Exhibit
(a) (1) (ii)
Letter of
Transmittal
of
Sirius XM Radio Inc.
Pursuant
to
Offer to Purchase for Cash
Any and All of its Outstanding
31/4%
Convertible Notes due 2011
(CUSIP No. 82966UAD5)
Dated March 24, 2011
THE OFFER (AS DEFINED BELOW) WILL EXPIRE AT 12:00 MIDNIGHT, NEW
YORK CITY TIME, ON APRIL 20, 2011, UNLESS EXTENDED FOR THAT
OFFER (SUCH TIME AND DATE, AS THE SAME MAY BE EXTENDED WITH
RESPECT TO THAT OFFER, THE EXPIRATION TIME).
HOLDERS MUST VALIDLY TENDER AND NOT VALIDLY WITHDRAW THEIR
NOTES PRIOR TO THE EXPIRATION TIME TO BE ELIGIBLE TO
RECEIVE THE PURCHASE PRICE OFFERED. TENDERS OF
NOTES MAY BE WITHDRAWN PRIOR TO THE EXPIRATION TIME.
The Depositary for the Offer is:
Global Bondholder Services
Corporation
By
Regular, Registered or Certified Mail,
By Overnight Courier or By Hand
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By Facsimile
(For Eligible Institutions only)
(212) 430-3775
Attention: Corporate Actions
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65 Broadway, Suite 404
New York, New York 10006
Attention: Corporate Actions
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Banks and Brokers Call:
(212) 430-3774
All Others Call Toll Free:
(866) 470-3900
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Delivery of this Letter of Transmittal to an address other
than as set forth above, or transmission of instructions via a
fax number other than as listed above, will not constitute a
valid delivery. The method of delivery of this Letter of
Transmittal, Notes and all other required documents to the
Depositary, including delivery through DTC and any acceptance or
Agents Message delivered through ATOP (as defined below),
is at the election and risk of Holders (as defined below).
This Letter of Transmittal and the instructions hereto (as the
same may be amended or supplemented, the Letter of
Transmittal) and the Offer to Purchase dated
March 24, 2011 (as the same may be amended or supplemented,
the Offer to Purchase) of Sirius XM Radio
Inc. (the Company) constitutes the
Companys offer (the Offer) to purchase
for cash any and all of the Companys
31/4%
Convertible Notes due 2011 (the Notes) at the
purchase price, and subject to the terms and conditions, set
forth in the Offer to Purchase.
Capitalized terms used herein and not defined herein shall have
the meanings ascribed to them in the Offer to Purchase.
This Letter of Transmittal is to be completed by a Holder
desiring to tender Notes unless such Holder is executing the
tender through the Automated Tender Offer Program
(ATOP) of The Depository Trust Company
(DTC). This Letter of Transmittal need not
be completed by a Holder tendering Notes through ATOP.
For a description of certain procedures to be followed in order
to tender Notes (through ATOP or otherwise), see
Procedures for Tendering and Withdrawing the Notes
in the Offer to Purchase and the instructions to this Letter of
Transmittal.
TENDER OF NOTES
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CHECK HERE IF CERTIFICATES REPRESENTING TENDERED NOTES ARE
ENCLOSED HEREWITH.
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CHECK HERE IF TENDERED NOTES ARE BEING DELIVERED BY
BOOK-ENTRY TRANSFER MADE TO THE ACCOUNT MAINTAINED BY THE
DEPOSITARY WITH DTC AND COMPLETE THE FOLLOWING:
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Name of Tendering Institution: |
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List in the box below the Notes to which this Letter of
Transmittal relates. If the space provided below is inadequate,
list the certificate numbers and principal amounts on a
separately executed schedule and affix the schedule to this
Letter of Transmittal. Tenders of Notes will be accepted only in
principal amounts equal to $1,000 or integral multiples thereof.
No alternative, conditional or contingent tenders will be
accepted. This Letter of Transmittal need not be completed by
Holders tendering Notes by ATOP.
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DESCRIPTION OF NOTES TENDERED
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31/4%
Convertible Notes due 2011
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(CUSIP No. 82966UAD5)
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Name(s) and Address(es) of Holder(s) or
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Name of DTC Participant and
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Aggregate
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Participants DTC Account Number in
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Principal
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which Notes are Held
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Certificate
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Amount
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Principal Amount
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(Please fill in, if blank)
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Number(s)*
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Represented
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Tendered**
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* Need not be completed by Holders tendering by
book-entry transfer or in accordance with DTCs ATOP
procedure for transfer (see below).
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** Unless otherwise specified, it will be assumed that the
entire aggregate principal amount represented by the Notes
described above is being tendered.
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If not already printed above, the name(s) and address(es) of the
Holder(s) should be printed exactly as they appear on the
certificate(s) representing Notes tendered hereby or, if
tendered by a participant in DTC, exactly as such
participants name appears on a security position listing
as the owner of the Notes.
