OMV Petrom S A : Voting Bulletin for the voting by correspondence in the OGMS (DOC, 93,0 KB)

June 23, 2022 at 05:25 am EDT

Anexa nr

Voting Bulletin

for voting by correspondence in the

Ordinary General Meeting of Shareholders of OMV Petrom S.A. convened for

26/27 July 2022

I, the undersigned ________________________ [name and surname of the shareholder - natural person], identified with _________________ [IDcard], series____, number _________, issued by ________________, on ___________, valid until __________, having the domicile in ______________________________________, personal identification number __________________,

I, the undersigned __________________________________ [name of the shareholder - legal person/entity without legal personality], having the registered office located at _______________________________________, registered with the Trade Registry____________ [equivalent body - for non-resident legal persons] under no. ___________________________________ sole registration code________________ [equivalent identification no. - for non-resident legal persons] _____________________, legally represented by __________________________________,

shareholder, at the Reference Date of 15 July 2022, of OMV Petrom S.A., a company managed in a two tier system, incorporated and functioning under the laws of Romania, registered with the Bucharest Trade Registry Office under no. J40/8302/1997, sole registration code 1590082, having the headquarters at 22 Coralilor Street, District 1 (Petrom City), Bucharest, Romania, having the subscribed and paid share capital of RON 5,664,410,833.50, divided in 56,644,108,335 common, nominative shares, having a face value of RON 0.1 each (the "Company" or "OMV Petrom"),

holding a number of _______________ shares, representing ______% of the total number of shares issued by the Company,

acknowledging the agenda of the Ordinary General Meeting of the Shareholders ("OGMS") of OMV Petrom, convened for 26 July 2022 starting at 10:00 o'clock (Romania time), respectively for 27 July 2022 starting at 10:00 o'clock (Romania time), if the OGMS of OMV Petrom may not be validly held at the first convening date, and based on the documentation made available by the Company,

in accordance with Article 208 of Financial Supervisory Authority Regulation no. 5/2018 on issuers of financial instruments and market operations,

I herewith exercise my vote by correspondence, as follows:

1. For item 1 on the Agenda, [i.e. "Approval of distribution of a special dividend."]:

a) The Executive Board's proposal regarding the approval of the distribution ofa special dividend with a gross value amounting to RON 0.0450 per share to OMV Petrom's shareholders; the payment of dividends is to be made in RON to OMV Petrom's shareholders registered with the shareholders registry kept by Depozitarul Central S.A. on the Record Date established by this OGMS(the Record Date proposed to be approved by OGMS being August 11, 2022), starting with the Payment Date established by this OGMS (the Payment Date proposed to be approved by OGMS being September 2, 2022); the net special dividend and related tax on dividend is to be determined using the following computation method: the gross special dividend corresponding to each shareholder will be computed by multiplying the number of shares held at the Record Date by the respective shareholder with the gross special dividend per share; the resulting amount will be then rounded down to two decimals according to the Code of Depozitarul Central S.A. with its subsequent amendments and supplementations; afterwards, the tax on dividend will be computed by applying the relevant tax rate to gross dividends already rounded down to two decimals; the amount of the net dividend to be paid will represent the difference between the gross dividend rounded down to two decimals and the amount of the related tax on dividends rounded up/down according to the legal provisions.