2024 AGM - Sample Proxy Form
Released
Released
Announcement PDF
Voting Form
If you are attending the Meeting
in person, please bring this with you
for Securityholder registration.
HITIQ Limited | ABN 53 609 543 213
Your proxy voting instruction must be received by 10.00am (AEDT) on Monday, 25 November 2024, being not later than 48 hours
before the commencement of the Meeting. Any Proxy Voting instructions received after that time will not be valid for the scheduled
Meeting.
SUBMIT YOUR PROXY
Complete the form overleaf in accordance with the instructions set out below.
YOUR NAME AND ADDRESS
The name and address shown above is as it appears on the Company’s share register. If this information is
incorrect, and you have an Issuer Sponsored holding, you can update your address through the investor
portal: https://investor.automic.com.au/#/home Shareholders sponsored by a broker should advise their
broker of any changes.
STEP 1 – APPOINT A PROXY
If you wish to appoint someone other than the Chair of the Meeting as your proxy, please write the name of
that Individual or body corporate. A proxy need not be a Shareholder of the Company. Otherwise if you
leave this box blank, the Chair of the Meeting will be appointed as your proxy by default.
Lodging your Proxy Voting Form:
Online
Use your computer or smartphone to
appoint a proxy at
https://investor.automic.com.au/#/loginsah or
scan the QR code below using your
smartphone
Login & Click on ‘Meetings’. Use the
Holder Number as shown at the top of
this Proxy Voting Form.
DEFAULT TO THE CHAIR OF THE MEETING
Any directed proxies that are not voted on a poll at the Meeting will default to the Chair of the Meeting,
who is required to vote these proxies as directed. Any undirected proxies that default to the Chair of the
Meeting will be voted according to the instructions set out in this Proxy Voting Form, including where the
Resolutions are connected directly or indirectly with the remuneration of Key Management Personnel.
STEP 2 - VOTES ON ITEMS OF BUSINESS
You may direct your proxy how to vote by marking one of the boxes opposite each item of business. All
your shares will be voted in accordance with such a direction unless you indicate only a portion of voting
rights are to be voted on any item by inserting the percentage or number of shares you wish to vote in the
appropriate box or boxes. If you do not mark any of the boxes on the items of business, your proxy may
vote as he or she chooses. If you mark more than one box on an item your vote on that item will be invalid.
BY MAIL:
Automic
GPO Box 5193
Sydney NSW 2001
APPOINTMENT OF SECOND PROXY
You may appoint up to two proxies. If you appoint two proxies, you should complete two separate Proxy
Voting Forms and specify the percentage or number each proxy may exercise. If you do not specify a
percentage or number, each proxy may exercise half the votes. You must return both Proxy Voting Forms
together. If you require an additional Proxy Voting Form, contact Automic Registry Services.
IN PERSON:
Automic
Level 5, 126 Phillip Street
Sydney NSW 2000
SIGNING INSTRUCTIONS
Individual: Where the holding is in one name, the Shareholder must sign.
Joint holding: Where the holding is in more than one name, all Shareholders should sign.
Power of attorney: If you have not already lodged the power of attorney with the registry, please attach a
certified photocopy of the power of attorney to this Proxy Voting Form when you return it.
Companies: To be signed in accordance with your Constitution. Please sign in the appropriate box which
indicates the office held by you.
Email Address: Please provide your email address in the space provided.
By providing your email address, you elect to receive all communications despatched by the Company
electronically (where legally permissible) such as a Notice of Meeting, Proxy Voting Form and Annual
Report via email.
BY EMAIL:
meetings@automicgroup.com.au
BY FACSIMILE:
+61 2 8583 3040
All enquiries to Automic:
WEBSITE:
https://automicgroup.com.au
PHONE:
CORPORATE REPRESENTATIVES
1300 288 664 (Within Australia)
If a representative of the corporation is to attend the Meeting the appropriate ‘Appointment of Corporate
+61 2 9698 5414 (Overseas)
Representative’ should be produced prior to admission. A form may be obtained from the Company’s share
registry online at https://automicgroup.com.au.
1 - How to vote
APPOINT A PROXY:
I/We being a Shareholder entitled to attend and vote at the Annual General Meeting of HITIQ Limited, to be held at 10.00am (AEDT) on Wednesday,
27 November 2024 at Unit 4/38-42 White Street, South Melbourne VIC, 3205 hereby:
Appoint the Chair of the Meeting (Chair) OR if you are not appointing the Chair of the Meeting as your proxy, please write in the box provided below
the name of the person or body corporate you are appointing as your proxy or failing the person so named or, if no person is named, the Chair, or the
Chair’s nominee, to vote in accordance with the following directions, or, if no directions have been given, and subject to the relevant laws as the proxy
sees fit and at any adjournment thereof.
The Chair intends to vote undirected proxies in favour of all Resolutions in which the Chair is entitled to vote.
Unless indicated otherwise by ticking the “for”, “against” or “abstain” box you will be authorising the Chair to vote in accordance with the Chair’s
voting intention.
AUTHORITY FOR CHAIR TO VOTE UNDIRECTED PROXIES ON REMUNERATION RELATED RESOLUTIONS
Where I/we have appointed the Chair as my/our proxy (or where the Chair becomes my/our proxy by default), I/we expressly authorise the Chair to
exercise my/our proxy on Resolutions 1, 5, 7, 8, 9, 10 and 11 (except where I/we have indicated a different voting intention below) even though
Resolutions 1, 5, 7, 8, 9, 10 and 11 are connected directly or indirectly with the remuneration of a member of the Key Management Personnel, which
includes the Chair.
STEP 2 - Your voting direction
For
Against Abstain Resolutions
For
ADOPTION OF REMUNERATION REPORT
7
ISSUE OF SHARES TO A DIRECTOR IN LIEU
OF DIRECTOR FEES – PHIL CARULLI
2
ELECTION OF DIRECTOR – MATTHEW
CLAYWORTH
8
ISSUE OF SHARES TO A DIRECTOR IN LIEU
OF DIRECTOR FEES – MATTHEW
CLAYWORTH
3
ELECTION OF DIRECTOR – JAMES BARRIE
9
ISSUE OF SHARES TO A DIRECTOR IN LIEU
OF DIRECTOR FEES – JAMES BARRIE
4
ELECTION OF DIRECTOR – EARL EDDINGS
10
ISSUE OF SHARES TO A DIRECTOR IN LIEU
OF CONSULTANCY FEES – EARL EDDINGS
5
APPROVAL OF ISSUE OF EQUITY
SECURITIES UNDER EMPLOYEE INCENTIVE
PLAN
11
APPROVAL OF INCENTIVE AWARDS FOR A
DIRECTOR - EARL EDDINGS
6
RATIFICATION OF NO BULL HEALTH PTY
LTD CONVERTIBLE NOTES
12
APPROVAL OF 10% PLACEMENT CAPACITY
- SHARES
Against Abstain
Please note: If you mark the abstain box for a particular Resolution, you are directing your proxy not to vote on that Resolution on a show of hands or on
a poll and your votes will not be counted in computing the required majority on a poll.
STEP 3 – Signatures and contact details
Individual or Securityholder 1
Sole Director and Sole Company Secretary
Contact Name:
Securityholder 2
Securityholder 3
Director
Director / Company Secretary
Email Address:
Contact Daytime Telephone
Date (DD/MM/YY)
/
/
By providing your email address, you elect to receive all communications despatched by the Company electronically (where legally permissible).
HIQ
Resolutions
1
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