No Offer is being made to, nor will tender of Notes be
accepted from or on behalf of, Holders in any jurisdiction in
which the making or acceptance of the Offer would not be in
compliance of the laws of such jurisdiction.
2
NOTE:
SIGNATURES MUST BE PROVIDED BELOW
PLEASE READ THE ACCOMPANYING
INSTRUCTIONS CAREFULLY
Ladies and Gentlemen:
The undersigned hereby tenders to Sirius XM Radio Inc. (the
Company), a Delaware corporation, upon the
terms and subject to the conditions set forth in this Letter of
Transmittal and the Offer to Purchase (collectively, the
Offer Documents), receipt of which is hereby
acknowledged, the principal amount of Notes indicated in the
table above under the caption headings Description of
Notes Tendered, under the column heading
Principal Amount Tendered (or, if nothing is
indicated therein, with respect to the entire aggregate
principal amount represented by the Notes described in the
table).
Subject to, and effective upon, the acceptance for purchase of,
and payment for, the principal amount of Notes tendered herewith
in accordance with the terms and subject to the conditions of
the Offer, the undersigned hereby:
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irrevocably sells, assigns and transfers to, or upon the order
of, the Company, all right, title and interest in and to all of
the Notes tendered hereby;
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waives any and all other rights with respect to such Notes
(including, without limitation, any existing or past defaults
and their consequences in respect of such Notes and the
indenture under which the Notes were issued);
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releases and discharges the Company from any and all claims the
undersigned may have now, or may have in the future arising out
of, or related to, such Notes, including, without limitation,
any claims that the undersigned is entitled to receive
additional principal or interest payments with respect to such
Notes, to convert the Notes into shares of the Companys
Common Stock or be entitled to any of the benefits under the
indenture under which the Notes were issued; and
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irrevocably constitutes and appoints the Depositary as the true
and lawful agent and attorney-in-fact of the undersigned (with
full knowledge that the Depositary also acts as the agent of the
Company) with respect to such Notes, with full powers of
substitution and resubstitution (such power of attorney being
deemed to be an irrevocable power coupled with an interest), to:
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deliver certificates representing such Notes, or transfer
ownership of such Notes on the account books maintained by DTC,
together, in any such case, with all accompanying evidences of
transfer and authenticity, to the Company,
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present such Notes for transfer on the relevant security
register,
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receive all benefits or otherwise exercise all rights of
beneficial ownership of such Notes (except that the Depositary
will have no rights to, or control over, funds from the Company,
except as agent for the tendering Holders, for the Purchase
Price and any Accrued Interest for any tendered Notes that are
purchased by the Company), and
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deliver to the Company this Letter of Transmittal.
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all upon the terms and conditions of the Offer as described in
the Offer to Purchase.
If the undersigned is not the registered holder of the Notes
(each, a Holder, and collectively,
Holders) listed in the boxes above under the
captions Description of Notes Tendered under
the column heading Principal Amount Tendered or such
Holders legal representative or attorney-in-fact (or, in
the case of Notes held through DTC, the DTC participant for
whose account such Notes are held), then the undersigned has
obtained a properly completed irrevocable proxy that authorizes
the undersigned (or the undersigneds legal representative
or attorney-in-fact) to tender such Notes on behalf of the
Holder thereof, and such proxy is being delivered with this
Letter of Transmittal.
The undersigned acknowledges and agrees that a tender of Notes
pursuant to any of the procedures described in the Offer to
Purchase and in the instructions hereto and an acceptance of
such Notes by the Company will constitute a binding agreement
between the undersigned and the Company upon the terms and
subject to the conditions of the Offer to Purchase and this
Letter of Transmittal. Such agreement will be governed by, and
construed in accordance with, the laws of the State of New York.
3
The undersigned understands that, under certain circumstances
and subject to the certain conditions specified in the Offer
Documents (each of which the Company may waive, other than those
dependent upon the receipt of necessary government approvals,
prior to the Expiration Time), the Company may not be required
to accept for payment any of the Notes tendered. Any Notes not
accepted for payment will be returned promptly to the
undersigned at the address set forth above unless otherwise
listed in one of the boxes below labeled A. Special
Issuance/Delivery Instructions.
The undersigned hereby represents and warrants and covenants
that:
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the undersigned has full power and authority to tender, sell,
assign and transfer the Notes tendered hereby;
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when such tendered Notes are accepted for payment and paid for
by the Company pursuant to the Offer, the Company will acquire
good title thereto, free and clear of all liens, charges,
claims, encumbrances, interests and restrictions of any kind; and
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the undersigned will, upon request, execute and deliver any
additional documents deemed by the Depositary or by the Company
to be necessary or desirable to complete the sale, assignment
and transfer of the Notes tendered hereby.
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No authority conferred or agreed to be conferred by this Letter
of Transmittal shall be affected by, and all such authority
shall survive, the death or incapacity of the undersigned, and
any obligation of the undersigned hereunder shall be binding
upon the heirs, executors, administrators, trustees in
bankruptcy, personal and legal representatives, successors and
assigns of the undersigned and any subsequent transferees of the
Notes.
