Attached files
| file | filename |
|---|---|
| S-1 - FORM S-1 - Xenith Bankshares, Inc. | d383013ds1.htm |
| EX-5.1 - EXHIBIT 5.1 - Xenith Bankshares, Inc. | d383013dex51.htm |
| EX-4.5 - EXHIBIT 4.5 - Xenith Bankshares, Inc. | d383013dex45.htm |
| EX-99.3 - EXHIBIT 99.3 - Xenith Bankshares, Inc. | d383013dex993.htm |
| EX-23.1 - EXHIBIT 23.1 - Xenith Bankshares, Inc. | d383013dex231.htm |
| EX-99.7 - EXHIBIT 99.7 - Xenith Bankshares, Inc. | d383013dex997.htm |
| EX-23.2 - EXHIBIT 23.2 - Xenith Bankshares, Inc. | d383013dex232.htm |
| EX-99.2 - EXHIBIT 99.2 - Xenith Bankshares, Inc. | d383013dex992.htm |
| EX-99.1 - EXHIBIT 99.1 - Xenith Bankshares, Inc. | d383013dex991.htm |
| EX-99.5 - EXHIBIT 99.5 - Xenith Bankshares, Inc. | d383013dex995.htm |
| EX-99.4 - EXHIBIT 99.4 - Xenith Bankshares, Inc. | d383013dex994.htm |
Exhibit 99.6
BENEFICIAL OWNER ELECTION FORM
The undersigned acknowledge(s) receipt of your 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 (“Common Stock”), of Hampton Roads Bankshares, Inc. (the “Company”).
I (we) hereby instruct you as follows:
(CHECK THE APPLICABLE BOXES AND PROVIDE ALL REQUIRED INFORMATION)
Box 1. ¨ Please DO NOT EXERCISE RIGHTS for shares of Common Stock.
Box 2. ¨ Please EXERCISE RIGHTS for shares of Common Stock as set forth below:
A. Number of Shares Being Purchased:
B. Total Exercise Price Payment Required:
Basic Subscription Rights
| I exercise | rights | x | 1.8600 | = | ||||||||
| (no. of your rights) | (ratio) | (no. of new shares) | ||||||||||
| Therefore, I apply for | x | $0.70 | = | $ | ||||||||
| (no. of new shares, rounded down to whole shares) |
(subscription price) | (amount enclosed) | ||||||||||
Additional Subscription Rights
If you fully exercise your Basic Subscription Right you may exercise your Additional Subscription Rights.
| I exercise | rights | x | 2.0667 | = | ||||||||
| (no. of your rights) | (ratio) | (no. of new shares) | ||||||||||
| Therefore, I apply for | x | $0.70 | = | $ | ||||||||
| (no. of new shares, rounded down to whole shares) |
(subscription price) | (amount enclosed) | ||||||||||
Total Payment Required: $
Box 3. ¨ Payment in the following amount is enclosed: $
(The total of the above Box 3 must equal the Total Payment Required.)
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:
| • | 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 I (we) have elected to purchase, you may exercise any remedies available to you under law. |
| Name of beneficial owner(s): |
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| Signature of Beneficial Owner(s): |
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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, your signature must be Medallion Signature Guaranteed. Additionally, please provide the following information:
| Name: | ||
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| Capacity: | ||
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| Address (including Zip Code): |
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| Telephone Number: | ||
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