Exclusion Cover Page · 2019. 3. 6. · Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page...
Transcript of Exclusion Cover Page · 2019. 3. 6. · Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page...
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 117 of 273 PageID #: 11818
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Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Datej
Name of Person Filing Exclusion: Carla N Baker
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 118 of 273 PageID #: 11819
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 119 of 273 PageID #: 11820
I Walmart iv Associate Stock Purchase Plan Transaction Details
CARLAN BAKER & GARY E BAKER JT TEN
Transaction History To: 31 Dec 2012 From: 01 Jan 2012
Total Total Deduction Amount Deduction Net Price Per
Share ($) Transaction Amount ($)
Transaction Shares
Shares Held
Transaction Description Date Amount ($) Type ($)
476.737 479.594 , 480.416 480.539 481.374 481,499 482.320 482.443 483.249 483.370 484.220 484.348 485.170 485.293 486.110 486.233 489.428 490.261 490.386 491.243 491.372 492.221 492.348 493.134 493.252 496.228 496.989 497.103 497.839 497.949 498.660 498.767 499.453 499.556 500.225
01 Jan 2012 03 Jan 2012 03 Jan 2012 03 Jan 2012 17 Jan 2012 17 Jan 2012 31 Jan 2012 31 Jan 2012 14 Feb 2012 14 Feb 2012 28 Feb 2012 28 Feb 2012 13 Mar 2012 13 Mar 2012 27 Mar 2012 27 Mar 2012 04 Apr 2012 10 Apr 2012 10 Apr 2012 24 Apr 2012 24 Apr 2012 08 May 2012 08 May 2012 22 May 2012 22 May 2012 04 Jun 2012 05 Jun 2012 05 Jun 2012 19 Jun 2012 19 Jun 2012 03 Jul 2012 03 JU 2012 17 JU 2012 17 JJ 2012 31 Jul 2012
Balance Forward Dividend Reinvestment
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payro* Deduction Company Contribution
Dividend Reinvestment Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Dividend Relnveslment
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction
60.785 60.813 60.813 59.858 59.858 60.880 60.880 62.024 62.024 58.802 58.802 60.791 60.791 61209 61.209 60.253 60.033 60.033 58.327 58.327 58.918 58.918 63.603 63.603 65.765 65.734 65.734 67.936 67.936 70.319 70.319 72.851 72.851 74.694
2.857 173.65 173.65 0.822 50.00 50.00
7.50 0.123 7.50 0.835 50.00 50.00 0.125 7.50 7.50 0.821 50.00 50.00
7.50 0.123 7.50 0.806 50.00 50.00 0.121 7.50 7.50 0.850 50.00 50.00 0.128 7.50 7.50 0.822 50.00 50.00 0.123 7.50 7.50
50.00 0.817 50.00 0.123 7.50 7.50 3.195 192.53 192.53 0.833 50.00 50.00 0.125 7.50 7.50 0.857 50.00 50.00 0.129 7.50 7.50
50.00 0.849 50.00 0.127 7.50 7.50
50.00 0.786 50.00 0.118 7.50 7.50 2.976 195.71 195.71 0.761 50.00 50.00 0.114 7.50 7.50 0.736 50.00 50.00 0.110 7.50 7.50 0.711 50.00 50.00 0.107 7.50 7.50 0.686 50.00 50.00 0.103 7.50 7.50 0.669 50.00 50.00
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 120 of 273 PageID #: 11821
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475.634 475.762
50.00 50.00 58.688 58.688
0.852 06 Dec 2011 06 Dec 2011
Payroll Deduction Company Contribution 0.128 7.50 7.50
00ICS0I03_RPS.DL_PO2.WMT.223622_3W069733/I39466/I
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 121 of 273 PageID #: 11822
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 122 of 273 PageID #: 11823
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Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Datej
Name of Person Filing Exclusion: Don M Norton
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 123 of 273 PageID #: 11824
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 125 of 273 PageID #: 11826
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Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Datej
Name of Person Filing Exclusion: Concepcion Anchondo
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 126 of 273 PageID #: 11827
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 127 of 273 PageID #: 11828
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 128 of 273 PageID #: 11829
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Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date^)
Name of Person Filing Exclusion: Aaron M Spruell
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 129 of 273 PageID #: 11830
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 131 of 273 PageID #: 11832
Computershare I Walmart * v 1 Computershare Trust Company. N.A, PO Box 43080
Providence, Rl 02940-3080 email: walmatHgicomputershatecom
www.compulershare.conVwaimart
Associate Stock Purchase Plan Summary Statement
•in
AARON M SPRUELL
Holder Account Number
001CS0003,<tLm«.052M7_B3S9/002667v(»50W
Account Summary January 01,2012 - December 31,2012 for Account
Shares Price Per Share
Market Value Held
$29982 $420.16
5.017 $59.76 $68.23
Beginning Balance Ending Balance 6.158
Purchases and Additions
Number of Transactions
Shares Added
Amount Invested
$57.00 Payroll Deductions Voluntary Cash Purchases Dividend Reinveslments Plan Transfers and Other Additions
26 0.850
$10.74 5 0.164
Benefits Provided bv Walmart Walmart Contributions $8.55 26 0.127
Net Sales and Deductions
Number of Transactions
Gross Proceeds
Fees and Commissions
Taxes Shares Withheld Proceeds
Share Sales Plan Transfers
Comments Please note you are no longer able to use your SSN/SIN to access your account on the automated phone system. Current associates will need their Walmart Identification Number, which can be found on WalmartOne or the WtRE, or the Computershare Account Number printed above. If you no longer work for Walmart you will use your Holder Account Number when calling Computershare, Or, for the easiest way to manage your account, go to www,computershare.com/walmart.
Please save this statement for tax purposes, or access your account over the web.
+ OOSHQA
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 132 of 273 PageID #: 11833
+ Compulershare Tmsl Company. NA, as agenl, upon willen request, will provide the name ol the execuling broker dealer associated with the transadionls), and within a reasonable amounl ol time will disclose the source and amount of compensation received from third parlies in connection with the transactions), if any,
ALL SALE INSTRUCTIONS ARE FINAL AND CANNOT BE MODIFIED, STOPPED OR CANCELLED AFTER COMPUTERSHARE HAS RECEIVED THE REQUEST.
I. Special Instructions If your account is not certified, you must complete a W-9 or W-3BEN tax farm or taxes will be withheld from any dividends or sales proceeds per Internal Revenue Service requirements. Faxed W-8BEN lorms are not acceptable.
If you would like to write to us, please include your account number, daytime telephone number with area code, and Ihe company name in your correspondence
PLEASE KEEP THIS STATEMENT FOR TAX PURPOSES.
II. Terms and Definitions Record Dale
Payment Date
Dividend Rale
Price Per Share
Total Shares Deduction Amount
Loan Collateral
The date that establishes ownership on our records la receive the dividend
The dale Ihe dividend is payable.
