Paying/Exchange Agent Activities:
Purchase and Assumption Agreement , dated as of March 9, 2022, by and among Arizona Federal Credit Union (“AFCU”), Horizon Community Bank, an Arizona state-chartered bank (the “Bank”), and Horizon Bancorp, Inc., an Arizona corporation and registered bank holding company with respect to the Bank (the “Company”), providing for the sale of substantially all of the assets and liabilities of the Bank to AFCU (the “Asset Sale”)., we are providing information and instruction to assist the Company's security holders.
West Coast Stock Transfer, Inc. is serving as the Paying and Exchange Agent. A paying agent, also known as a disbursing agent, is a financial intermediary that accepts payments from a security issuer and distributes the funds to the security holders.
IRS Tax Information:
Within the information that you will be receiving is a Substitute Form W-9. We are required to request taxpayers information to avoid backup withholding and to communicate the disbursal information to the IRS. You will be sent a 1099 for the tax year in which you complete the exchange and that information will be communicated to the IRS.
Mailing Instructions:
The Letter of Transmittal and Substitute W-9 together with any other required documents, should be mailed to the Paying and Exchange Agent at the address shown below. It is recommended to send the package by overnight courier, registered or certified mail.
West Coast Stock Transfer, Inc.
721 N. Vulcan Ave. Ste. 106
Encinitas, CA 92024-2191
Contact Information:
Main Phone - 619-664-4780
Email - cs@wcsti.com
Related documents:
Shareholder Letter from Horizon Bancorp, Inc. dated October 19, 2022
Letter of Transmittal
WCSTI Substitute Form W-9
FREQUENTLY ASKED QUESTIONS
Completing the Letter of Transmittal
Description of Shares Surrendered (page 2 of 10) - Fully fill out your name and address in the first column as it appears on your account statement or stock certificate. The certificate number is usually located in the upper-left corner of the stock certificate. Each original certificate listed in this box will need to be presented to the Paying and Exchange Agent. (See Stock Certificates below)
Payment Instructions (page 3 of 10) - Select one of the 3 options: Check, ACH or Alternate Payee receiving a check. If you choose the third option to issue payment to an Alternate Payee you will need to obtain a Medallion Signature Guarantee on the Shareholder Signature Page (page 8 of 11).
Shareholder Signature page (page 7 of 10) - If there are multiple owners they must all sign, unless it is a corporate entity at which point then the person(s) with signatory authority would sign. If that is the case then "Capacity" on line 5 must be completed. If the shares are registered in the name of an individual, the capacity would be "registered owner" or "self." All parts above the Signature Guarantee must be completed. The Signature Guarantee section is only needed as described under "Instruction 2: Payment in Different Name" (Alternate Payee).
WCST Substitute Form W-9 - Instruction 9 refers to the necessity of completing a W-9. This is required disclosure and must be returned with the completed Letter of Transmittal so that we can communicate the tax information to the IRS and provide you with proper 1099 disclosure.
Signature Guarantee - This is not required of everyone! Review Instruction 2 to determine if it applies to you if you need further clarity please reach out to us.
Return pages 2,3, and 7 of the Letter of Transmittal document.
Stock Certificates
Do I need to mail in my original stock certificate? Yes
Do I need to fill out anything on the back or front of the stock certificate? No. The backside of a stock certificate is used to transfer ownership of the financial instrument. The record date has closed for this corporate action and you cannot transfer ownership. You are able to name an Alternate Payee on the Letter of Transmittal if needed, but no action is need on the stock certificate itself.
What if I cannot find my original stock certificate? If your certificate(s) have been lost, stolen or destroyed, please visit the page below for information and documentation needed to replace your certificate (s).