Authorizationinstructions to company-appointed proxies

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					Last Name*


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Place of residence*
* Please write legibly in block letters.




Please observe the following notes for attendance at the Annual General Meeting convened for 16 November 2009 by Forum
European Small Caps GmbH, Munich (in the following “Forum”) by authorization of the Munich District Court, together with the
notes on proxies.

If you wish to issue an authorization/instructions to proxies appointed by the company, please send the completed and
signed original form or fax it to the address overleaf by no later than 11 November 2009.
Please issue instructions on all the following motions. Your instructions re agenda items 5 and 6 relate to the motions proposed
by Forum as published in the electronic Federal Gazette of 8 October 2009 and re agenda items 2, 4, 7 and 8 to the counter-
motions proposed by Mr Christian Schudy (in the following “Mr Schudy”) dated 21 October 2009 (the Executive Board of
Pulsion Medical Systems AG seconds the counter-motion of Mr Schudy). If you agree, please check the Yes box; if you
disagree check the No box. If you check neither box, your instructions will be counted as an abstention. Double checks will be
rejected as invalid.

Authorization/instructions to company-appointed proxies
I/We authorize Mrs Ulrike Rödel, Germering, and Mr Christoph Weideneder, Munich, (company-appointed proxies) individually
and with a right to delegation, to represent us at the Annual General Meeting on 16 November 2009 and to exercise my/our
voting rights according to the instructions below.


Motions:                                                                                                                                                                                      Yes     No

2. Resolution on the discharge of the Management Board members for the 2003/2004 financial year (including
   retired members) for the business year 2008 (Motion proposed by Mr Schudy: Yes)…………………………………………………
                                                                                                                                                                                              kein Beschlussvor-
3. Resolution on the discharge of the Management Board members for the 2004/2005 financial years 2004 and 2005 ...................                                                            schlag vorhanden

4. Resolution on the discharge of the Supervisory Board members for financial year 2008
   (Motion proposed by Mr Schudy: Yes) ....................................................................................................................................................

5. Appointment of the auditor and group auditor for the financial year 2009, as well as the auditor for any necessary examination
......of interim company financial reports (Motion proposed by Forum: Yes)…………………………………………………………………

6. Resolution on amendments to the Articles of Association
   6.1 Amendment of § 17 para. 2 of the Articles (Remuneration of the Supervisory Board) (Motion proposed by Forum: Yes) .......
   6.2 Amendment of § 17 para. 5 of the Articles (Remuneration of the Supervisory Board) (Motion proposed by Forum: Yes) .......
7. Removal of the agenda item “Dismissal of Supervisory Board members Michael Bourjau and Claus F. Vogt elected at the
......shareholders' meeting with effect from the date of the Annual General Meeting” (Motion proposed by Mr Schudy: Yes)
8. Supervisory Board elections
   8.1.1 Michael Bourjau (Motion proposed by Mr Schudy: Yes) ..............................................................................................................
   8.1.2 Prof. Dr. med. Michael Quintel (Motion proposed by Mr Schudy: Yes) ......................................................................................




Place, date                                        Signature(s)
                                                   Only signed authorizations and instructions are valid.
Auzorization                                                              Delegation


I/We authorize Mr/Mrs                                                     I/We authorize Mr/Mrs

__________________________________________                                __________________________________________
Last Name*                                                                Last Name*

__________________________________________                                __________________________________________
First Name*                                                               First Name*

__________________________________________                                __________________________________________
Place of residence*                                                       Place of residence*

to represent me at the meeting named overleaf. This                       to represent me at the meeting named overleaf. This
authorization relates to the exercising of all rights at the              authorization relates to the exercising of all rights at the
meeting, including delegation.                                            meeting, including delegation.


__________________________________________                                __________________________________________
Signature(s)                                                              Signature(s)

                                                   * Please write legibly in block letters.



Notes on attendance at the Annual General Meeting and proxies

Personal attendance at the Annual General Meeting or representation by a third party
The admission ticket received separately entitles you personally or an authorized third party to attend the Annual General Meeting. If
you wish to authorize a third party, please complete the above authorization, sign it and hand the admission ticket to your
representative.

Authorization/instructions to company-appointed proxies
If you will not be attending the Annual General Meeting personally and do not wish to authorize a representative, you may issue an
authorization/instructions to a company-appointed proxy.

Please send your authorization/instructions to a company-appointed proxy to:
Pulsion Medical Systems AG
attn.: Management Board
Annual General Meeting
Joseph-Wild-Strasse 20
81829 Munich
Fax: +49 89 / 45 99 14 - 481

Even after issuing an authorization/instructions to a company-appointed proxy you are still entitled to attend the Annual General
Meeting personally. Personal registration by you or your representative at the entrance to the AGM counts as a revocation of the
authorization/instructions to company-appointed proxies.

Motions or nominations by shareholders (countermotions) to be made accessible, in particular the counter-motion by Mr Schudy
dated 21 October 2009, can be reviewed at our website www.pulsion.com.

Please note that authorizations/instructions to company-appointed proxies relate solely to the exercising of voting rights according to
instructions. No other tasks, such as the proposal of motions or submission of declarations by authorization/instruction of company-
appointed proxies shall be permitted

In the absence of explicit instructions, authorizations/instructions to company-appointed proxies may not extend to voting on more
extensive motions such as countermotions or points of order. In such cases these votes shall be counted as abstentions. Should you
wish to exercise your shareholder's rights beyond the described limits, you may exercise your rights in person or through an
authorized representative.

				
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