The dollar amount ol Ihe dividend paid per share or Ihe rate ol stock dividend or stock split.
The price per share purchased or sold under the plan.
The number ol shares acquired or sofd through the plan
An aggregate sum of all fees charged,
The number ol shares held by Computershare as collateral lor a loan granted Ihrough Ihe Walmart Loan Program, Although Ihese shares are still owned by your (hey are not available for transfer, sale or issuance until your entire loan balance is paid. Loans are limited to Associates in the U S
Annual Maintenance Fee If you no longer work for Walmart you may continue your account and buy shares without paying a brokerage fee Howaver you will be charged £35 once a year as a maintenance fee The S35 fee is automatically deducted from your account in (he frsi quarter of each year by selling a portion of slock equal lo $35. If you do not wish to maintain your account alter you leave the company, be sure to call Computershare,
The dollar amount as of the date referenced of all shares that are held for this security in Ihe account Value
til. Privacy Notice At Computershare, we take privacy seriously In the course of providing services lo you in connection with empfoyee stock purchase plans., dividend reinvestment plans, direct stock purchase plans, direct registralion services and for custody services, we receive nonpublic, personal information about you We receive this information through transactions we perform for you, from enrollment forms, automatic debit forms, and Ihrough other communications with you in writing, electronically, and by telephone. We may also receive information aboul you by virtue of your transaclion with alfiliales of Computershare or other parlies This information may Include your name, address (residential end mailing). Social Securily number, bank account information, stock ownership information, date of birth, government-issued identificalion number, and other financial information.
With respect both to current and former customers. Computershare does not share nonpublic personal informaIran wilh any non-affiliated Ihtrd-party except as necessary lo process a Iransaction, service your account or as required or permrlted by law Our affiliates and outside service providers with whom we share information are legally bound not lo disclose the Infoimalion in any manner, unless required or permitted by law or other govemmenlal process. We strive to reslrid access lo your personal information to those employees who need to know (he information to provide our services lo you. Compulershare maintains physical, eleclronic and procedural safeguards to protect your personal information
Computershare realizes (hat you enlmst us with confidential personal and financial information and we take thai tmsl very seriously
Assets are not deposits of Computershare and are not insured by Ihe Federal Deposit Insurance Corporation, Ihe Securities lnves(or Proleclion Corpofation. or any other federal or slate agency
Conlacl Us: Email [email protected]: Web www wmputgtshgre.comMmgri: Telephone 1 800 438 6278
13tUDR 00M6CH
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 133 of 273 PageID #: 11834
Cflmputershare ^ I Walmart * ^,v
Associate Stock Purchase Plan Summary Statement
Computetshare Trust Company, N.A.
PG Box 43080 Providence, Rl 02940-3080
email; [email protected]
www.computershare.cam/walmart
AARON M SPRUELL
Holder Account Number
O0ICSriO(i3.d.l.nu!C.O52i07_8389flO2i5M 005032
Account Summary January 01,2011 - December 31,2011 for Account
Shares Price Per Share
Market Vafue Held
$53,93 $59.76
$205.37 $299.82
Beginning Balance Ending Balance
3.808 5.017
Amount Invested
Purchases and Additions Payroll Deductions Voluntary Cash Purchases Dividend Reinvestments Plan Transfers and Other Additions
Benefits Provided by Walmarl Walmart Contributions
Number of Transactions
Shares Added
$52.00 26 0.954
$5,84 4 0.111
$7,80 26 0.144
Sales and Deductions
Number of Transactions
Gross Proceeds
Fees and Commissions
Taxes Net Shares Withheld Proceeds
Share Sales Plan Transfers
Comments Please note you are no longer able lo use your SSN/S!N to access your account on the automated phone system. Current associates will need their Walmart Identification Number, which can be found on WalmartOne or the WIRE, or the Computershare Account Number printed above, If you no longer work for Walmarl you will use your Holder Account Number when calling Computershare, Or, for the easiest way to manage your account, go to www.compufershare.com/walmart.
Ptease save this statement for tax purposes, or access your account over the web.
+ OOSHQA
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 134 of 273 PageID #: 11835 +
+ Compulershate Tfus* Company, N A . as agent, upon wrillen requesl, will provide Ihe name of (he executing broker dealer associated with the lransadion(s): and wilhin a reasonable amount of tfme will disclose Ihe source and amount of compensation received from third parties in connection with the transadion(s), if any.
AU SALE INSTRUCTIONS ARE FINAL AND CANNOT BE MODIFIED, STOPPED OR CANCELLED AFTER COMPUTERSHARE HAS RECEIVED THE REQUEST.
I. Special Instructions H your account is nol certified, you must complete a W'9 or W-3BEN lax form or taxes will be withheld from any dividends CK sales proceeds per Internal Revenue Service requiremenls, Faxed W-8BEN forms are nol acceptable.
fl you would like to write to us. please include your account number, daytime telephone number with area code, and Ihe company name in your correspondence.
PLEASE KEEP THIS STATEMENT FOR TAX PURPOSES.
II, Terms and Definitions Record Date
Payment Date
Dividend Rale
Price Per Share
Total Shares
Deduction Amount
Loan Collateral
The date lhal establishes ownership on our records lo receive Ihe dividend
The dale Ihe dividend is payable
The dollar amount of Ihe dividend paid per share or (he rate of slock dividend or slock splil.
The price per share purchased or sold under the plan.
The number of shares acquired or sold through the plan.
An aggregate sum of all fees charged.
The number of shares held by Computershare as coilaleral for a loan granted Ihrough the Walmart Loan Program. Although these shares are still owned by you. they are not available For transfer, sale or issuance until your entire loan balance is paid. Loans are limited lo Associates in the U.S.
Annunl Maintenance Fee If you no tonger work for Walmart you may coniinue your account and buy shares without paying a brokerage fee. However, you will be charged S35 once a year as a maintenance fee. The S35 fee is automatically deducted from your account in (he first quarter of each year by seiiing a portion of slock equal lo S35 If you do rot wish lo mainlain your account alter you leave Ihe company, be sure lo call Computershare,
The dollar amount as of the date referenced of all shares lhal are held for this security in the accounl. Value
III. Privacy Notice At Computershare, we lake privacy seriously In the course of providing services lo you in connection with employee stock purchase plans, dividend reinvestment plans, dired slock purchase plans, direct regislralion services and/or custody services, we receive nonpublic, personal information about you We receive (his information through transactions we pedorm lor your from enrollment forms, automatic debit forms, and Ihrough other communications with you in wrilmg, electronically, and by telephone. We may also receive information aboul you by virtue of your transaction with affiliates of Computershare or other parlies This information may include your name, address {residential and mailing). Social Security number, bank account information, slock ownership information, date of birlh, government-issued idenlification number, and other financial information
Wilh respect both to currenl and former customers, Computershare does nol share nonpublic personal information with any non-affiliated lhird-par(y except as necessary to process a transaction, service your account or as required or permitted by law Our affiliates and outside service providers wilh whom we share information are legally bound nol lo disclose Ihe information in any manner, unless requited or permitled by law or other governmental process, We strive to reslrid access lo your personal information (o those employees who need lo know Ihe information to provide our services to you Computershare maintains physical, electronic and procedural safeguards (o protect your personal information.
