Attached files
file | filename |
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EX-4.2 - EX-4.2 - Nuverra Environmental Solutions, Inc. | d187100dex42.htm |
EX-4.3 - EX-4.3 - Nuverra Environmental Solutions, Inc. | d187100dex43.htm |
EX-5.1 - EX-5.1 - Nuverra Environmental Solutions, Inc. | d187100dex51.htm |
EX-99.3 - EX-99.3 - Nuverra Environmental Solutions, Inc. | d187100dex993.htm |
EX-99.6 - EX-99.6 - Nuverra Environmental Solutions, Inc. | d187100dex996.htm |
EX-99.4 - EX-99.4 - Nuverra Environmental Solutions, Inc. | d187100dex994.htm |
EX-99.1 - EX-99.1 - Nuverra Environmental Solutions, Inc. | d187100dex991.htm |
EX-99.2 - EX-99.2 - Nuverra Environmental Solutions, Inc. | d187100dex992.htm |
EX-23.1 - EX-23.1 - Nuverra Environmental Solutions, Inc. | d187100dex231.htm |
S-1/A - AMENDMENT NO. 1 TO FORM S-1 - Nuverra Environmental Solutions, Inc. | d187100ds1a.htm |
Exhibit 99.5
NUVERRA ENVRIONMENTAL SOLUTIONS, INC.
FORM OF NOMINEE HOLDER CERTIFICATION
The undersigned, a broker, dealer, bank, or other nominee holder of rights (the Subscription Rights) to purchase shares of common stock, par value $0.001 per share (Common Stock), of Nuverra Envrionmental Solutions, Inc. (Nuverra), pursuant to the Rights Offering described and provided for in the prospectus dated July 18, 2016 (the Prospectus), hereby certifies to Nuverra, American Stock Transfer & Trust Company, LLC, as Subscription Agent for the Rights Offering, and to IPREO LLC, as information agent for the Rights Offering that the undersigned has exercised, on behalf of the beneficial owners thereof (which may include the undersigned), the number of Subscription Rights specified below pursuant to the Basic Subscription Right (as defined in the Prospectus).
Number of Shares of Common Stock Owned on the Record Date |
Basic Subscription Rights Exercised |
Over-Subscription Privilege Exercised | ||
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Name of Broker, Dealer, Bank or Other Nominee |
By: |
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Name: |
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Title: |
Provide the following information, if applicable:
Depository Trust Company (DTC) Participant Number:
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Participant |
By: |
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Name: |
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Title: |
DTC Basic Subscription Confirmation Number(s):