Chicago Bridge Iron Securities Litigation

PART I: CLAIMANT INFORMATION




PART II - TRANSACTIONS IN CHICAGO BRIDGE AND IRON COMMON STOCK


Beginning Holdings: - State the total number of shares of Chicago Bridge and Iron common stock owned at the open of trading on October 30, 2013, long or short (must be documented). If none, enter "0."


A. Purchases: - Separately list each and every purchase of CB&I common stock in a Covered Transaction during the period from October 30, 2013, to September 21, 2015, inclusive, and provide the following information: (Must be documented.)



Must click Add Purchase to submit your transactions.


Date of Purchase/Acquisition (List Chronologically) (Month/Day/Year) Number of Shares of Common Stock Purchased or Acquired Purchase Price Per Share Total Purchase/Acquistion Price Confirm Proof of Purchase Enclosed Action




B. Sales: - Separately list each and every sale of CB&I common stock in a Covered Transaction during the period from October 30, 2013, to September 21, 2015, inclusive, and provide the following information (Must be documented.)



Must click Add Sale to submit your transactions.


Date of Sale (List Chronologically) (Month/Day/Year) Number of Common Stock Shares Sold Sales Price Per Share Total Sale Price (excluding taxes, commissions, and fees) Confirm Proof of Sale Enclosed Action




D. Ending Holdings: - State the total number of Chicago Bridge and Iron common stock owned at the close of trading on September 21, 2015, long or short. If none, enter "0."




UPLOAD SUPPORTING DOCUMENTS


All supporting documentation for your transactions should be uploaded to this page prior to moving on to the next step in your online claim submission.

Please use the browse option, by clicking on “Select Files” in the box below, to upload your supporting documentation being submitted to verify all of your positions and transactions.




Files To Be Uploaded Size Action

CERTIFICATION


I (We) certify that I am (we are) NOT subject to backup withholding under the provisions of Section 3406 (a)(1)(c) of the Internal Revenue Code because: (a) I am (We are) exempt from backup withholding, or (b) I (We) have not been notified by the I.R.S. that I am (we are) subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the I.R.S. has notified me (us) that I am (we are) no longer subject to backup withholding.

NOTE: If you have been notified by the I.R.S. that you are subject to backup withholding, please strike out the language that you are not subject to backup withholding in the certification above.


UNDER THE PENALTIES OF PERJURY, I (WE) CERTIFY THAT ALL OF THE INFORMATION I (WE) PROVIDED ON THIS PROOF OF CLAIM AND RELEASE IS TRUE, CORRECT AND COMPLETE.


THIS PROOF OF CLAIM MUST BE SUBMITTED NO LATER THAN JULY 1, 2022 AND MUST BE SUBMITTED ELECTRONICALLY OR MAILED TO:


Chicago Bridge & Iron Securities Litigation
c/o A.B. Data, Ltd.
P.O. Box 170800
Milwaukee, WI 53217
(by regular or express mail)
Chicago Bridge & Iron Securities Litigation
c/o A.B. Data, Ltd.
3410 West Hopkins Street
Milwaukee, WI 53216
(by express delivery service)


A Proof of Claim received by the Claims Administrator shall be deemed to have been submitted when posted, if mailed by July 1, 2022 and if a postmark is indicated on the envelope and it is mailed first class and addressed in accordance with the above instructions. In all other cases, such as in electronic submission, a Proof of Claim shall be deemed to have been submitted when actually received by the Claims Administrator.

Reminder Checklist:


Please be sure to sign this Proof of Claim. If this Proof of Claim is submitted on behalf of joint claimants, then both claimants must sign.

Please remember to attach supporting documents. Do NOT send any stock certificates. Keep copies of everything you submit.

If you move after submitting this Proof of Claim, please notify the Claims Administrator of the change in your address.