Computershare realizes lhal you entrust us wilh confidential personal and financial informalion and we lake lhal trust vefy seriously.
Assets are nol deposits of Computershare and are nd insured by Ihe Federal Deposit Insurance Corporation, Ihe Securities Investor Proleclion Corporation, or any other federal or state agency
Contact Us: II!
1311 IM6CH
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 135 of 273 PageID #: 11836I Computershare Walmart * I Computershare Trust Company, N.A.
PO Box 43080 Providence, Rl 02940-3080
email: [email protected] www.computershare.corn/walmart
Associate Stock Purchase Plan Transaction Details
AARON M SPRUELL
Transaction History From: 01 Jan 2012 To: 31 Dec 2012
Total Shares
Total Transaction
Shares
Deduction Amount Net Price Per
Type { Amount ($) Share ($) Transaction Amount ($)
Deduction Transaction Description Date
($) Held
5,017 01 Jan 2012 03 Jan 2012 03 Jan 2012 03 Jan 2012 17 Jan 2012 17 Jan 2012 31 Jan 2012 31 Jan 2012 14 Feb 2012 14 Feb 2012 28 Feb 2012
28 Feb 2012
13 Mar 2012 13 Mar 2012 27 Mar 2012 27 Mar 2012 04 Apr 2012 10 Apr 2012 10 Apr 2012 24 Apr 2012 24 Apr 2012 08 May 2012 08 May 2012 22 May 2012 22 May 2012 04 Jun 2012 05 Jun 2012 05 Jun 2012 19 Jun 2012 19 Jun 2012 03 Jul 2012 03 Jul 2012 17 Jul 2012 17 Jul 2012 31 Jul 2012 31 Jul 2012 14 Aug 2012 14 Aug 2012 28 Aug 2012 28 Aug 2012 04 Sep 2012 11 Sep 2012 11 Sep 2012 25 Sep 2012 25 Sep 2012 09 Oct 2012 09 Oct 2012 23 Oct 2012 23 Oct 2012 06 Nov 2012 06 Nov 2012 20 Nov 2012 20 Nov 2012 04 Dec 2012 04 Dec 2012
Balance Forward Dividend Reinvestment
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Dsduclion Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Dividend Reinvestment Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Dividend Reinvestment
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Dividend Reinvestment Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution
1.82 60.785 60.813 60.813 59.858 59.858 60.880 60.880 62.024 62.024 58.802 58.802 60.791 60.791 61.209 61.209 60.253 60.033 60.033 58.327 58.327 58.918 58.918 63.603 63,603 65.765 65,734 65,734 67,936 67,936 70,319 70,319 72,851 72,851 74,694
74,694 73,998 73,998 72,572 72,572 73,339 74,180 74,180 74,802 74,802 74,697
74,697 74,842 74,842 73,889 73,889 68,895 68,895 72,284 72,284
0.030 5,047 1,82 2,00 0,033 5,080 2,00
• ft. 5,085 0,30 0,005 0.30 0.033 5.118 2.00 2.00
5.123 0.30 0,005 0,30 0,033 5,156 2,00 2,00
0,30 0,005 5,161 0,30 0.032 5.193 2.00 2,00 0,005 5,198 0,30 0,30 0,034 5,232 2,00 2,00
5,237 0,005 0,30 0,30 0,033 5,270 2,00 2,00
0,30 0,005 5,275 0,30 0,033 5,308 2,00 2,00 0,005 5,313 0,30 0,30
5,348 2,08 0,035 2,08 2,00 0.033 5.381 2.00
0.005 5.386 0.30 0.30 0.034 5.420 2.00 2.00 0.005 5.425 0.30 0.30
5.459 2.00 0.034 2.00 5.464 0,30 0,005 0,30 5,495 2,00 0,031 2,00 5,500 0,30 0,005 0,30
2,17 0,033 5,533 2,17 0,030 5,563 2,00 2,00 0,005 5,568 0.30 0,30 0,029 5,597 2,00 2,00 0,004 5,601 0,30 0,30 0,028 5.629 2.00 2.00 0.004 5,633 0,30 0,30
2,00 0,027 5,660 2,00 5.664 0,30 0,004 0,30
0,027 2,00 5,691 2,00 0,30 0,004 5,695 0,30
2,00 0,027 5,722 2,00 5,726 0,30 0,30 0,004 5,754 2,00 2,00 0,028
0,004 5,758 0.30 0.30 2.26 0.031 5.789 2.26
2.00 2.00 0.027 5.816 5.820 0.30 0.30 0.004
0.027 2.00 2.00 5.847 0,004 5,851 0,30 0,30 0.027 5,878 2,00 2,00 0,004 5,882 0,30 0,30 0,040 5,922 3,00 3,00
5,928 0,45 0,45 0,006 3,00 3,00 0,041 5,969
0,006 5,975 0.45 0,45 3,00 3,00 0,044 6.019 0,45 0,45 0,007 6.026
0.042 6.068 3.00 3.00 0.45 0.006 6.074 0.45
001CS0003.d,l,mix,052307_8389/002667/005035/i
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 136 of 273 PageID #: 11837
Transaction History (cont.) From: 01 Jan 2012 To: 31 Dec 2012
Total Shares
Total Transaction
Shares
Deduction Amount Transaction
Amount ($) Net Price Per
Amount ($) Share ($) Deduction
Transaction Description Date Type ($) Held
6.117 Payroll Deduction Company Contribution
Dividend Reinvestment
3,00 3.00 69.319 69.319 67.905
0.043 18 Dec 2012 18 Dec 2012 27 Dec 2012
(cont.) 0.45 0.006 6.123 0.45 2.41 0.035 6.158 2.41
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 137 of 273 PageID #: 11838I Computershare Walmart 1 Computershare Trust Company, N.A.