In consideration for the purchase of the Notes pursuant to the
Offer, the undersigned hereby waives, releases, forever
discharges and agrees not to sue the Company and its former,
current or future directors, officers, employees, agents,
subsidiaries, affiliates, shareholders, predecessors,
successors, assigns or other representatives as to any and all
claims, demands, causes of action and liabilities of any kind
and under any theory whatsoever, whether known or unknown
(excluding any liability arising under U.S. federal securities
laws in connection with the Offer), by reason of any act,
omission, transaction or occurrence, that the undersigned ever
had, now has or hereafter may have against the Company as a
result of or in any manner related to:
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the undersigneds purchase, ownership or disposition of the
Notes pursuant to the Offer; and
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any decline in the value thereof up to and including the Payment
Date (and thereafter, to the extent the Holder retains Notes).
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Without limiting the generality or effect of the foregoing, upon
the purchase of Notes pursuant to the Offer, the Company shall
obtain all rights relating to the undersigneds ownership
of Notes (including, without limitation, the right to all
interest payable on the Notes) and any and all claims relating
thereto.
Unless otherwise indicated herein under A. Special
Issuance/Delivery Instructions, the undersigned hereby
requests that any Notes representing principal amounts not
tendered or not accepted for purchase be issued in the name(s)
of, and be delivered to, the undersigned (and, in the case of
Notes tendered by book-entry transfer, by credit to the account
of DTC). Unless otherwise indicated herein under B.
Special Payment Instructions, the undersigned hereby
request(s) that any checks for payment to be made in respect of
the Notes tendered hereby be issued to the order of, and
delivered to, the undersigned.
In the event that a A. Special Issuance/Delivery
Instructions box is completed, the undersigned hereby
request(s) that any Notes representing principal amounts not
tendered or not accepted for purchase be issued in the name(s)
of, and be delivered to, the person(s) at the address(es)
therein indicated. The undersigned recognizes that the Company
has no obligation pursuant to a A. Special
Issuance/Delivery Instructions box to transfer any Notes
from the names of the registered Holder(s) thereof if the
Company does not accept for purchase any of the principal amount
of such Notes so tendered. The right to have Notes registered
and delivered in accordance with A. Special
Issuance/Delivery Instructions is subject any limitations
or requirements of the indenture governing the Notes. In the
event that a B. Special Payment Instructions box is
completed, the undersigned hereby request(s) that checks for
payment to be made in respect of the Notes tendered hereby be
issued to the order of, and be delivered to, the person(s) at
the address(es) therein indicated, subject to provision for
payment of any applicable taxes being made.
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A. SPECIAL ISSUANCE/DELIVERY
INSTRUCTIONS
(See Instructions 1, 2, 3 and 6)
To be completed ONLY if Notes in a principal amount not
tendered or not accepted for purchase are to be issued in the
name of someone other than the person(s) whose signature(s)
appear within this Letter of Transmittal or sent to an address
different from that shown in the box entitled Description
of Notes Tendered within this Letter of Transmittal.
(Please Print)
(Zip Code)
(Taxpayer Identification or
Social Security Number)
(See Substitute
Form W-9
herein)
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Check here to direct a credit of Notes not tendered or not
accepted
for purchase delivered by book-entry transfer to an account at
DTC.
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DTC Account No.
B. SPECIAL PAYMENT INSTRUCTIONS
(See Instructions 1, 2, 3 and 6)
To be completed ONLY if checks are issued payable to
someone other than the person(s) whose signature(s) appear(s)
within this Letter of Transmittal or sent to an address
different from that shown in the box entitled Description
of Notes Tendered within this Letter of Transmittal.
(Please Print)
(Zip Code)
(Taxpayer Identification or
Social Security Number)
(See Substitute
Form W-9
herein)
5
PLEASE
COMPLETE AND SIGN BELOW
(This page is to be completed and signed by all tendering
Holders except Holders executing the tender through DTCs
ATOP system.)
By completing, executing and delivering this Letter of
Transmittal, the undersigned hereby tenders the principal amount
of the Notes listed in the boxes above labeled Description
of Notes Tendered under the column heading
Principal Amount Tendered (or, if nothing is
indicated therein, with respect to the entire aggregate
principal amount represented by the Notes described in each such
box).
Signature(s):
(Must be signed by the registered Holder(s) exactly as the
name(s) appear(s) on certificate(s) representing the tendered
Notes or, if the Notes are tendered by a participant in DTC,
exactly as such participants name appears on a security
position listing as the owner of such Notes. If signature is by
trustees, executors, administrators, guardians,
attorneys-in-fact, officers of corporations or others acting in
a fiduciary or representative capacity, please set forth the
full title and see Instruction 1.)
