Fiat Chrysler Automobiles : Broker_delivery_instruction_form_gedi_fcnv_final_form

CorporateActionsUS@computershare.com

FOR QUESTIONS ON THIS OFFER OR HOW TO COMPLETE THIS FORM, PLEASE CONTACT GEORGESON AT 800-868-1391. DO NOT SEND ANY INQUIRIES TO THE EMAIL ADDRESS ABOVE OR LEAVE AN INQUIRY ON THE FAX CONFIRMATION LINE. THESE ARE ONLY USED FOR PURPOSES OF SENDING COMPUTERSHARE THE FORM. YOU WILL NOT RECEIVE ANY RESPONSE TO YOUR INQUIRY SHOULD YOU SEND IT TO THE ABOVE EMAIL ADDRESS OR FAX CONFIRMATION LINE. PLEASE REACH OUT TO GEORGESON FOR ASSISTANCE.

Please read the following for the two options holders can choose from:

CASH: Holders who do not take any action will receive cash (the rate will be determined at a later date) and this will be the default option. It should be noted that the cash consideration will be less the maximum withholding rate of 41%. There will not be any tax refunded processed by DTC, Computershare or the Company. Should you wish to seek a tax refund, you will need to work directly with GlobeTax or the Italian/Dutch tax authorities.

STOCK: Alternatively, holders who are not U.S. Persons have the option to elect to receive stock. The stock election allows holders to receive GEDI shares held on the Italian market, Monte Titoli. These shares will be held outside of DTC. You must complete this form as well as the DTC Participant Cover letter and provide it to Computershare no later than Thursday, July 13th. Any forms received after this time will not be accepted

VOLUNTARY CORPORATE ACTION COY: FCNV

and you will be deemed to receive the default consideration, cash. Please note, the stock election is subject to withholding and will be determined at the time the GEDI shares are allocated to your Monte Titoli participant account.

*DTC Participant Firm Name:

*DTC Participant Number:

*DTC Participant Contact E-Mail Address:

*Beneficial Shareholder Name:

*Beneficial Shareholder Address:

*Number of FCA shares held as of the Record Date: (A)

*Number of GEDI Shares to be Delivered: (A x 0.0484 rounded down)

*[ ] WE CONFIRM THAT WE ENTERED A VALID SHARE DELIVERY ELECTION IN DTC'S CORPORATE ACTION WEB BROWSER INSTRUCTION TAB ON .

*PLEASE ATTACH A COPY OF A SCREEN SHOT DEMONSTRATING YOUR ELECTION.

*Name of MonteTitoli Participant:_

*BIC Code of MonteTitoli Participant to be used as Party 1:

*Name of Custodian if different from the MonteTitoli Participant:

*BIC Code of Custodian to be used as Party 2:

*MonteTitoli Participant Contact E-Mail Address:

*Shareholder Account Number with MonteTitoli Participant/Custodian:

*Name or legal entity denomination of Beneficial Holder:

• Address of beneficial Holder:

  *Country of Tax Residency of Beneficial Holder:

• If the country of residence is The Netherlands, Dutch tax code of Beneficial Holder (BSN):

  *Cost Basis of FCA for Beneficial Holder: USD

  PLEASE NOTE, THE ALLOCATION OF GEDI SHARES FOLLOWS THE SPIN-OFF OF SUCH SHARES FROM FIAT CHRYSLER AUTOMOBILES N.V. THE DELIVERY OF GEDI SHARES IS A DISTRIBUTION OF DIVIDEND IN KIND SUBJECT TO ITALIAN AND TO DUTCH WITHHOLDING TAX. BOTH WHT MUST BE DEBITED BY THE MONTE TITOLI PARTICIPANT OR CUSTODIAN WHICH DELIVERIES THE SHARES TO THE BENFICIAL HOLDER:
  • THE ITALIAN WHT IS EQUAL TO 26% OF THE POSITIVE DIFFERENCE BETWEEN THE MARKET VALUE OF GEDI SHARES ASSIGNED AND THEIR COST BASIS CALCULATED ON THE BASE OF THE COST BASIS OF FCA SHARES HELD BEFORE THE SPIN-OFF, DECLARED BY THE HOLDER (IF IT IS KNOWN);
  • THE DUTCH WHT IS EQUAL TO 15% OF THE MARKET VALUE OF GEDI SHARES ALLOCATED.

PLEASE ENSURE YOU EXECUTE THE FOLLOWING SIGNATURE PAGE IN ORDER TO MAKE A VALID STOCK ELECTION.

We (on behalf of our client) request delivery of GEDI Shares in accordance with the directions provided above. By electing to receive GEDI Shares, we, the undersigned, understand that we (on behalf of our client) are waiving a cash payment of the proceeds of the sale of GEDI Shares that will be received by holders that do not make this election to receive GEDI Shares and our clients have to pay to their brokers the withholding tax determined on the base of the market value of GEDI Shares received and the declared cost basis of FCA shares.

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*Signed By:_

Name of Signer:

Email of Signer:

Telephone No. of Signer:

*MEDALLION SIGNATURE GUARANTEE