Associate Stock Purchase Plan PO Box 43080 Providence, Rl 02940-3080 Transaction Details
email: [email protected] www,computershare.conVwalmart
AARON M SPRUELL
Holder Account Number
Transaction History From: 01 Jan 2011 To: 31 Dec 2011
Deduction Amount
Total Transaction
Shares
Total Shares Transaction
Amount ($) Deduction
Type Net Price Per Date Transaction Description
Amount ($) Share ($) ($) Held
OUan 2011 03 Jan 2011 04 Jan 2011 04 Jan 2011 18 Jan 2011 18 Jan 2011 01 Feb 2011 01 Feb 2011 15 Feb 2011 15 Feb 2011 01 Mar 2011 01 Mar 2011 15 Mar 2011 15 Mar 2011 29 Mar 2011 29 Mar 2011 04 Apr 2011 12 Apr 2011 12 Apr 2011 26 Apr 2011 26 Apr 2011 10 May 2011 10 May 2011 24 May 2011 24 May 2011 06 Jun 2011 07 Jun 2011 07 Jun 2011 21 Jun 2011 21 Jun 2011 05 Jul 2011 05 Jul 2011 19 Jul 2011 19 Jul 2011 02 Aug 2011 02 Aug 2011 16 Aug 2011 16 Aug 2011 30 Aug 2011 30 Aug 2011 06 Sep 2011 13 Sep 2011 13 Sep 2011 27 Sep 2011 27 Sep 2011 11 Oct 2011 11 Oct 2011 25 Oct 2011 25 Oct 2011 08 Nov 2011 08 Nov 2011 22 Nov 2011 22 Nov 2011 06 Dec 2011 06 Dec 2011
Balance Forward Dividend Reinvestment
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Dividend Reinvestment Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Dividend Reinvestment
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Payroll Deduction Company Contribution
Dividend Reinvestment Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution Payroll Deduction
Company Contribution
3.808 1.14 1.14 54.609
54.736 54.736 55.259 55.259 56.281 56.281 54.904 54.904 52.270 52.270 52.097 52.097 52.238 52.238 52.564 53.517 53.517 53.894 53.894 55.365 55.365 54.951 54.951 53.944 54,150 54,150 53,030 53,030 53,446 53,446 53,766 53,766 52,100 52,100 52,001 52.001 52.882 52.882
51.202 51.489 51.489 52,407 52.407 54,557 54,557 56,911 56,911
58,890 58,890 56,824 56,824 58,688 58.688
0.021 3.829 2,00 2,00 0.037 3,866 0.30 0,30 0,005 3.871 2,00 2.00 0,036 3.907 0.30 0,30 0,005 3.912 2.00 2,00 0,036 3.948 0,30 0,30 0,005 3.953 2,00 2,00 0,036 3.989 0,30 0,005 0,30 3,994 2.00 2,00 0,038 4,032 0,30 0,30 0,006 4,038 2,00 2,00 0.038 4,076 0,30 0,30 0,006 4,082 2,00 2,00 0.038 4,120 0.30 0.30 0,006 4,126 1.47 1.47 0.028 4,154 2,00 2.00 0.037 4.191 0,30 0.30 0,006 4.197 2,00 2,00 0,037 4.234 0,30 0,30 0,006 4.240 2,00 2,00 0.036 4.276 0.30 0,30 0.005 4,281 2,00 2,00 0.036 4,317 0,30 0.30 0,005 4.322 1,56 1,56 0,029 4.351 2.00 2.00 0,037 4,388 0.30 0.30 0,006 4.394 2,00 2,00 0,038 4,432 0,30 0,30 0,006 4,438 2,00 2,00 0.037 4,475 0,30 0.30 0,006 4,481 2,00 2,00 0.037 4,518 0,30 0,30 0,006 4.524 2,00 2.00 0,038 4,562 0,30 0,30 0,006 4,568 2.00 2.00 0,038 4,606 0.30 0.30 0,006 4,612 2,00 2,00 0,038 4.650 0,30 0,30 0,006 4.656 1.67 1,67 0.033 4,689 2,00 2,00 0.039 4,728 0,30 0,30 0.006 4,734 2,00 2,00 0.038 4,772 0,30 0,30 0,006 4,778 2.00 2,00 0.037 4,815 0.30 0,30 0.005 4,820 2.00 2.00 0,035 4,855 0.30 0.30 0.005 4,860 2,00 2,00 0,034 4,894 0,30 0.30 0,005 4,699 2.00 2.00 0.035 4.934 0.30 0.30 0,005 4.939 2,00 2.00 0,034 4.973 0,30 0.30 0,005 4.978
00ics0003,d,ljnix.052307_8389/002666/005053/i
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 138 of 273 PageID #: 11839
Transaction History (cont.) From: 01 Jan 2011 To: 31 Dec 2011
Total Shares
Total Transaction
Shares
Deduction Amount
Net Price Per Deduction Transaction Transaction Description Date Type Amount ($) Share ($) Amount ($) Held ($)
5.012 0.034 58.963 58.963
2.00 Payroll Deduction Company Contribution
2.00 20 Dec 2011 20 Dec 2011
(cont.) 5.017 0.005 0.30 0.30
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 139 of 273 PageID #: 11840
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 140 of 273 PageID #: 11841
•WAO-EXCL00036
/
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date)
Name of Person Filing Exclusion: Trena H Adams
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 141 of 273 PageID #: 11842
Trena H. Adams
January 30, 2019
Walmart Securities Settlement Claims Administrator c/o Gilardi & Co. LLC EXCLUSIONS 3301 Kemer Boulevard San Rafael, CA 94901
City of Pontiac General Employees' Retirement System, Individually and on Behalf of All others similarly situated v. Wal-Mart Stores, Inc., et al. No. 5:12-cv-05162-SOH
Re:
To Whom it May Concern:
In reference to the above matter, I request exclusion from the Class in the Walmart Securities Settlement. My husband owned the stock and he has been deceased since February 20, 2012. The stock that was owned was sold in 2012.
Sincerely yours.
lA&m H Ada Trena H. Adams
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 142 of 273 PageID #: 11843
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 143 of 273 PageID #: 11844
r •WAO-EXCL00037"
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Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Datej
Name of Person Filing Exclusion: Paula Dillon
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 144 of 273 PageID #: 11845
February 1, 2019
Walmart Securities Settlement Ciaims Administrator c/o Gilardi & Co. LLC EXCLUSIONS 3301 Kerner Blvd. San Rafael, CA 94901
Dear Administrator,
I am writing to "request exclusion from the Class in the Wafmart Securities Settlement". I have provided you with documentation of Walmart stock purchases, sales, dates, prices, quantities etc. as you have requested in the stated "Class Period".
Thank you.
r 0-.
Paula Dillon Phone #:
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 145 of 273 PageID #: 11846
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Walm
art A
ssociate Stock P
urchase Plan
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putershare Trust C
ompany, N
.A.
