d., code PILR.
In_______________, ______________________
on
(place) (shareholder company name)
_______________________ (first and last name, and signature of the
this
_____________ (date)
shareholders statutory representative and stamp for legal person)