Attached files
| file | filename |
|---|---|
| S-1/A - FORM S-1/A - PVF CAPITAL CORP | l37922asv1za.htm |
| EX-4.4 - EX-4.4 - PVF CAPITAL CORP | l37922aexv4w4.htm |
| EX-3.3 - EX-3.3 - PVF CAPITAL CORP | l37922aexv3w3.htm |
| EX-5.1 - EX-5.1 - PVF CAPITAL CORP | l37922aexv5w1.htm |
| EX-1.2 - EX-1.2 - PVF CAPITAL CORP | l37922aexv1w2.htm |
| EX-99.8 - EX-99.8 - PVF CAPITAL CORP | l37922aexv99w8.htm |
| EX-99.5 - EX-99.5 - PVF CAPITAL CORP | l37922aexv99w5.htm |
| EX-99.2 - EX-99.2 - PVF CAPITAL CORP | l37922aexv99w2.htm |
| EX-23.2 - EX-23.2 - PVF CAPITAL CORP | l37922aexv23w2.htm |
| EX-99.7 - EX-99.7 - PVF CAPITAL CORP | l37922aexv99w7.htm |
| EX-99.1 - EX-99.1 - PVF CAPITAL CORP | l37922aexv99w1.htm |
| EX-99.4 - EX-99.4 - PVF CAPITAL CORP | l37922aexv99w4.htm |
| EX-99.3 - EX-99.3 - PVF CAPITAL CORP | l37922aexv99w3.htm |
| EX-10.20 - EX-10.20 - PVF CAPITAL CORP | l37922aexv10w20.htm |
EXHIBIT 99.6
BENEFICIAL OWNER ELECTION FORM
The undersigned acknowledge(s) receipt of the letter and the enclosed materials relating to the
grant of non-transferable rights to purchase shares of common stock, par value $0.01 per share, of
PVF Capital Corp.
I (we) hereby instruct you as follows:
(Check the one applicable box and provide all required information)
Box 1.
|
o | Please DO NOT EXERCISE RIGHTS to purchase shares of Common Stock. | ||
Box 2.
|
o | Please EXERCISE RIGHTS to purchase shares of Common Stock as set forth below: |
| A. | Number of Shares Being Purchased: ____________________ (calculate as set forth below) (subject to the purchase and ownership limitations described in the Prospectus section entitled “The Rights Offering — Limit on How Many Shares of Common Stock You May Purchase in the Rights Offering”) | |
| B. | Aggregate Subscription Price Payment Required: $ ________________ (calculate as set forth below) |
Basic Subscription Privilege
I wish to exercise my full Basic Subscription Privilege or a portion thereof as follows:
| Number of Shares of Common Stock Subscribed for Under Your Basic Subscription Privilege |
Subscription Price | Payment Due Under Basic Subscription Privilege |
|||
| X | $ __________ | = | $ | ||
Over-Subscription Privilege
I have exercised my full Basic Subscription Privilege and in addition to my full Basic Subscription
Privilege I wish to subscribe for additional shares under my Over-Subscription Privilege as
follows:
| Number of Shares of Common Stock Subscribed for Under Your Over-Subscription Privilege* |
Subscription Price | Payment Due Under Over-Subscription Privilege |
|||
| X | $ __________ | = | $ | ||
| * | The maximum number of shares you may subscribe for under your Over-Subscription Privilege is equal to ______ shares less the number of shares you subscribed for under your full Basic Subscript Privilege. |
Total Shares and Total Payment Required
| Total Shares (number of shares of Common Stock subscribed for under Basic Subscription Privilege plus Over Subscription Privilege) |
Subscription price | Total Payment Required (total payments due under Basic Subscription Privilege plus Over Subscription Privilege |
|||
| X | $ ____________ | = | $ | ||
Payment Method (check one)
______________ Payment in the following amount is enclosed $_________
______________ Please deduct payment from the following account maintained by you as follows:
Type of Account:
|
||
Account No:
|
||
Amount
to be Deducted:
|
Signature(s)
I (we) on my (our) own behalf, or on behalf of any person(s) on whose behalf, or under whose
directions, I am (we are) signing this form: (a) irrevocably elect to purchase the number of shares
of Common Stock indicated above, upon the terms and conditions specified in the prospectus; and (b)
agree that if I (we) fail to pay for the shares of Common Stock I (we) have elected to purchase,
you may exercise any remedies available to you under law.
Name(s) of beneficial owner(s):
|
Signature(s) of beneficial owner(s):
|
||
If you are signing in your capacity as a trustee, executor, administrator,
guardian, attorney-in-fact, agent, officer of a corporation or another acting
in a fiduciary or representative capacity, please provide the following
information:
Name:
|
Capacity (Full Title):
|
Address (including Zip Code):
|
Telephone Number:
|