Ultrapar Participacoes : Remote voting form - Annual and Extraordinary General Shareholders' Meeting 04/19/2017

Name

Shareholder's CNPJ or CPF

Filling instructions

This form for the Annual and Extraordinary General Shareholders' meeting ("Shareholders' Meeting") shall be filled if the shareholder chooses to exercise its voting right remotely, pursuant to CVM Instruction 481/09.

In this case, it is mandatory that the fields above are filled with the shareholder's full name (or corporate name) and the Corporate or Individual Taxpayers' Number at the Ministry of Finance (CNPJ and CPF), in addition to an e-mail address for possible contact.

In order for this voting form to be valid and the votes hereby given to be accounted at the Shareholders' Meeting quorum, the following instructions shall be fulfilled:

• The fields of this form must be duly filled;

• Every page of the form must be initialed;

• The shareholder or its legal representative(s), as the case may be and under legislation in force, must sign the form;

• The Company requires signature's notarization.

Once the form and the required documentation is received, the Company will notify the shareholder about its receipt and whether it was accepted or not, under CVM Instruction 481/09. If the voting form is not fully filled or it is not accompanied by the supporting documents, the form will be disregarded and the shareholder will be informed through the e-mail provided.

The form and other supporting documents shall be filed at the Company up to 7 days from the Shareholders' Meeting date, that is, until 04/13/17. Forms received by the Company after the date will not be considered.

For further information, please check the Management Proposal and the Manual for shareholders' participation available at ri.ultra.com.br

Delivery guidance, indicating the option to directly submit to the company or submit filling instructions to the bookkeeper or the custodian

The shareholder who chooses to exercise his/her/its voting right remotely may:

1. Submit the form to the Company

   • Original copy of this form duly filled, signed and with all pages initialed;

   • Certified copy of the following documents:

In order to do so, he/she/it shall submit the following documents:

1. Individuals: (i) ID card with shareholder's picture (RG, foreigner's identity card - RNE, driver's license - CNH or professional class identification cards that are officially recognized); (ii) if attorney-in-fact, ID with his/her picture and power of attorney.

2. Legal entities: (i) consolidated articles of incorporation or articles of organization and corporate acts evidencing the representation powers (minute of officers' election and/or power of attorney); (ii) ID card with picture of legal representative(s);

3. Investment funds: (i) evidence of fund's manager capacity conferred upon individual or legal entity representing it at the GESM or power of attorney granting such powers; (ii) corporate act of legal entity manager conferring powers to the representative or to whomever he/she/it has granted the power of attorney; (iii) if the representative or the attorney-in-fact is a legal entity, the same documents listed in item "Legal entity" shall be submitted.

(iii) in the event of attorney-in-fact, ID card with his/her/its picture and power of attorney.

B. Voting exercise through service providers

The shareholder who chooses to exercise his/her/its voting right remotely through service providers shall contact his/her/its custodians/bookkeeper, in compliance with the rules determined by them, to submit the voting instructions.

For futher information, please check the Management Proposal and the Manual for shareholders' participation available at ri.ultra.com.br

Postal and e-mail address for submission of remote voting form, if the shareholder wishes to deliver the document directly to the company

Address: Avenida Brigadeiro Luiz Antônio, 1343, 8ºandar, Bela Vista CEP 01317-910 São Paulo/SP - Brazil

To the attention of the "Relações com Investidores" (Investor Relations) E-mail:Invest@ultra.com.br

The shareholder may, if preferable, submit electronic copies of this form and the documents to the Company's e-mail address, provided that the original copy of the voting form and the certified copies of the required documents are also sent to the address mentioned above until 04/13/17.

Appointment of institution hired by the company to provide the securities bookkeeping services, with name, physical and electronic address, telephone and person in charge.

Itaú Corretora de Valores

Address: Rua Ururaí, 111, Torre B, térreo, Tatuapé CEP 03084-010

São Paulo/SP - Brazil

Service channel for shareholders:

(11) 3003-9285 (capitals and metropolitan regions) 0800 7209285 (other locations)

Business days from 9h to 18h

E-mail:atendimentoescrituracao@itau-unibanco.com.br

Resolutions / Matters related to the Shareholders' Meeting

Simple Resolution

1. Analysis and approval of the Management Report, Management accounts and financial statements referring to the fiscal year ended on December 31, 2016 together with the report from the Independent Auditors and the opinion from the Fiscal Council, according to the Management Proposal.