(Please Print)
(Including Zip Code)
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Area Code and Telephone Number: |
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Tax Identification or Social Security Number: |
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(REMEMBER
TO COMPLETE ACCOMPANYING SUBSTITUTE
FORM W-9
OR
AN APPLICABLE
FORM W-8)
MEDALLION
SIGNATURE GUARANTEE
(ONLY IF REQUIRED SEE INSTRUCTIONS 1 AND
2)
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Authorized Signature of Guarantor: |
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Area Code and Telephone Number: |
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[Place Seal Here]
6
INSTRUCTIONS
Forming
Part of the Terms and Conditions of the Offer
1. Signatures on Letter of Transmittal, Instruments of
Transfer and Endorsements. If this Letter of
Transmittal is signed by the registered Holder(s) of the Notes
tendered hereby, the signatures must correspond with the name(s)
as written on the face of the Notes, without alteration,
enlargement or any change whatsoever. If this Letter of
Transmittal is signed by a participant in DTC whose name is
shown on a security position listing as the owner of the Notes
tendered hereby, the signature must correspond with the name
shown on the security position listing as the owner of such
Notes.
If any of the Notes tendered hereby are registered in the name
of two or more Holders, all such Holders must sign this Letter
of Transmittal. If any of the Notes tendered hereby are
registered in different names on several certificates, it will
be necessary to complete, sign and submit as many separate
Letters of Transmittal as there are different registrations of
certificates.
If this Letter of Transmittal or any Notes or instrument of
transfer is signed by a trustee, executor, administrator,
guardian, attorney-in-fact, agent, officer of a corporation or
other person acting in a fiduciary or representative capacity,
such person should so indicate when signing, and proper evidence
satisfactory to the Company of such persons authority to
so act must be submitted.
When this Letter of Transmittal is signed by the registered
Holders of the Notes tendered hereby, no endorsements of Notes
or separate instruments of transfer are required unless payment
is to be made, or Notes not tendered or purchased are to be
issued, to a person other than the registered Holders, in which
case signatures on such Notes or instruments of transfer must be
guaranteed by a Medallion Signature Guarantor.
Unless this Letter of Transmittal is signed by the Holder(s) of
the Notes tendered hereby (or by a participant in DTC whose name
appears on a security position listing as the owner of such
Notes), such Notes must be endorsed or accompanied by
appropriate instruments of transfer, and be accompanied by a
duly completed proxy entitling the signer to tender such Notes
on behalf of such Holder(s) (or such participant), and each such
endorsement, instrument of transfer or proxy must be signed
exactly as the name or names of the Holder(s) appear on the
Notes (or as the name of such participant appears on a security
position listing as the owner of such Notes); signatures on each
such endorsement, Instrument of transfer or proxy must be
guaranteed by a Medallion Signature Guarantor, unless the
signature is that of an Eligible Institution.
2. Signature Guarantees. Signatures on
this Letter of Transmittal must be guaranteed by a Medallion
Signature Guarantor, unless the Notes tendered hereby are
tendered by a Holder (or by a participant in DTC whose name
appears on a security position listing as the owner of such
Notes) that has not completed a box entitled A. Special
Issuance/Delivery Instructions or a box entitled B.
Special Payment Instructions on this Letter of
Transmittal. See Instruction 1.
3. Transfer Taxes. If Notes not tendered
or purchased are to be registered in the name of any persons
other than the Holders, the amount of any transfer taxes
(whether imposed on the Holder or such other person) payable on
account of the transfer to such other person will be deducted
from the payment unless satisfactory evidence of the payment of
such taxes or exemption therefrom is submitted.
4. Requests for Assistance or Additional
Copies. Any questions or requests for assistance
or additional copies of the Offer to Purchase or this Letter of
Transmittal may be directed to the Information Agent at its
telephone number set forth on the back cover of the Offer to
Purchase. A Holder may also contact the Dealer Manager at the
telephone numbers set forth on the back cover of the Offer to
Purchase or such Holders broker, dealer, commercial bank,
trust company or other nominee for assistance concerning the
Offer.
5. Partial Tenders. Tenders of the Notes
will be accepted only in integral multiples of $1,000 principal
amount. If less than the entire principal amount of any Notes is
tendered, the tendering Holder should fill in the principal
amount tendered in the fourth column of the boxes entitled
Description of Notes Tendered above. The entire
principal amount of Notes delivered to the Depositary will be
deemed to have been tendered unless otherwise indicated. If the
entire principal amount of all Notes is not tendered, then
substitute Notes for the principal amount of Notes not tendered
and purchased pursuant to the Offer will be sent to the Holder
at his or her registered address, unless a different address is
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provided in the appropriate box on this Letter of Transmittal
promptly after the delivered Notes are accepted for partial
tender.
6. Special Issuance/Delivery and Special Payment
Instructions. Tendering Holders should indicate
in the applicable box or boxes the name and address to which
Notes for principal amounts not tendered or not accepted for
purchase or checks for payment of the Purchase Price and Accrued
Interest are to be sent or issued, if different from the name
and address of the Holder signing this Letter of Transmittal. In
the case of payment to a different name, the taxpayer
identification or social security number of the person named
must also be indicated. If no instructions are given, Notes not
tendered or not accepted for purchase will be returned, and
checks for payment of the Purchase Price and Accrued Interest
will be sent, to the Holder of the Notes tendered.
