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Masisa S.A. – ‘F-4’ on 3/18/05 – EX-99.3

On:  Friday, 3/18/05, at 5:32pm ET   ·   Accession #:  1193125-5-55460   ·   File #:  333-123459

Previous ‘F-4’:  None   ·   Next & Latest:  ‘F-4/A’ on 3/24/05

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  As Of                Filer                Filing    For·On·As Docs:Size              Issuer               Agent

 3/18/05  Masisa S.A.                       F-4                   18:5.8M                                   RR Donnelley/FA

Registration Statement of a Foreign Private Issuer for Securities Issued in a Business-Combination Transaction   —   Form F-4
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: F-4         Registration Statement of a Foreign Private Issuer  HTML   3.41M 
                          for Securities Issued in a                             
                          Business-Combination Transaction                       
 2: EX-3.1      Estatutos of Terranova, Which Include Its Articles  HTML     53K 
                          of Association                                         
 3: EX-4.1      Form of Deposit Agreement Among Terranova,The Bank  HTML    228K 
                          of New York and Holders                                
 4: EX-5.1      Opinion of Carey & Cia. as to the Legality of the   HTML     27K 
                          Securities Being Registered                            
 5: EX-8.1      Opinion of Jones Day as to the U.S. Federal Income  HTML     14K 
                          Tax Consequences of Merger                             
 6: EX-10.1     Strategic Alliance Agreement Dated 12/01/2000 B/W   HTML     60K 
                          Terranova S.A. & Premdor Inc.                          
 7: EX-10.2     Lease Contract Dated 01/12/1989 B/W Rep. of         HTML     69K 
                          Venezuela and Corporacion Forestal                     
 8: EX-21.1     List of Terranova's Subsidaries                     HTML     14K 
 9: EX-23.1     Consent of Pricewaterhousecoopers as to Terranova   HTML     10K 
10: EX-23.2     Consent of Pricewaterhousecoopers as to Masisa      HTML     10K 
11: EX-23.5     Consent of Independent Accountants                  HTML     11K 
12: EX-24.1     Power of Attorney                                   HTML     23K 
13: EX-99.1     Masisa's Letter to Shareholders Proposing the       HTML     15K 
                          Merger                                                 
14: EX-99.2     Masisa's Notice of the Meeting of Masisa            HTML     20K 
                          Shareholders to Approve the Merger                     
15: EX-99.3     Form of Voting Instruction Card for the Masisa      HTML     26K 
                          Extraordinary Meeting                                  
16: EX-99.4     Depositary Notice to Holders of Extraordinary       HTML     20K 
                          Shareholders Meeting                                   
17: EX-99.5     Consolidated Financial Statements of Terranova and  HTML    668K 
                          Subsidiaries as of 12/31/04                            
18: EX-99.6     Consent of J.P. Morgan Securities Inc.              HTML     11K 


EX-99.3   —   Form of Voting Instruction Card for the Masisa Extraordinary Meeting


This exhibit is an HTML Document rendered as filed.  [ Alternative Formats ]



  Form of voting instruction card for the Masisa extraordinary meeting  

EXHIBIT 99.3

 

Masisa S.A.

 

Instructions to The Bank of New York, as Depositary

(Must be received prior to [            ] P.M. on [                ], 2005

 

The undersigned Holder of American Depositary Receipts (“ADRs”) hereby acknowledges receipt of a Notice to Holders from the Depositary and hereby requests and instructs The Bank of New York, as Depositary, to endeavor, insofar as practicable, to vote or cause to be voted the number of shares or other Deposited Securities represented by such ADRs of Masisa S.A. (the “Company”) registered in the name of the undersigned on the books of the Depositary as of the close of business [                ], 2005 at the Company’s Extraordinary Shareholders’ Meeting to be held on [                ], 2005 at [            ] P.M. in [                ] Chile, and at any adjournment of postponement thereof, on the matters specified on the reverse side.

 

NOTES:

 

  1. Please direct the Depositary how to vote by completing the reverse side. This Voting Instruction Card, when properly executed and returned, will be a request to the Depositary to vote or cause to be voted the shares or other Deposited Securities represented by your ADRs as directed herein.

 

  2. If no instructions are received, as discretionary proxy will be given to a person designated by the Company.

 

To include any comments, please mark this box.        ¨

 

Please complete and date this proxy on the reverse side and return it promptly in the accompanying envelope


Ú  DETACH PROXY CARD HERE  Ú

 

           

 

    

Mark, Sign, Date and Return the Proxy Card Promptly Using the Enclosed Envelope.

   x
Votes must be indicated
(x) in Black or Blue ink.
                        
          FOR    AGAINST    ABSTAIN              FOR    AGAINST    ABSTAIN

1.

   Approval of the merger by absorption of Masisa into Terranova.    ¨    ¨    ¨    5.    Approval of the bylaws of Terranova as the surviving entity, as amended    ¨    ¨    ¨

2.

   Approval of the financial statements of Masisa and Terranova as of December 31, 2004    ¨    ¨    ¨    6.    Adoption of all other resolution necessary to implement the merger    ¨    ¨    ¨

3.

   Approval of the expert reports prepared in accordance with article 99 of the Chilean Corporations Law    ¨    ¨    ¨                         

4.

   Approval of the exchange ratio of 2.56 Terranova shares for each one (1) share of Masisa    ¨    ¨    ¨        

To change your address, please mark this box.

   ¨
                              SCAN LINE
                              The Voting Instruction must be signed by the person in whose name the relevant Receipt is registered on the books of the Depositary. In the case of a corporation, the Voting Instruction must be executed by a duly authorized Officer or Attorney.
                             
  
                              Date    Share Owner sign here    Co-Owner sign here

Dates Referenced Herein   and   Documents Incorporated by Reference

This ‘F-4’ Filing    Date    Other Filings
Filed on:3/18/05
12/31/0420-F
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Filing Submission 0001193125-05-055460   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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