PO
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Providence. R
l 02940-3080 Telephone: 800 438 6278
email: w
almart@
computershaie.com
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arl
Transaction D
etails
PA
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ILLON
JT TE
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Holder A
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Transaction H
istory From
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ec 2011
Deduction Am
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Transaction Shares
Total Transaction Am
ount ($) ] D
eduction - N
et Price Per
Type Am
ount ($) Share ($) |
Transaction Description
Date
Shares H
eld ($)
01 Jan 2011
03 Jan 2011
01 Feb 2011
01 Feb 2011
15 Feb 2011
15 Feb 2011
01 M
ar 2011
01 Mar 2011
15 Mar 2011
29 Mar 2011
04 Apr 2011
12 Apr 2011
12 Apr 2011
06 Jan 2011 06 S
ep 2011 30 N
ov 2011
Balance F
orward
Dividend R
einvesiment
Payroll D
eduction C
ompany C
ontribution P
ayroll Deduction
Com
pany Contribution
Payroll D
eduction C
ompany C
oniribution
Payroll O
aduclion
Payroll D
eduction D
ividend Reinvestm
ent
Payroll D
eduction C
ompany C
ontribution D
ividend Reinvestm
ent D
ividend Reinvesltnenl
197.436 198.530 209,191 210.790 221718
223,357 234.836 236.550
248 075
259,561 261.204 272415
274 097
275.952
277.919
59 72 59.72
54 609
56 281
56 281
54,904
54.904
52 270 52 270
52.097
52 238
52 564
53,517 53,617
53.944
51,202
58 895
1,094 G
00 00 600 00
10
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1
90 00 90,00
15
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600 00
600.00 10 928
90 00 90 00
1.639 500 00
600,00 11,479
90.00 90.00
1,722 600 00 600 00
600.00 600,00
11,517
11.486 86.34
86,34 1,643
600.00 600.00
11
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90,00 90 00
1.682 100,05
100,72 16,368,04
100.05
100,72
16.324,14
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1.967 S
ale 43 90
Transaction F
ee -277.919
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 146 of 273 PageID #: 11847
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Walm
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Telephone: 800 43B 6278
email; w
alniart@coinputershare,tom
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computefshate.com
/walm
art
Associate S
tock Purchase P
lan T
ransaction Details
PA
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ILLON
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ISE DILLON JT TEN
Holder A
ccount Num
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%
f O
7
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ransactlon History
To: 31 D
ec 2012 F
rom
: 01 Jan 2012
Total
Transaction
Shares
Total
Shares
Deduction A
mount
De
du
ction
N
et P
rice Per
Type | A
mount ($)
Share ($)
Transaction A
mount (S)
Transaction D
escrip
tion
Date
($) H
eld
0,000 B
alance Forw
ard
Payroll D
eduction C
ompany C
ontribution P
ayroll Deduction
Com
pany Conlribution
01 Jan 2012
13 Mar 2012
13 Mar 2012
27 Mar 2012
27 Mar 2012
Wa
y 2
017
04 Jun 2012 04 S
ep 2012 27 D
ec 2012
9.870 600,00
600.00 00,791
60.791
61.209
61.209
62.500
55.765
73.339
67.905
9,8
70
90,00 1.480
11.350 21.153
90.00 600.00
600.00 9803
90.00 1,470
22.623 90.00
1,41394 31,15
Transaction Fee
1,382.79 -22 623
0.000 Sale
0.137 8.99
8.99 0137
Dividend R
einvestment
Dividend R
einvestment
Dividend R
einvestment
0.138 0.05
0.05 0.001
0.139 0.05
0.001 0.05
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 147 of 273 PageID #: 11848
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 148 of 273 PageID #: 11849
•WAO-EXCL00038
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date^)
Name of Person Filing Exclusion: Katherine H Robinson
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 149 of 273 PageID #: 11850
9 February 2019
Walmart Securities Settlement Claims Administrator c/o Gilardl and Company, LLC EXCLUSIONS 3301 Kerner Boulevard San Rafael, California 94901
SUBJ: Request for Exclusion from the Class in the Walmart Securities Settlement
ENCL: Copies of broker confirmations of transactions
During the class period, 8 Dec 2011 - 20 Apr 2012, I sold two hundred shares of Walmart common which I had purchased 10/19/07. Copies of the confirmation statements are enclosed.
I wish to request exclusion from the class in the Walmart securities settlement.
Sincerely,
Katherine H. Robinson
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 150 of 273 PageID #: 11851
CONFIRMATION OF TRANSACTION
KATHER1NE H ROBINSON • liweslmiaril ExacuUvs (YL19 ) KENNETH HUSBARD Trie Peoples BanK and Trust Company 1784 Talllalerro Trail MomgorneryAL 36117 334-361 -3049
We are pleased lo confirm the following Irmisaction(s) - Account Number:
Trade Ddte Settle Date Price Quantity Acct Type
Cash
Action Symbol Cusip
10/24/07 10/19/07 112,05 300 73755LI 07 Sold POT
33,615,00 180.00
PRINCIPAL COMMISSION REG. COST HANDLING FEE
NET AMOUNT
POTASH CORP SASKATCHEWAN INC UNSOLICITED ORDER
052 4.50 Market, 9 Capaully: 1 Tajj: 276907
33,429.98
10/24/37 10/19/07 45.1175 1,000 Cash PGN 743263105 Bought
45,117 50
303,71 PRINCIPAL COMMISSION
HANDLING FEE
NET AMOUNT
PROGRESS ENERGY INC UNSOLICITED ORDER
4 50 45*125.71 Markal: 9 Tag 2781b£J Capacity 1
10/24,07 10/19/07 54.26 Cash 200 SAP 803054204 Sold
10,852 00 119 82
PRINCIPAL COMMISSION REG. COST HANDLING FEE NET AMOUNT
SAP AG-SPONSORED ADR UNSOLICITED ORDER
0 17 450 Market 9 Capacily: 1 Tay.276892
10,727.51
10/24/07 10/19/07 45 07 WMT 931142103 Bought Cash 500
22,535.00 ?13.28
PRINCIPAL COMMISSION HANDLING FEE NET AMOUNT
WAL-MART STORES INCORPORATED UNSOLICITED ORDER
4 50 22.762.78 Market, 9 Capacity: 1 Tag 278212
Page 4 ol 6
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 151 of 273 PageID #: 11852
^UIMMKJVJA I IUIM Ur I KMIMSAU I lUlM FRIMEVEST PV F I N A N C I A L S E R V I C E S
O Box 263 MSinbai finili/iiSlPC
St Cloud, MN 56302-0283
(nweslmenl E^ucuiive (VG50) BRANDOW OAKES BanRTrust 148 East Main PrattVllleAL 36067 334-361-3062
• I l l l l l
000380 PVACD011
KATHERINE H ROBINSON
We are pleased to confirm the following transaction(s) - Account Number:
Trade Date Settle Date Price Quantity Action Acct Type Symbol Cusip
10/22/09 10/15/09 26.0299 Cash 300 T 00206R102 Bought
7.80397 119 68
PRINCIPAL COMMISSION HANDLING FEE NET AMOUNT
AT&T INC SYMBOL ORI LISTED AS SBC, NOW T A/O 12/1/05. UNSOLICITED ORDER
450 7.933.15
Capacity: 1 Tag: 95S727 Ma»kfil: 9
10/22/09 10/19/09 33.318 MRK Cash 300 589331107 Bought
9,995 40 143.95
PRINCIPAL COMMISSION HANDLING FEE
MERCK & COMPANY INCORPORATED UNSOLICITED ORDER
4.50
10,143.85 NET AMOUNT Maikel: 9 Capacity 1 Tag: 953726
10/22/09 10/19/09 51.5901 WMT 931142103 Sold Cash 300
15.567.03 157.54
PRINCIPAL COMMISSION REG. COST HANDLING FEE NET AMOUNT
WAL-MART STORES INCORPORATED UNSOLICITED ORDER
0 20 4.50 Market: 9 Capacily; 1 Tag: 95372'!