7. Waiver of Conditions. The Company
reserves the right, in its sole discretion, to amend or waive
any or all of the conditions to the Offer, other than those
conditions dependent upon the receipt of necessary government
approvals, on or prior to the Expiration Time.
8. Backup Withholding.
Federal income tax law imposes backup withholding
unless a surrendering U.S. Holder, and, if applicable, each
other payee, has provided such Holders or payees
correct taxpayer identification number (TIN)
which, in the case of a Holder or payee who is an individual, is
his or her social security number, and certain other
information, or otherwise establishes a basis for exemption from
backup withholding and certifies these facts under penalties of
perjury. For federal tax purposes, you are considered a U.S.
Holder if you are: (1) an individual who is a U.S. citizen
or U.S. resident alien; (2) a partnership, corporation,
company or association created or organized in the United States
or under the laws of the United States or any state thereof,
including for this purpose the District of Columbia; (3) an
estate (other than a foreign estate); or (4) a domestic
trust (as defined in Treasury Regulations
section 301.7701-7).
Completion of the attached Substitute
Form W-9
should be used for this purpose. If the Depositary is not
provided with the correct TIN, the Holder or payee may be
subject to a $50 penalty imposed by the Internal Revenue Service
(IRS). Exempt Holders and payees (including,
among others, all corporations and certain foreign holders) are
not subject to these backup withholding and information
reporting requirements, provided that they properly demonstrate
their eligibility for exemption. Exempt U.S. Holders should
furnish their TIN, check the exemption box in Part 2 of the
attached Substitute
Form W-9,
and sign, date and return the Substitute
Form W-9
to the Depositary. In order for a Holder other than a U.S.
Holder (a
Non-U.S.
Holder) to qualify as an exempt recipient, that
Non-U.S.
Holder should submit the appropriate IRS
Form W-8
(which is available from the Depositary) signed under penalties
of perjury, attesting to that
Non-U.S.
Holders foreign status. A
Non-U.S.
Holders failure to submit the appropriate
Form W-8
may require the Depositary to backup withhold 28% on any
payments made pursuant to the Offer.
Failure to complete the Substitute
Form W-9
may require the Depositary to backup withhold at 28% (or such
other rate specified by the Internal Revenue Code of 1986, as
amended (the Code)) of the amount of any
payments made pursuant to the Offer. Backup withholding is not
an additional federal income tax. Rather, the federal income tax
liability of a person subject to backup withholding will be
reduced by the amount of tax withheld. If withholding results in
an overpayment of taxes, a refund may be obtained, provided that
the required information is furnished to the IRS on a timely
basis.
A U.S. Holder (or other payee) should write Applied
For in the space for the TIN provided on the attached
Substitute
Form W-9
and must also complete the attached Certificate of
Awaiting Taxpayer Identification Number if such U.S.
Holder (or other payee) has not been issued a TIN and has
applied for a TIN or intends to apply for a TIN in the near
future. If the Depositary is not provided with a TIN by the time
of payment, the Depositary may backup withhold 28% on payments
made pursuant to the Offer. A U.S. Holder who writes
Applied For in the space in Part 1 in lieu of
furnishing its TIN should furnish the Depositary with such
Holders TIN as soon as it is received.
For further information concerning backup withholding and
instructions for completing the Substitute
Form W-9
(including how to obtain a TIN if you do not have one and how to
complete the Substitute
Form W-9
if the Notes are held in more than one name), consult the
enclosed Guidelines for Certification of Taxpayer
Identification Number on Substitute
Form W-9.
9. Irregularities. All questions as to
the validity, form, eligibility (including time of receipt) and
acceptance for payment of Notes pursuant to the procedures
described in the Offer to Purchase and this Letter of
Transmittal and the
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form and validity of all documents will be determined by the
Company in its sole discretion. The Company reserves the
absolute right to reject any or all tenders that are not in
proper form or the acceptance of or payment for which may, upon
the advice of counsel for the Company, be unlawful. The Company
also reserves the absolute right to waive any of the conditions
of the Offer, other than those dependent upon the receipt of
necessary government approvals, and any defect or irregularity
in the tender of any particular Notes. Any determination by the
Company as to the validity, form, eligibility and acceptance of
Notes for payment, or any interpretation by the Company as to
the terms and conditions of the Offer, is subject to applicable
law and, if challenged by Holders or otherwise, to the judgment
of a court of competent jurisdiction. The Company is not
obligated and does not intend to accept any alternative,
conditional or contingent tenders. Unless waived, any
irregularities in connection with tenders must be cured within
such time as the Company shall determine. None of the Company or
any of its affiliates or assigns, the Dealer Manager, the
Information Agent, the Depositary or any other person will be
under any duty to give notification of any defects or
irregularities in such tenders or will incur any liability to a
Holder for failure to give such notification. Tenders of Notes
will not be deemed to have been made until such irregularities
have been cured or waived. Any Notes received by the Depositary
that are not properly tendered and as to which the
irregularities have not been cured or waived will be returned by
the Depositary to the tendering Holders, as promptly as
practical following the Expiration Time.
