Seller
Registration

Seller Registration

RESPONSE & ACKNOWLEDGEMENT

 

I acknowledge that I have received a copy of the Stock Information Policy (the “Policy”) adopted by Acrisure Holdings, Inc. (the “Company”) and that I wish to participate in the procedures outlined in that Policy. I acknowledge that the Company is acting in a purely administrative role, and I hereby release the Company and its direct and indirect subsidiaries and their respective shareholders, directors, officers, members, managers and employees from any claims in connection with my participation in the procedures described in the Policy, including with respect to any dispute I may have with any potential buyer or other party. I understand all transfers of the Company’s Common Stock and/or its Series C Preferred Stock (collectively, “Company Stock”) must be made in accordance with the terms and conditions of the Stockholders Agreement among the Company and its stockholders (the “Stockholders Agreement”), which allows for transfers pursuant to and in accordance with the Policy.

 

I hereby confirm and agree to the following:

 

  1. I have held the shares that I desire to sell for more than one (1) year;
  2. I, either directly or indirectly through one or more intermediaries, do not control, am not controlled by or am not under common control with the Company;
  3. I agree to sell shares of Company Stock having a minimum sales price of $100,000 in each transaction; or, for transactions having a sales price of less than $100,000, I agree that I must sell all of my shares to an existing stockholder; and
  4. I agree: (i) if I am an agency principal (as determined by the Company), that I may not sell more than 10% of my shares of Company Stock in a calendar year through participation in the procedures established by this Policy, unless I have a perpetuation plan that has been approved in writing by the Regional Executive Vice President for my agency operation; or (ii) if I am not an agency principal (as determined by the Company), that I may not sell more than 50,000 shares of Company Stock in a calendar year through participation in the procedures established by the Policy.

 

IMPORTANT – PLEASE READ: The Company makes no representations regarding the current value of the Company Stock or regarding the existence or nonexistence of any facts, circumstances or developments concerning the Company that could affect the value of such stock.

 

By signing below, I request that the Company provide me with the list of Prospective Purchasers. I agree not to use the list for any purpose other than to contact persons on the list regarding a potential sale of my Company Stock.

Seller