15,404.79
3 o ---
o Q O < PLEASE INCLUDE YOUR ACCOUNT NUMBER
ON ALL CHECKS AND CORRESPONDENCE PrimeVest Financial Services, Inc. Shareholder in the Chicago Slock Exchange Membef SIPC
£ S 3 Securities and insurance products offered by PrimeVest are not FDIC/NCUSIF insured, may lose value, are not financial
Institution guaranteed, not deposit products, not insured by any federal government agency. g
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 152 of 273 PageID #: 11853
CONFIRMATION OF TRANSACTION PiimtVesI FinaiiLi.il Services Inc.
IV ACtTEKAtOMI-AHV MetT'lbv-T l-INI{A/5irjr I'nrneVusi
Ffl m KATHERINE H ROBINSON Invesln'enl ExemUivn i0W-VG50
BRANDON OAKES B.inkTrust UtJ East M.iln P<altvllle AL 3G067 334-361-3062
We are pleased Jo confirm the following transaction(s) - Account Number:
Symbol/Cusip: WMT/931142103
Settle Date
02/29/12
Trade Date
02724/12
Capacity Action >- Sold
AcctType Market
Cash 1 9
Net Tt! 11.622.56
Misc
0.00 Reg. Cost Handling Fee Tax Int Principal Comm
120.00 120.00
Tag Quantity Price
200 58 7414 0.00 0.22 5-50 920359 11,748.28 11,748.28 0.00 11.622.6S 200 5.50 0.00 0.22 53.7414
WAL-MART STORES INCORPORATED UNSOLICiTED ORDER
Symbol/Cusip; TNH/881005201
Settle Date
02/29/12
Trade Date
02/24/12
Action
Sold
AccE Type
Cash
Market Capacity
1 9
Net Ttl 22,003.36 22,009.36
Reg. Cost Handling Fee Tax Int Misc 0.00
Tag Quantity Price
100 220,7426
Principal 22.074,26
Cornm 60,00 0.00 5.50 920361 O.^O
C.00 0,40 o.co £.50 220,7425 22,074.26 60.00 100
TERRA NITROGEN COMPANY LP COM UNIT UNSOLICITED ORDER
Paae 3 oM
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 153 of 273 PageID #: 11854
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 154 of 273 PageID #: 11855
"WAO-EXCL00039*
1
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date^)
Name of Person Filing Exclusion: Ryan Barnes
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 155 of 273 PageID #: 11856
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 156 of 273 PageID #: 11857
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Computershare Trust Company. N.A. PO Box 43080
Providence, R( 02940-3080 Telephone: 0800 923 1515
email; [email protected] www.compul ershare. com/wal ma rt
n-ASDA Plan Summary Statement
a o-jr JD nj LU
Holder Account Number
301
Account Summary 01 January 2011 - 30 December 2011 for Account
Shares Price Per Share
Market Value Held
$53.93 $59.76
$17737 $200.85
When converted to Pounds Sterling your account has a market value of 126.70 (See back of statement currency exchange information)
Beginning Balance Ending Balance
3.287 3.361
Purchases and Additions
"Shares Number of Transactions
Amount Invested Added
Dividend Reinvestments Plan Transfers and Other Additions
0.074 $3.94 4
Taxes Withheld
Sales and Deductions Transactions
Number of Gross Proceeds
Fees and Commissions
Net Shares Proceeds
Share Sales Plan Transfers
Comments Still getting paper copies of your statements, annual meeting material, and other communications from Computershare? Go to vrtwv.mmputershare.com/walmart and log in to your account. Cliclc on the "My Details' tab, select 'E-Communications" then agree to the Terms & Conditions to enroll in electronic delivery. Help Walmarfs sustainability efforts by eliminating one piece ot paper at a time.
Please save this statement for tax purposes, or access your account over the web
Transaction History From; 01 Jan 2011 To: 30 Dec 2011
Total Deduction Amount
Total Transaction
Shares Deduction Net | Price Per
Amount ($) | Share ($) Transaction Amount ($)
Shares Date Transaction Description Type Held ($)
3287 01 Jan 2011 03 Jan 2011 04 Apr 2011 06 Jun2011 06 Sap 2011
Balance Forward Dividend Reinvestment Dividend Reinvestment Dividend Reinvestment Dividend Reinvestment
3,302 0.84 54.609 52.564 53.944 51.202
0.015 099 0.15 Tax 3322 1.21 0.18 1.03 0.020 Tax 3,341 1.21 0.18 1.03 0.019 Tax 3361 1,04 1.22 0.18 Tax 0.020
102382 I MAIUOMWMBI'W/i
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 157 of 273 PageID #: 11858
W M T
SeHing Shares You can set you shares Ihrough Compolershare's automaled phone system, of by speaking lo a Cuslomef Service RepiesenlaHve You can also sell your shares online
aim • To sen ywr shares over Ihe phone contact CompotershafB on 0500 890011, Bsten to the message, then (Sal 80(M38-6278 and tofcw the pfotnpls to se«. Customer Service Representatives
are available Monday through Friday, 8.00 am - 6:00 pen CST (2:00 PM - midnight UK time).
There are two methods to choose from when selling your shares Ihrough Compulerenare:
Market Order Trades- Your stock will be sold as soon as your request can reasonably be processed al the market price in effect al that time H the market is closed when you enter the request, your sale transaction wil be processed at the start of the ne*l day that the slock market is open. There is a $45 (U.S.) lee for se«ng, plus five cents per share which will be deducted directly from the sales proceeds. The charge includes a $15 currency conversion fee to Pound Storting.