10. Mutilated, Lost, Stolen or Destroyed Certificates
for Notes. Any Holder whose certificates for
Notes have been mutilated, lost, stolen or destroyed should
contact the Depositary at the address or telephone number set
forth on the back cover of this Letter of Transmittal to receive
information about the procedures for obtaining replacement
certificates for Notes.
9
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PAYERS NAME: GLOBAL BONDHOLDER SERVICES CORPORATION
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SUBSTITUTE
Form W-9
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Name (as shown on your income tax return)
Business name/disregarded entity name, if different from
above
Check appropriate box:
o
Individual/Sole
proprietor o
Corporation o
S Corporation
o
Partnership o
Trust/estate
o
Limited liability company.
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Enter the tax classification (C=C corporation, S=S corporation,
P = partnership)
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Address
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City, State, and ZIP Code
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Department of the Treasury
Internal Revenue Service
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PART 1 Taxpayer Identification
Number Please provide your TIN in the box at right
and certify by signing and dating below. If awaiting TIN, write
Applied For.
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Social
Security number
OR
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Employer Identification Number
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PART 2 For Payees Exempt from Backup
Withholding Check the box if you are NOT subject to
backup
withholding. o
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Payors Request for
Taxpayer
Identification Number (TIN)
and Certification
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PART 3 Certification Under
penalties of perjury, I certify that:
(1) The number shown on this form is my correct
taxpayer identification number (or I am waiting for a number to
be issued to me),
(2) I am not subject to backup withholding because:
(a) I am exempt from backup withholding, or (b) I have
not been notified by the Internal Revenue Service (IRS) that I
am subject to backup withholding as a result of a failure to
report all interest or dividends, or (c) the IRS has
notified me that I am no longer subject to backup withholding,
and
(3) I am a U.S. person (including a U.S. resident
alien).
Certification Instructions. You must
cross out item 2 above if you have been notified by the IRS
that you are currently subject to backup withholding because you
have failed to report all interest and dividends on your tax
return. However, if after being notified by the IRS that you
were subject to backup withholding you received another
notification from the IRS that you are no longer subject to
backup withholding, do not cross out item 2.
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The Internal Revenue Service does not require your consent to
any provision of this document other than the certifications
required to avoid backup withholding.
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SIGNATURE
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DATE
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CERTIFICATE OF AWAITING TAXPAYER IDENTIFICATION NUMBER
I certify under penalties of perjury that a taxpayer
identification number has not been issued to me, and either
(1) I have mailed or delivered an application to receive a
taxpayer identification number to the appropriate Internal
Revenue Service Center or Social Security Administration Office,
or (2) I intend to mail or deliver an application in the
near future. I understand that if I do not provide a taxpayer
identification number by the time of payment, 28% of all
reportable payments made to me will be withheld.
SIGNATURE
DATE
, 2011
10
GUIDELINES
FOR CERTIFICATION OF TAXPAYER IDENTIFICATION
NUMBER ON SUBSTITUTE
FORM W-9
Guidelines For Determining the Proper Identification Number
to Give the Payer Social Security Numbers
(SSNs) have nine digits separated by two
hyphens: i.e.,
000-00-0000.
Employer Identification Numbers (EINs) have
nine digits separated by only one hyphen: i.e.,
00-0000000.
The table below will help determine the number to give the
payer. All section references are to the Code.
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Give the Name and
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SOCIAL Security
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Number or Employer Identification
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For this type of
account:
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Number of
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1.
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Individual
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The individual
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2.
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Two or more individuals (joint account)
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The actual owner of the account or, if combined funds, the
first individual on the account(1)
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3.
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Custodian account of a minor (Uniform Gift to Minors Act)
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The minor(2)
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4.
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a. The usual revocable savings trust (grantor is also
trustee)
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The grantor-trustee(1)
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b. So-called trust account that is not a legal or valid
trust under state law
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The actual owner(1)
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5.
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Sole proprietorship or disregarded entity owned by an individual
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The owner(3)
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6.
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Disregarded entity not owned by an individual
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The owner
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7.
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Grantor trust filing under Optional Form 1099 Filing Method
1
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The grantor(5)
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Give the Name and EMPLOYER
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IDENTIFICATION
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For this type of
account:
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Number of
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8.
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A valid trust, estate, or pension trust
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Legal entity(4)
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9.
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Corporation or LLC electing corporate status on Form 8832 or
Form 2553
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The corporation or LLC
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10.
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Association, club, religious, charitable, educational or other
tax-exempt organization
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The organization
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11.
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Partnership or multi-member LLC
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The partnership or LLC
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12.
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A broker or registered nominee
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The broker or nominee
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13.
