Attached files
| file | filename |
|---|---|
| S-1/A - FORM S-1/A - SB ONE BANCORP | v346292_s1a.htm |
| EX-4.1 - SPECIMEN OF COMMON STOCK CERTIFICATE - SB ONE BANCORP | v346292_ex4-1.htm |
| EX-4.3 - FORM OF RIGHTS CERTIFICATE - SB ONE BANCORP | v346292_ex4-3.htm |
| EX-4.2 - FORM OF STANDBY PURCHASE AGREEMENT - SB ONE BANCORP | v346292_ex4-2.htm |
| EX-5.1 - OPINION OF HOGAN LOVELLS US LLP - SB ONE BANCORP | v346292_ex5-1.htm |
| EX-99.3 - FORM OF LETTERS TO BENEFICIAL HOLDERS - SB ONE BANCORP | v346292_ex99-3.htm |
| EX-99.4 - FORM OF LETTERS TO CLIENTS - SB ONE BANCORP | v346292_ex99-4.htm |
| EX-99.2 - FORM OF LETTER TO SHAREHOLDERS - SB ONE BANCORP | v346292_ex99-2.htm |
| EX-99.7 - FORM OF NOTICE OF GUARANTEED DELIVERY - SB ONE BANCORP | v346292_ex99-7.htm |
| EX-23.1 - CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM - SB ONE BANCORP | v346292_ex23-1.htm |
| EX-99.6 - BENEFICIAL HOLDERS ELECTION FORM - SB ONE BANCORP | v346292_ex99-6.htm |
| EX-99.1 - FORM OF INSTRUCTIONS - SB ONE BANCORP | v346292_ex99-1.htm |
Exhibit 99.5
SUSSEX BANCORP
FORM OF NOMINEE HOLDER CERTIFICATION
The undersigned, a broker, custodian bank, trustee, depositary or other nominee holder of rights (the “Rights”) to purchase shares of common stock (“Common Stock”) of Sussex Bancorp (“Sussex”) pursuant to the Rights Offering described and provided for in the prospectus dated , 2013 (the “Prospectus”), hereby certifies to Sussex, American Stock Transfer and Trust Company, LLC, as subscription agent for the Rights Offering, and to AST Phoenix Advisors, as information agent for the Rights Offering, that (1) the undersigned has exercised, on behalf of the beneficial owners thereof (which may include the undersigned), the number of Rights specified below pursuant to the Basic Subscription Right (as defined in the Prospectus), and on behalf of beneficial owners of Rights who have subscribed for the purchase of additional shares of Common Stock pursuant to the Over-Subscription Privilege (as defined in the Prospectus), listing separately below each such exercised Basic Subscription Right and Over-Subscription Privilege (without identifying any such beneficial owner), and (2) each such beneficial owner’s Basic Subscription Right has been exercised in full:
| Number of Shares of Common Stock Owned on the Record Date |
Rights Exercised Pursuant to Basic Subscription Rights |
Number of Shares Subscribed For Pursuant to Over- Subscription Privilege | ||
| 1. | ||||
| 2. | ||||
| 3. | ||||
| 4. | ||||
| 5. | ||||
| 6. | ||||
| 7. | ||||
| 8. | ||||
| 9. | ||||
| 10. |
Provide the following information, if applicable:
Depository Trust Company (“DTC”) Participant Number:
[PARTICIPANT]
| By: | ||
| Name: | ||
| Title: |
DTC Basic Subscription Confirmation Number(s):