Attached files
| file | filename |
|---|---|
| S-1/A - FORM S-1/A - FIRST BANCORP /PR/ | g27866a1sv1za.htm |
| EX-5.1 - EX-5.1 - FIRST BANCORP /PR/ | g27866a1exv5w1.htm |
| EX-3.2 - EX-3.2 - FIRST BANCORP /PR/ | g27866a1exv3w2.htm |
| EX-3.1 - EX-3.1 - FIRST BANCORP /PR/ | g27866a1exv3w1.htm |
| EX-99.1 - EX-99.1 - FIRST BANCORP /PR/ | g27866a1exv99w1.htm |
| EX-99.4 - EX-99.4 - FIRST BANCORP /PR/ | g27866a1exv99w4.htm |
| EX-99.8 - EX-99.8 - FIRST BANCORP /PR/ | g27866a1exv99w8.htm |
| EX-4.11 - EX-4.11 - FIRST BANCORP /PR/ | g27866a1exv4w11.htm |
| EX-23.1 - EX-23.1 - FIRST BANCORP /PR/ | g27866a1exv23w1.htm |
| EX-99.7 - EX-99.7 - FIRST BANCORP /PR/ | g27866a1exv99w7.htm |
| EX-4.12 - EX-4.12 - FIRST BANCORP /PR/ | g27866a1exv4w12.htm |
| EX-99.6 - EX-99.6 - FIRST BANCORP /PR/ | g27866a1exv99w6.htm |
| EX-99.2 - EX-99.2 - FIRST BANCORP /PR/ | g27866a1exv99w2.htm |
| EX-99.3 - EX-99.3 - FIRST BANCORP /PR/ | g27866a1exv99w3.htm |
| EX-10.25 - EX-10.25 - FIRST BANCORP /PR/ | g27866a1exv10w25.htm |
| EX-10.28 - EX-10.28 - FIRST BANCORP /PR/ | g27866a1exv10w28.htm |
Exhibit 99.5
BENEFICIAL
OWNER ELECTION FORM
FIRST
BANCORP.
The undersigned acknowledges receipt of your letter and the
enclosed materials referred to therein relating to the grant of
transferable rights (the “Subscription Rights”) to
purchase shares of common stock (“Common Stock”) of
First BanCorp. (the “Corporation”) pursuant to a
subscription rights offering (the “Rights Offering”)
as described further in the Corporation’s prospectus dated
October , 2011 (the “Prospectus”),
the receipt of which is hereby acknowledged.
With respect to any instructions to exercise (or not to
exercise) Subscription Rights, the undersigned acknowledges that
this form must be completed and returned such that it will be
received by you by no later than 5:00 p.m., New York City
time,
on ,
2011, the last business day prior to the expiration of the
Rights Offering.
This will instruct you whether to exercise Subscription Rights
to purchase shares of Common Stock distributed with respect to
the shares of Common Stock held by you for the account of the
undersigned, pursuant to the terms and subject to the conditions
set forth in the Prospectus and the accompanying Instructions as
to Use of First BanCorp. Subscription Form.
CHECK THE
APPLICABLE BOXES AND PROVIDE ALL REQUIRED INFORMATION
| Box 1. o | Please DO NOT exercise Subscription Rights for shares of Common Stock. |
| Box 2. o | Please EXERCISE Subscription Rights for shares of Common Stock as set forth below: |
| rights /2 = | x $3.50 = | $ | ||||||
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(no. of rights)
|
(no. of new shares) | (price/share) | (total required payment) |
Form of payment:
| • | Payment in the following amount is enclosed: $ |
| • | Please deduct payment of $ from my (our) following account maintained by you: |
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.
| • | Acknowledge receipt of the Prospectus and irrevocably elect to purchase the number of shares of Common Stock indicated above upon the terms and conditions specified in the Prospectus; and | |
| • | Agree that if I (we) fail to pay for the shares of Common Stock that I (we) have elected to purchase, you may exercise any remedies available to you under the law. |
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Name of beneficial owner(s):
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Signature of beneficial
owner(s) :
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1
If you are signing in your capacity as a trustee, executor,
administrator, guardian, attorney-in-fact, agent, officer of a
corporation, or in any other fiduciary or representative
capacity, please provide the following information:
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Name:
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Capacity:
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Address:
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Telephone Number:
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2