EFTA01369862.pdf

Declaration by Non-Israeli Residents (see instructions) so Eligible Israeli Brokers should not complete this PART II tart II A. To he completed only by Individuals. I hereby declare that (if the statement is correct, mark X in the following boxes) A.I O I am NOT and at the date of purchase of my Shares was not a "resident of Israel" for tax purposes as defined under Israeli law and provided in the instructions attached hereto. which means, among other things, that: • The State of Israel is not my permanent place of residence. • The State of Israel is neither my place of residence nor that of my family (for this purpose "family" shall mean spouse and children under the age of 18), • My ordinary or permanent place of activity is NOT in the State of Israel and I do NOT have a permanent establishment in the State of Israel, • I do NOT engage in an occupation in the State of Israel. • I do NOT own a business or pan of a business in the State of Israel. • I am NOT insured by the Israeli National Insurance Institution. • I was NOT present (nor am I planning to be present) in Israel for 183 days or mom during this tax year.. • I was NOT present (nor am I planning to be present) in Israel for 30 days or more during this tax year, and the total period of my presence in Israel during this tax year and the two previous tax years is less than 425 days in total. A.2 O I acquired the Shares on or after January I, 2009. B. To be completed by Corporations (except Partnerships and Trusts). I hereby declare that: (if correct, mark X in the following boxes) B.1 O The corporation is NOT and at the date of purchase of its Shares was not a "resident of Israel" for tax purposes as defined under Israeli law and provided in the instructions attached hereto, which means, among other things, that: • The corporation is NOT registered with the Registrar of Companies in Israel, • The corporation is NOT registered with the Registrar of "Amnia' (non-profit organizations) in Israel, • The control of the corporation is NOT located in Israel, • The management of the corporation is NOT located in Israel. • The corporation does NOT have a permanent establishment in Israel. and • No Israeli resident holds, directly or indirectly via shares or through a trust or in any other manner or with another who is an Israeli resident. 25% or more of any "means of control" in the corporation as specified below: o The right to participate in profits; o The right to appoint a director, o The right to vote; o The right to share in the assets of the corporation at the time of its liquidation; and o The right to direct the manner of exercising one of the rights specified above. B.2 O The corporation acquired the Shares on or after January 1, 2009. C. To be completed by Partnerships. I hereby declare that: (if correct, mirk X in the following boxes) C.1 O The partnership is NOT and at the date of purchase of its Shares was not a "resident of Israel" for tax purposes as defined under Israeli law and provided in the instructions attached hereto, which means, among other things, that: • The partnership is NOT registered with the Registrar of Partnerships in Israel. • The control of the partnership is NOT located in Israel. • The management of the partnership is NOT located in Israel. • The partnership does NOT have a permanent establishment in Israel. • NO Israeli resident holds, directly or indirectly via shares or through a trust or in any other manner or with another who is an Israeli resident, 25% or more of the rights in the partnership, and • NO direct partner in the partnership is an Israeli resident. C2 O The partnership acquired the Shares on or after January 1. 2009. 2 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0062363 CONFIDENTIAL SDNY GM_00208547 EFTA01369862