[ ] Approve [ ] Decline [ ] Abstain

Simple Resolution

2. Allocation of net earnings for the fiscal year ended on December 31, 2016, according to the Management Proposal.

[ ] Approve [ ] Decline [ ] Abstain

Simple Resolution

3. Setting in 9 the number of members to be elected to the Board of Directors, according to the Management Proposal.

[ ] Approve [ ] Decline [ ] Abstain

Election of board of directors by a single slate

1. Appointment of all the names comprising the slate - sole slate ALEXANDRE GONÇALVES SILVA (INDEPENDENT)

2. If a candidate comprising the chosen slate is no longer part of it, may the votes corresponding to your shares be conferred to the chosen slate?

3. If cumulative vote is adopted, do you want to distribute the adopted vote in percentages for the candidates comprising the chosen slate?

4. View of all candidates comprising the slate to indicate percentage (%) of votes to be attributed ALEXANDRE GONÇALVES SILVA (INDEPENDENT) [ ] %

CARLOS TADEU DA COSTA FRAGA (INDEPENDENT) JORGE MARQUES TOLEDO CAMARGO (INDEPENDENT) JOSÉ MAURICIO PEREIRA COELHO (INDEPENDENT) LUCIO DE CASTRO ANDRADE FILHO

NILDEMAR SECCHES (INDEPENDENT)

OLAVO EGYDIO MONTEIRO DE CARVALHO (INDEPENDENT) PAULO GUILHERME AGUIAR CUNHA

PEDRO WONGTSCHOWSKI

[ ] Approve [ ] Decline [ ] Abstain

[ ] Yes [ ] No

[ ] Yes [ ] No

CARLOS TADEU DA COSTA FRAGA (INDEPENDENT) [ ] % JORGE MARQUES TOLEDO CAMARGO (INDEPENDENT) [ ] % JOSÉ MAURICIO PEREIRA COELHO (INDEPENDENT) [ ] % LUCIO DE CASTRO ANDRADE FILHO [ ] %

NILDEMAR SECCHES (INDEPENDENT) [ ] %

OLAVO EGYDIO MONTEIRO DE CARVALHO (INDEPENDENT) [ ] % PAULO GUILHERME AGUIAR CUNHA [ ] %

PEDRO WONGTSCHOWSKI [ ] %

Simple Resolution

8. Approval of the Management's compensation, according to the Management Proposal.

[ ] Approve [ ] Decline [ ] Abstain

Election of the members of the Fiscal Council -Limit of vacancies to be filled: 3

9. Appointment of candidates to the Fiscal Council (the shareholder may appoint as many candidates as the number of vacancies to be filled at the general election)

FLAVIO CÉSAR MAIA LUZ (EFFECTIVE) / MÁRCIO AUGUSTUS RIBEIRO (ALTERNATE)

[ ] Approve [ ] Decline [ ] Abstain

GERALDO TOFFANELLO (EFFECTIVE) / PEDRO OZIRES PREDEUS (ALTERNATE)

[ ] Approve [ ] Decline [ ] Abstain

NILSON MARTINIANO MOREIRA (EFFECTIVE) / PAULO CESAR PASCOTINI (ALTERNATE)

[ ] Approve [ ] Decline [ ] Abstain

Simple Resolution

10. Approval of Fiscal Council's compensation, according to the Management Proposal.

[ ] Approve [ ] Decline [ ] Abstain

Simple Resolution

11. Proposal of new stock-based compensation plan, according to the Management Proposal.

[ ] Approve [ ] Decline [ ] Abstain

Simple Resolution

12. Incorporation of the total amount registered in the retained profit reserve, which will result in Ultrapar's capital increase, which will result in Ultrapar's capital increase, according to the Management Proposal.

[ ] Approve [ ] Decline [ ] Abstain

Simple Resolution

13. Amendment and consolidation of Ultrapar's Bylaws, according to the Management Proposal.

[ ] Approve [ ] Decline [ ] Abstain