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Account with the Department of Agriculture in the name of a
public entity (such as a state or local government, school
district, or prison) that receives agricultural program payments
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The public entity
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14.
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Grantor trust filing under the Form 1041 Filing Method or the
Optional Form 1099 Filing Method 2
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The trust
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(1)
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List first and circle the name of
the person whose SSN you furnish. If only one person on a joint
account has an SSN, that persons number must be furnished.
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(2)
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Circle the minors name and
furnish the minors SSN.
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(3)
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You must show your individual name
and you may also enter your business or doing business
as name. You may use either your SSN or EIN (if you have
one). If you are a sole proprietor, the Internal Revenue Service
encourages you to use your SSN.
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(4)
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List first and circle the name of
the legal trust, estate or pension trust. (Do not furnish the
Taxpayer Identification Number of the personal representative or
trustee unless the legal entity itself is not designated in the
account title).
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(5)
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Grantor also must provide a
Form W-9
to trustee of trust.
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NOTE: If no name is circled when more than one
name is listed, the number will be considered to be that of the
first name listed
11
GUIDELINES
FOR CERTIFICATION OF TAXPAYER IDENTIFICATION
NUMBER ON SUBSTITUTE
FORM W-9
Purpose
of Form
A person who is required to file an information return with the
Internal Revenue Service (the IRS) must get
your correct Taxpayer Identification Number
(TIN) to report, for example, income paid to
you, real estate transactions, mortgage interest you paid,
acquisition or abandonment of secured property, cancellation of
debt, or contributions you made to an individual retirement
account. Use Substitute
Form W-9
to give your correct TIN to the requester (the person requesting
your TIN) and, when applicable, (1) to certify the TIN you
are giving is correct (or you are waiting for a number to be
issued), (2) to certify you are not subject to backup
withholding, or (3) to claim exemption from backup
withholding if you are an exempt payee. The TIN provided must
match the name given on the Substitute
Form W-9.
How to
Get a TIN
If you do not have a TIN, apply for one immediately. To apply
for an SSN, obtain
Form SS-5,
Application for a Social Security Card, at the local office of
the Social Security Administration or get this form on-line at
www.ssa.gov/online/ss-5.pdf. You may also get this form
by calling
1-800-772-1213.
You can apply for an EIN online by accessing the IRS website at
www.irs.gov/businesses and clicking on Employer ID
Numbers under Businesses Topics. Use
Form W-7,
Application for IRS Individual Taxpayer Identification Number,
to apply for an individual taxpayer identification number
(ITIN), or
Form SS-4,
Application for Employer Identification Number, to apply for an
EIN. You can get
Forms W-7
and SS-4 from the IRS by calling 1-800-TAX-FORM
(1-800-829-3676)
or from the IRS web site at www.irs.gov.
If you do not have a TIN, write Applied For in
Part 1, sign and date the form and the Certificate of
Awaiting Taxpayer Identification Number, and give it to the
payer. For interest and dividend payments and certain payments
made with respect to readily tradable instruments, you will
generally have 60 days to get a TIN and give it to the
payer. If the payer does not receive your TIN within
60 days, backup withholding, if applicable, will begin and
continue until you furnish your TIN.
Note: Writing Applied For on the form means that you
have already applied for a TIN or that you intend to apply for
one soon. As soon as you receive your TIN, complete another
Form Substitute
W-9, include
your TIN, sign and date the form, and give it to the payer.
CAUTION: A disregarded domestic entity that has a foreign
owner must use the appropriate
Form W-8.
Payees
Exempt from Backup Withholding
Individuals (including sole proprietors) are NOT exempt from
backup withholding. Corporations are exempt from backup
withholding for certain payments, such as interest and dividends.
Note: If you are exempt from backup withholding, you should
still complete Substitute
Form W-9
to avoid possible erroneous backup withholding. If you are
exempt, enter your correct TIN in Part 1, check the
Exempt box in Part 2, and sign and date the
form. If you are a nonresident alien or a foreign entity not
subject to backup withholding, give the requester the
appropriate completed
Form W-8,
Certificate of Foreign Status.
The following is a list of payees that may be exempt from backup
withholding and for which no information reporting is required.
For interest and dividends, all listed payees are exempt except
for those listed in item (9). For broker transactions, payees
listed in (1) through (5) and (7) through
(13) and C corporations are exempt. Payments subject to
reporting under sections 6041 and 6041A are generally
exempt from backup withholding only if made to payees described
in items (1) through (7). However, the following payments
made to a corporation and reportable on
Form 1099-MISC
are not exempt from backup withholding: (i) medical and
health care payments, (ii) attorneys fees,
(iii) gross proceeds paid to an attorney, and
(iv) payments for services paid by a federal executive
agency. Only payees described in items (1) through
(5) are exempt from backup withholding for barter exchange
transactions and patronage dividends.
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(1)
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An organization exempt from tax under section 501(a), or an
individual retirement account (IRA), or a
custodial account under section 403(b)(7), if the account
satisfies the requirements of section 401(f)(2).
