Extraordinary General meeting of the company Kofola ČeskoSlovensko a.s. held on 3 February 2017

Ballot

for correspondence voting on draft resolutions referred to in the invitation to the General Meeting

………………………………………………………………………………………………………………………….....
Name and surname/ commercial name of the shareholder

……………………………………………………………………………………………………………………………………………………....
Date of birth/ shareholder’s identification number 

……………………………………………………………………………………………………………………………………………………....
Place of residency/ shareholder’s registered office (seat)

…………………………………………………………………………………………………………………………………………
Number and face value of shareholder´s shares with which the shareholder performs the voting

In the event that a shareholder is represented, it must be noted data of the agent (proxy): 

………………………………………………………………………………………………………………………….....
Name and surname/ commercial name of the shareholder´s agent

……………………………………………………………………………………………………………………………………………………....
Date of birth/ identification number of shareholder’s agent

……………………………………………………………………………………………………………………………………………………....
Place of residency/ registered office of shareholder’s agent

……………………………………………………………………………………………………………………………………………………....
Officially verified signature of shareholder/agent (signatory) 

Extraordinary General meeting of the company Kofola ČeskoSlovensko a.s. held on 3 February 2017

Ballot
for correspondence voting on draft resolutions referred to in the invitation to the General Meeting 

Resolution of the item no. 2: Approval of the Rules of Procedure of the General meeting, election of a chairman of the General meeting, minute taker, minute verifier and scrutinisers, approval of making audiovisual recording of the General Meeting

Draft resolution (1) : 
The General meeting approves the Rules of Procedure of the General Meeting of Kofola ČeskoSlovensko a.s. as presented by the Board of Directors.	 
FOR 	
AGAINST 	
ABSTAIN	

Draft resolution (2) : 
The General Meeting elects as a chairman of the General Meeting Mr Jakub Onisko, as a minute taker Mr Pavel Jakubík, as a minute verifier Ms Beata Pulcer and as scrutiniser Ms Karin Josefusová

FOR 	

AGAINST 	

ABSTAIN	

Draft resolution (3) : 
The General Meeting approves making audiovisual recording of the General Meeting.	
FOR	
AGAINST	
ABSTAIN	

Resolution of the item no. 3: Decision on Delisting of Shares from Trading on Warsaw Stock Exchange

Draft resolution: 
The General Meeting decides on (i) the re-materialization (in Polish: zniesienie dematerializacji akcji) of common registered shares of Kofola ČeskoSlovensko a.s., with each share having a nominal value of CZK 100, issued as book-entered securities, ISIN CZ0009000121, traded on the Warsaw Stock Exchange (in Polish: Giełda Papierów Wartościowych) (“Shares”) in compliance with Sec. 91 and Sec. 92 point 3 of Polish Act dated 29 July 2005 on Public Offerings and Conditions for Listing on Financial Instruments on Organized Trading Platforms and on Public Companies (in Polish: Ustawa  z dnia 29 lipca 2005 r. o ofercie publicznej  i warunkach wprowadzania instrumentów finansowych do zorganizowanego systemu obrotu oraz o spolkach publicznych), (ii) delisting of Shares from trading on the Warsaw Stock Exchange (in Polish: Giełda Papierów Wartościowych) in compliance with Sec. 421 (2) (i) of the Act on Business Corporations, and (iii) granting of consent with the Board of Directors of Kofola ČeskoSlovensko a.s. performing all necessary legal actions and other steps to implement this decision, including submission of an application to the Polish Financial Supervisory Commission (in Polish: Komisja Nadzoru Finansowego), Polish National Depositary of Securities (in Polish: Krajowy Depozyt Papierów Wartościowych S.A.), Warsaw Stock Exchange (in Polish: Giełda Papierów Wartościowych) and other relevant bodies.	 

FOR 	

AGAINST 	

ABSTAIN	

Resolution of the item no. 4: Decision on Acquisition of Treasury Shares

Draft resolution: 
The General Meeting decides pursuant to Sec. 301 (1) (a) of the Act on Business Corporations to grant its consent to Kofola ČeskoSlovensko a.s. with the acquisition of treasury shares under the following terms and conditions:

1. The company may acquire no more than 5,000 (five thousand) common registered treasury shares with a nominal value of CZK 100 each, issued as book-entered securities;

2. The company may acquire treasury shares over a period of time no longer than 5 (five) years from the adoption date of this decision for no more than 5 (five) years from the adoption date of this decision;

3. If the company acquires treasury shares for consideration, the minimum price for which the company may acquire treasury shares is CZK 1.00 and the maximum price for which the company may acquire treasury shares is the price for which the company is obligated to purchase shares as a result of their delisting from the Warsaw Stock Exchange (in Polish: Giełda Papierów Wartościowych) in compliance with applicable laws.
	 
FOR 	
AGAINST 	
ABSTAIN	
Resolution of the item no. 5: Approval of the Service Agreement for a member of the Supervisory Board of the Company	

Draft resolution: 
The General Meeting approves the Service Agreement of the member of the Supervisory Board of the Company as presented by the Board of Directors of the Company to the General Meeting that will be entered into with the members of the Supervisory Board of the Company.
	
FOR	
AGAINST	
ABSTAIN