Shareholder representation letter 2026

1. Click ‘Get Form’ to open the shareholder representation letter in the editor.
2. Begin by entering the date and company name at the top of the form. This information is crucial for identifying your request.
3. In the table provided, fill in the date of each certificate, its number, your name as it appears on the certificate, and the number of shares you are requesting to remove restrictions from.
4. For section 1, indicate how you acquired the shares by selecting one of the options: from the company, a non-affiliate, an affiliate, or if you do not know.
5. Attach any relevant documents that support your acquisition of shares as requested in sections 2 and 3. If no documents exist, provide explanations as instructed.
6. Complete sections 4 through 16 by confirming your understanding of Rule 144 and providing necessary representations regarding your share transactions.
7. Finally, sign and print your name at the bottom. If applicable, include your title if shares are held under an entity's name.

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