Impresa SGPS S A : Extraordinary General Meeting of November 23rd 2023 - Statement of participation

STATEMENT OF PARTICIPATION ON THE EXTRAORDINARY GENERAL SHAREHOLDERS' MEETING OF IMPRESA - SOCIEDADE GESTORA DE PARTICIPAÇÕES SOCIAIS, S.A., OF 23 NOVEMBER 2023

Name/Firm: ________________________

Address/Registered Office: _____________

Postal Code: ________________________

Tax Identification Number/Legal Person Identification

Number:____________________________

To

Financial Institution: _______________

Address:________________________

Postal Code:_____________________

Fax:____________________________

___________, _______________ 2023

Subject: Extraordinary General Shareholders' Meeting of Impresa - Sociedade Gestora de Participações Sociais, S.A., of 23 November 2023

Dear Sirs,

______________________________, as shareholder of IMPRESA - Sociedade

Gestora de Participações Sociais, S.A., (hereinafter "IMPRESA"), holder of [●] shares registered with your institution in account(s) [●], hereby expresses, in accordance with and for the purposes of the provisions of Article 23-C, paragraph 3, of the Portuguese Securities Code, its intention to participate in the Extraordinary General Shareholders' Meeting of IMPRESA, to be held at 10.30 a.m. on 23 November 2023.

For this purpose, it is requested, pursuant to Article 23-C, paragraph 4, of the Portuguese Securities Code, to be issued and sent, in order to be received by the Chairman of the Shareholders' Meeting of IMPRESA until 23:59 hours (GMT) on 16 November 2023, the information on the number of shares representing the share capital of that company with voting rights that are registered in its name (and with an indication of the taxpayer number) on the above referred accounts at 0:00 a.m. (GMT) on 16 November 2023, specifying, when applicable, the shares registered in each account.

Yours faithfully,

_______________________________________

Name:

Capacity:

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