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AM GOLD INC. — Proxy Solicitation & Information Statement 2015
Aug 6, 2015
43684_rns_2015-08-06_d9479b43-159f-4ffa-9d70-26e5f6d289f0.pdf
Proxy Solicitation & Information Statement
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AM GOLD INC.
Security Class
Holder Account Number
Form of Proxy - Special Meeting of Shareholders to be held on September 2, 2015
This Form of Proxy is solicited by and on behalf of Management.
Notes to proxy
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Every holder has the right to appoint some other person or company of their choice, who need not be a holder, to attend and act on their behalf at the meeting or any adjournment or postponement thereof. If you wish to appoint a person or company other than the persons whose names are printed herein, please insert the name of your chosen proxyholder in the space provided (see reverse).
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If the securities are registered in the name of more than one owner (for example, joint ownership, trustees, executors, etc.), then all those registered should sign this proxy. If you are voting on behalf of a corporation or another individual you must sign this proxy with signing capacity stated, and you may be required to provide documentation evidencing your power to sign this proxy.
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This proxy should be signed in the exact manner as the name(s) appear(s) on the proxy.
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If this proxy is not dated, it will be deemed to bear the date on which it is mailed by Management to the holder.
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The securities represented by this proxy will be voted as directed by the holder, however, if such a direction is not made in respect of any matter, this proxy will be voted as recommended by Management.
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The securities represented by this proxy will be voted in favour or withheld from voting or voted against each of the matters described herein, as applicable, in accordance with the instructions of the holder, on any ballot that may be called for and, if the holder has specified a choice with respect to any matter to be acted on, the securities will be voted accordingly.
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This proxy confers discretionary authority in respect of amendments or variations to matters identified in the Notice of Meeting or other matters that may properly come before the meeting or any adjournment or postponement thereof.
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This proxy should be read in conjunction with the accompanying documentation provided by Management.
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Proxies submitted must be received by 11:00 AM (Pacific Time) on August 31, 2015.
VOTE USING THE TELEPHONE OR INTERNET 24 HOURS A DAY 7 DAYS A WEEK!
To Vote Using the Telephone
To Vote Using the Internet
• Go to the following web site:
www.investorvote.com
• Smartphone?
Scan the QR code to vote now.
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Call the number listed BELOW from a touch tone telephone.
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Smartphone?
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1-866-732-VOTE (8683) Toll Free Scan the QR code to vote now.
If you vote by telephone or the Internet, DO NOT mail back this proxy.
Voting by mail may be the only method for securities held in the name of a corporation or securities being voted on behalf of another individual.
Voting by mail or by Internet are the only methods by which a holder may appoint a person as proxyholder other than the Management nominees named on the reverse of this proxy. Instead of mailing this proxy, you may choose one of the two voting methods outlined above to vote this proxy.
To vote by telephone or the Internet, you will need to provide your CONTROL NUMBER listed below.
CONTROL NUMBER
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Appointment of Proxyholder
I/We being holder(s) of common shares of AM Gold Inc. hereby appoint : OR Print the name of the person you are John Fiorino, Chief Executive Officer, or failing him, Rick Low, Chief Financial appointing if this person is someone Officer, or failing him, Murray Caruth, Corporate Secretary, other than the Chairman of the Meeting.
as my/our proxyholder with full power of substitution and to attend, act and to vote for and on behalf of the shareholder in accordance with the following direction (or if no directions have been given, as the proxyholder sees fit) and all other matters that may properly come before the Special Meeting of shareholders of AM Gold Inc. to be held at 1500 – 1055 West Georgia Street, Vancouver, British Columbia, on September 2, 2015 at 11:00 AM (Pacific Time) and at any adjournment or postponement thereof.
VOTING RECOMMENDATIONS ARE INDICATED BY HIGHLIGHTED TEXT OVER THE BOXES.
For Against
| For For |
Against Against |
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1. Canper Sale Resolution
To approve, with or without variation, a special resolution, the full text of which is set forth in the Management Information Circular of AM Gold Inc. dated July 27, 2015 (the “Information Circular”), to approve the sale of Canper Exploraciones S.A.C., a Peruvian subsidiary of AM Gold Inc. whose material asset is the Pinaya Copper-Gold Project, to Kaizen Discovery Inc., all as more particularly described in the Information Circular.
For Against
2. Control Person Resolution
To approve, with or without variation, an ordinary resolution of disinterested shareholders, the full text of which is set forth in the Information Circular, authorizing: (i) the issuance of common shares of the Company to settle certain debt and to certain individuals in a future private placement; and (ii) the creation of a new control person of the Company, all as more particularly described in the Information Circular.
Authorized Signature(s) - This section must be completed for your instructions to be executed.
I/We authorize you to act in accordance with my/our instructions set out above. I/We hereby revoke any proxy previously given with respect to the Meeting. If no voting instructions are indicated above, this Proxy will be voted as recommended by Management.
Signature(s)
Date
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