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(2)
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The United States or any of its agencies or instrumentalities.
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(3)
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A state, the District of Columbia, a possession of the United
States, or any of their subdivisions or instrumentalities.
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(4)
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A foreign government, a political subdivision of a foreign
government, or any of their agencies or instrumentalities.
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(5)
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An international organization or any of its agencies or
instrumentalities.
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12
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(6)
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A corporation.
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(7)
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A foreign central bank of issue.
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(8)
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A dealer in securities or commodities required to register in
the United States, the District of Columbia, or a possession of
the United States.
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(9)
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A futures commission merchant registered with the Commodity
Futures Trading Commission.
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(10)
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A real estate investment trust.
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(11)
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An entity registered at all times during the tax year under the
Investment Company Act of 1940.
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(12)
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A common trust fund operated by a bank under section 584(a).
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(13)
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A financial institution.
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(14)
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A middleman known in the investment community as a nominee or
custodian.
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(15)
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An exempt charitable remainder trust, or a non-exempt trust
described in section 4947.
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Exempt payees described above should file Substitute
Form W-9
to avoid possible erroneous backup withholding. FILE THIS
FORM WITH THE PAYER, FURNISH YOUR TAXPAYER IDENTIFICATION
NUMBER, CHECK THE EXEMPT BOX IN PART 2 ON THE
FACE OF THE FORM IN THE SPACE PROVIDED, SIGN AND DATE THE
FORM AND RETURN IT TO THE PAYER.
Certain payments that are not subject to information reporting
are also not subject to backup withholding. For details, see
sections 6041, 6041A, 6042, 6044, 6045, 6049, 6050A and
6050N, and their regulations.
Privacy Act Notice. Section 6109 of the
Internal Revenue Code requires you to give your correct TIN to
persons who must file information returns with the IRS to report
interest, dividends, and certain other income paid to you,
mortgage interest you paid, the acquisition or abandonment of
secured property, cancellation of debt, or contributions you
made to an IRA or Archer MSA or HSA. The IRS uses the numbers
for identification purposes and to help verify the accuracy of
your tax return. The IRS may also provide this information to
the Department of Justice for civil and criminal litigation and
to cities, states, the District of Columbia, and U.S.
possessions for use in administering their laws. The IRS may
also disclose this information to other countries under a tax
treaty, or to federal and state agencies to enforce civil and
criminal laws, or to federal law enforcement and intelligence
agencies to combat terrorism.
You must provide your TIN whether or not you are required to
file a tax return. Payers must generally withhold 28% of taxable
interest, dividends, and certain other payments to a payee who
does not give a TIN to a payer. The penalties described below
may also apply.
Penalties
Failure to Furnish TIN. If you fail to furnish your
correct TIN to a payer, you are subject to a penalty of $50 for
each such failure unless your failure is due to reasonable cause
and not to willful neglect.
Civil Penalty for False Information With Respect to
Withholding. If you make a false statement with no
reasonable basis which results in no imposition of backup
withholding, you are subject to a penalty of $500.
Criminal Penalty for Falsifying Information. Willfully
falsifying certifications or affirmations may subject you to
criminal penalties including fines
and/or
imprisonment.
Misuse of TINs. If the payer discloses or uses TINs in
violation of federal law, the payer may be subject to civil and
criminal penalties.
FOR ADDITIONAL INFORMATION, CONTACT YOUR TAX ADVISOR OR THE
INTERNAL REVENUE SERVICE.
13
In order to tender, a Holder should send or deliver a properly
completed and signed Letter of Transmittal, certificates for
Notes and any other required documents to the Depositary at the
address set forth below or tender pursuant to DTCs
Automated Tender Offer Program.
The
Depositary for the Offer is:
Global
Bondholder Services Corporation
By
Regular, Registered or Certified Mail,
By Overnight Courier or By Hand
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By Facsimile
(For Eligible Institutions only)
(212)
430-3775
Attention: Corporate Actions
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65 Broadway, Suite 404
New York, New York 10006
Attention: Corporate Actions
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Banks and Brokers Call:
(212) 430-3774
All Others Call Toll Free:
(866) 470-3900
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Any questions or requests for assistance may be directed to the
Dealer Manager at the address and telephone numbers set forth
below. Additional copies of the Offer to Purchase or this Letter
of Transmittal may be obtained from the Information Agent at the
address or telephone numbers set forth below. A Holder may also
contact such Holders broker, dealer, custodian bank,
depository, trust company or other nominee for assistance
concerning the Offer.
The
Information Agent for the Offer is:
Global
Bondholder Services Corporation
65 Broadway, Suite 404
New York, New York 10006
Banks and Brokers Call Collect:
(212) 430-3774
All Others Call Toll Free:
(866) 924-2200
The
Dealer Manager for the Offer is:
Morgan
Stanley
Morgan
Stanley & Co. Incorporated
1585 Broadway
New York, New York 10036
Toll Free: (800)
624-1808
Collect: (212)
761-8663
Attention: Liability Management Group