Batch Trades- Your stock will not be sold immediately as desaibed above. Generally, if Computershare receives your request to sell shares of stock before l.-OOp m. Central Time (7 P.M. UK time) on a business day, your sale transaction will take place on the same day. If yoir request is received on or after 1:00 P M. Central Time (7 P.M. UK time) or if your request is made on a day the stock market Is not open, your sale transaction wil lake place on the next day that the stock market is open. The sale price for a share of stock sok) in this manner will be the average price of all shares of stock sold by Compolershare for you and all otherASOA Colleagues on the date of your sale Iransaction. There is a $35 (U.S.) fee for selling, plus ftve cents per share which w< be deducted directly from the sales proceeds The charge includes a $15 currency conversion fee lo Pound Stertng
Make sure your account Is tax certified to avoid withholding from dividends and sale proceeds. See betow for Information regarding tax certification.
Tax Certification If you are a permanent resident of any country other than the United States, you are required to complete a W8-BEN. The upper right comer of the reverse indicates if your account is certified If not, Computershare is required by the United States Internal Revenue Service to wthhotd 28% from drridends and sale proceeds. You can complete an etectronic WW3EN by logging in to your account at
• conVwalmarl You can also contact Computershare or tfie Share Team at ASOA House to request a paper copy, which wil need to be returned to Computershare.
W8-8EN forms expire every three years. Computershare win mail you a new farm during the last quarter of the year in which your current form "B due to expire, AHhough you wiB receive a hard copy in the mail you can also recertify your account online.
www.
Currency Conversion Sale proceeds from the ASOA plan are automaticaly converted to Pounds Staring unless otherwise requested. The iunds are typically converted one business day after the sale. The exchange rates displayed in newspapers, online, and other publications are usually inlra-bank rales and are not normally what an Individual would receive.
The market value of your account in Pounds Storing shown on the reverse B based on the exchange rate as of Ihe end of Ibe statement period. The rale used is what an individual would have been eligible to receive based on the value of their account in US Doltars at that time.
Voluntary Investments Once you hold shares in the Plan you can make volunlary investments through Computershare. The stock purchased wiS be held in your Plan account. Your emptoyer win not make matching contributions lo these investments. Voluntary investments cannot exceed $125,000 USD per Plan year. All amounts invested Ihrough the Plan will be converted from Pounds Sterling to U.S. dodais prior to the time the shares of stock are purchased. The exchange rate wi be set as of the date of the wire when the funds are actoally converted. For more intormation please contact Computershare on free phone number 0600 923 1515. To obtain a volmtary purchase fwm, log in to your account at www.compulershare.com/walmart Select Downloadable Forms" from the Company Info tab, then choose "ASDA Voluntary
Purchase Form",
Annual Maintenance Fee If you no longer work for ASDAor are a spouse of a farmer Colleague and have a plan account with Computershare. you may maintain your account and purchase shares without paying a brokerage fee However, you will be charged $35 once a year as a mainlenance fee. The $35 fee is automatically deducted from your account in the first quarter of each year by selling a portion of stock equal to $35,
Not Sure What to Do? ASDA cannot give advice about buying, selling or holding shares. If you are unsure what to do, you should consult an independent financial advisor.
Computershare Trust Company, NA„ as agent, upon written request wi provide the name of the executing broker dealer associated with the transaclion(s). and within a reasonable amount of lime will efcetose the source and amounl of compensation received from third parties in connection with the Iransaction(s), it any.
Privacy Notice
At Computershare, we late privacy seriously. In the course of providing services to you in connection with employee stock purchase plans, dividend reinvestment plans, direct stock purchase plans and/or direct registratioo services, we receive nonpublic, personal information about you. We receiye INs information through transactions we pertomi for you. from enrollmenl forms, automatic debit forms, and ttnough other corrmunicationE with you in writing, etectronicaDy, and by telephone We may also receive intormation about you by virtue of your transaction with affiliates of Computershare or other parties. This information may include your name, address (resktential and mailing). Social Security number, bank account ntamation. slock owrterahip information and other financial intormation. With respect both to current and former customers, Computershare does not share nonpublic persondinfonTBtiQn with any non iated third-party except as necessary lo process a transaction, servica your account or as required or pemttted by la*. Our affiliates and outside service providers with whom we share informatxin are legally bound not lo disctose the infomialion in any mariner, unless required or pemitted by law or other governmental process. We strive to restrict access to your personal Information to tliose employees who need to know the Wormafion to provide our services lo you Computershare maintains physical, etectronic and procedural safeguards to protect your personal information. Computershare realizes that you entrust us with confidential personal and financial informaton and we take lhal trust very seriously. Nolo. Assets are nol deposis of Ccmpulershare and aw not msumd by the Federal Deposi Insurance Corporation, the Securities /westor Protection Corporation, or any other federal or state agency.
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•WAO-EXCL00040
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Datej
Name of Person Filing Exclusion: Somjai Cannon
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 160 of 273 PageID #: 11861
Somjai Cannon
January 25, 2019
Walmart Securities Settlement Claims Administrator C/O Gilardi & Co, LLC Exclusions 3301 Kerner Blvd San Rafael, CA 94901
Dear Sirs;
I request exclusion from the Class in the Walmart Securities Settlement.
I no longer own Walmart Shares, and do not have the information you requested concerning my purchase and sale of Walmart publicly traded common stock.
Respectfully,
omjai Cann
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 161 of 273 PageID #: 11862
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Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date,)
Name of Person Filing Exclusion: Orlene Kantor
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 163 of 273 PageID #: 11864 3" £019
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Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date)
Name of Person Filing Exclusion: Patricia L Williams
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 166 of 273 PageID #: 11867
February 5, 2019
3301 Kerner Blvd.
San Rafael, CA 9491
EXCLUSIONS
! have reviewed the dividends that were reinvested during the class period. Due to the
insignificant amounts involved, I request exclusion from the class m the Walmart
Securities Settlement.
Patricia Lwimams
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 167 of 273 PageID #: 11868
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Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Datej
Name of Person Filing Exclusion: Terrie Schneemann & Dan Schneemann(JTWROS)(JTTIC)
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 169 of 273 PageID #: 11870
Dan & Terrie Schneemann
February 12, 2019
Walmart Securities Settlement Claims Administrator
c/o Gilardi & Co. LLC
EXCLUSIONS 3301 Kerner Blvd.
San Rafael, CA 94901
RE: Terrie Schneemann and Dan Schneemann (JTWROS) (JT TIC)
Request for EXCLUSION from Settlement Class
To Whom It May Concern;
We, Terrie Schneemann and Dan Schneemann (JTWROS) (JT TIC), wish to be EXCLUDED from the
Settlement Class in CITY OF PONTIAC GENERAL EMPLOYEES' RETIREMENT SYSTEM, Individually and on
Behalf of All Others Similarly Situated vs. WAL-MART STORES, INC., et. at., Case No. 5:12-cv-05162-SOH.
Transactions during the class period Dec. 8, 2011, through April 20, 2012 include the following
purchases:
1/3/12
4/4/12
$60.00/sh
$60.52/sh
$7.56
$8.29
.126 sh @
.137 sh @
Your prompt attention is appreciated.
