STATEMENT OF PARTICIPATION ON THE ANNUAL GENERAL SHAREHOLDERS' MEETING OF IMPRESA - SOCIEDADE GESTORA DE PARTICIPAÇÕES SOCIAIS, S.A., PUBLIC COMPANY, OF 29 APRIL 20151

Name/Firm: Address/Registered Office:
Postal Code:
Tax Identification Number/Legal Person Identification Number: IBAN:
To
Financial Institution: Address:
Postal Code: Fax:

, of of 2015

Subject: Annual General Shareholders' Meeting of Impresa - Sociedade Gestora de Participações Sociais, S.A., Public Company, of 29 April 2015

Dear Sirs,
, as shareholder of IMPRESA - Sociedade Gestora de
Participações Sociais, S.A., Public Company (hereinafter "IMPRESA"), holder of

shares registered with your institution in the accounts(s) number

, hereby expresses, according to the terms and for the purposes of number 3

of article 23-C of the Portuguese Securities Code, his/its intention to participate in the
Annual General Shareholders' Meeting of IMPRESA, that shall occur on 29 April 2015, at
11:00 a.m.
For these purposes, his/it hereby requests the issuance, according to number 4 of article
23-C of the Portuguese Securities Code, of a statement containing information on the number of shares representing IMPRESA's share capital with voting rights that are registered in his/its name (together with reference to his/its Tax Identification Number) in each of the referred accounts at 0:00 (GMT) of 22 April 2015. He/It is also requested that such statement is sent so as to be received by the Chairman of the Annual General Shareholder's Meeting of IMPRESA until 11:59 p.m. (GMT) of 22 April 2015.
Yours faithfully,

(shareholder's signature)

1 This statement must be sent with due time in advance so that it may be received by the financial intermediary until 21 April 2015.

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