Grupa Zywiec S A : Form to execute the right to vote by a plenipotentiary – 20.09.2022

FORM

TO EXECUTE THE RIGHT TO VOTE BY A PLENIPOTENTIARY

This form concerns executing the right to vote by a plenipotentiary at the Extraordinary General Shareholders' Meeting of the company named: Grupa Żywiec S.A. with its seat in Żywiec (34- 300), ul. Browarna 88, to be held in Warsaw (00-844), ul. Grzybowska 56, on the 20th day of September, 2022.

1. Shareholder:

…………………………………….

(name, surname/ company's name)

…………………………………….

(address)

…………………………………….

(registration number)

1. Plenipotentiary:

…………………………………….

(name and surname of plenipotentiary)

…………………………………….

(address)

…………………………………….

(PESEL, REGON, KRS)

1. Instruction of voting in relation to the draft resolutions:

Draft

Resolution No. 1

of the Extraordinary General Shareholders' Meeting

of Grupa Żywiec Spółka Akcyjna

of 20 September 2022

regarding election of Chairman of the Meeting.

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According to Article 409 § 1 of the Commercial Companies Code, the Extraordinary General Shareholders' Meeting of Grupa Żywiec S.A. hereby decides to elect Mr. ………… as Chairman of the

Meeting.

□ FOR	□ AGAINST	□ ABSTAIN	□ AT DISCRETION OF
			PLENIPOTENTIARY
NUMBER OF SHARES:	NUMBER OF SHARES:	NUMBER OF SHARES:	NUMBER OF SHARES:
□ OTHERS:
			Draft

Resolution No. 2

of the Extraordinary General Shareholders' Meeting

of Grupa Żywiec Spółka Akcyjna

of 20 September 2022

regarding changes in the composition of the Supervisory Board.

According to Article 385 § 1 of the Code of Commercial Companies and § 14 pas.1 of the Company's Statutes, this is to pass the following:

§ 1.

Based on the results of the individual voting, the General Shareholders' Meeting resolves to make the following changes to the composition of the Supervisory Board of the Company:

• ……………………,
• ……………………,
• …………………… .

§ 2.

This Resolution comes into force on the day of passing.

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□ FOR	□ AGAINST	□ ABSTAIN	□ AT DISCRETION OF
			PLENIPOTENTIARY
NUMBER OF SHARES:	NUMBER OF SHARES:	NUMBER OF SHARES:	NUMBER OF SHARES:
□ OTHERS:

…………………………………….

(date and venue)

…………………………………….

(signature of shareholder)

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