The Corporation Company Incorporated,

a Delaware corporation, registered at Wilmington, Delaware, United States of America with the identity number 67583920,
whose principal place of business is 111 Front Street, Wilmington, DE 19850, United States of America,
represented by Ms. Charlene Champlain, its Corporate Secretary,
herein referred to as "{Handle}",

The Corporation Company

Delaware corporation au capital de {Capital.All.#},
immatriculée au RCS de Wilmington sous le numéro 67583920,
Dont le siège social est situé 111 Front Street, 19850 Wilmington , United States of America,
Représentée par {Signer.FR.M/Ms_NameFull} en qualité de Corporate Secretary, dûment habilité aux fins des présentes,
ci-après dénommée la « {Handle} » ,

The Corporation Company Incorporated

spółką, {Capital.All},
zarejestrowaną pod adresem Wilmington, Delaware, United States of America pod numerem: 67583920,
której siedziba znajduje się pod adresem 111 Front Street, Wilmington, DE 19850, United States of America
reprezentowaną przez {Signer.PL.M/Ms_NameFull}, Corporate Secretary
zwaną dalej «{Handle}»,

The Corporation Company Incorporated

("{Handle}")

By:

______________________
Name: {Signer.Name.Full}
Title: Corporate Secretary

Date: ________________________
Signed at: Wilmington, Delaware, United States of America

The Corporation Company Incorporated

( « {Handle} » ),

Par :

______________________
Nom : {Signer.Name.Full}
Titre : Corporate Secretary

le : ________________________
à : Wilmington, Delaware, United States of America

The Corporation Company Incorporated

("{Handle}")

BY

______________________
Reprezentowana przez: {Signer.Name.Full}
Tytuł: Corporate Secretary

Dnia: ________________________
Podpisana w: Wilmington, Delaware, United States of America