Sincerely,
>7
/OCM Terrie Schneemann
Dan Schneemann
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 170 of 273 PageID #: 11871
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 171 of 273 PageID #: 11872
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FEB 1 5 2019
IS CENTE
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date^)
Name of Person Filing Exclusion: John M Fitzgerald Norma J Fitzgerald
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 172 of 273 PageID #: 11873
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No. 5:12-cv-05162
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Please T
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 173 of 273 PageID #: 11874
11. H
ow
do
I op
t ou
t of th
e Ctass an
d th
e pro
po
sed S
ettlemen
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To exclude yourself from
the Class and the S
ettlement, you m
ust send a letter by First-C
lass Mail stating that vou "requesi
exclusion from the C
lass in the Watm
art Securities S
ettlementr Y
ou ca/ino
f exclude yourself by telephone or em
ail. Yourle
ttei
must include your purchases, acquisitions, and sales o
f Walm
art pu
blicly traded com
mon stock during the C
lass Period,'includm
c the dates, the num
ber of shares of Walm
art publicly traded comm
on stock purchased, acquired, or sold and price paid
or receivec for each such purchase, acquisition or sale,
fn addition, you must include your n
am
e, address, telephone num
ber, and your signature.
You m
ust submit your exclusion request so that it is p
ostm
arked n
o later th
an M
arch 14, 2019 to;
Walm
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ettlement
Cla
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dministrator
c/o G
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Lead Counsel or the
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m any person o
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documentation sufficient to
prove h
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art publicly traded comm
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 174 of 273 PageID #: 11875
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 175 of 273 PageID #: 11876
*WAO-EXCL00045"
FEB »5 2019
LAIMS CENTF
Exclusion Cover Page
Case Name; Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date,)
Name of Person Filing Exclusion: Clarence H Swanson Jr estate c/o Mark Swanson
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 176 of 273 PageID #: 11877
Clarence HildingSwanson, Jr. estate From
February 12, 2019
Walmart Securities Settlement
Claims Administrator
c/o Gilardi & Co. LLC EXCLUSIONS 3301 Kerner Blvd.
San Rafael, CA 94901
Greetings.
My father, Clarence H. Swanson Jr., passed away on September 29, 2017, and I am the executor
for his wilt. My name is Mark Swanson. I received a letter addressed to my father's living trust
from the Walmart Securities Settlement Claims Administrator, and I am responding to that
letter.
1 hereby request exclusion from the Class in the Walmart Securities Settlement on behaff of my
deceased father. I called the Walmart Shareholders Services Line, and I was informed my father
never held any shares in Walmart during the Class Period.
The fact that I received a letter addressed to my father indicates my father's name is somehow associated with this suit. I am sending this letter to request exclusion from the Ciass to clarify
that my father, Clarence H. Swanson Jr., is not in the Class.
My contact information is: ' Mark Swanson
Sincerely,
Mark Swanson
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 177 of 273 PageID #: 11878
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j^LAIMS CENTER
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Datej
Name of Person Filing Exclusion: Tina Gosling
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 179 of 273 PageID #: 11880
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FEB 1 9 2019
, CLAIMS CENTER
•WAO-EXCL00047*
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date)
Name of Person Filing Exclusion: Ryan Casey
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 182 of 273 PageID #: 11883
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FEB 1 9 2019
CLAIMS CENTER
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date^
Name of Person Filing Exclusion: Vicki Benson
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 185 of 273 PageID #: 11886
February 13.2019
This is my exclusion letter from the
Walmart Securities Settlement:
Altho I own Walmart shares of stock. I did not acquire or sell any during the time period of the lawsuit (Decembers. 2011 -April 20.2012).
Glen, my husband is deceased & he is the one who bought our Walmart stock years ago.
Vicki Benson
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 186 of 273 PageID #: 11887
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 187 of 273 PageID #: 11888
'WAO-EXCL00049-
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.JbtAIMS CEMTER
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Datej
Name of Person Filing Exclusion: Georgian Messens (Dec'd) Melanie Pauch
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 188 of 273 PageID #: 11889
Melanie Pauch
Gilardi & Co. LLC CLAIMS ADMINISTRATOR 3301 Kerner Boulevard San Rafael, CA 94901 ATTN: EXCLUSIONS
RE: City of Pontiac General Employees Retirement System v. Wal-Mart Stores, Inc., et al USDC No. 5:12-cv-05162-SOH
Dear Sir/Madam,
This letter is written pursuant to the Proof of Claim and Release received on or about February 11, 2019.
The purpose of this letter is to request that you exclude the following persons from any settlement negotiations and/or resolution regarding the above-captioned lawsuit:
1. Georgian Messens (deceased 10-23-18) 2. Melanie Pauch
I am not able to provide the dates, number of shares of Wafmart stock or any other information you are seeking. The shares were in an account established by my mother, who is now deceased. I do not wish to pursue this matter any further.
Sincerely,
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Melanie Pauch
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 189 of 273 PageID #: 11890
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 190 of 273 PageID #: 11891
FEB ] 9 2019
CLAIMS CENTER
•WAO-EXCL00050-
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Datej
Name of Person Filing Exclusion: James R Young
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 191 of 273 PageID #: 11892
February 11, 2019
Walmart Securities Settlement Claims Administrator c/o Gilardi & Co. LLC Exclusions 3301 Kerner Blvd. San Rafaei, CA 94901
From: James R. Young
To Whom It May Concern,
I, James R. Young, would like to be EXCLUDED from the class and the settlement by Walmart employees.
I am a stockholder but I do not wish to participate.
Thank you.
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 192 of 273 PageID #: 11893
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 193 of 273 PageID #: 11894
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"WAO-EXCL0005r FEB t 9 2019
CLAIMS CENTER
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Datej
Name of Person Filing Exclusion: Karl R Krotke-Crandall
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 194 of 273 PageID #: 11895
11 February 2019
Walmart Securities Settlement Claims Administrator C/o Gilardi & Co. LLC EXCLUSIONS 3301 Kerner Blvd. San Rafael, CA 94901
Ref: Excluding myself from this class action suit
Dear Sir:
I want to exclude myself from this frivolous lawsuit brought on behalf of the Pontiac General Employees' retirement system.
I believe this claim is totally baseless and hope that it will be thrown-out upon appeal.
Enclosed are verifications of my ownership of Walmart stock.
Sincerely,
iKC
Karl R. Krotke-Crandall
Co: United States District Court Western District of Arkansas Clerk of the Court United States Courthouse 101 South Jackson Av Rm 205 EIDorado, AR 71730
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 195 of 273 PageID #: 11896 Computershare I Walmart %. I Computershare Trust Company, N.A.
PO Box 43080 Providence. Rl 02940-3080
email; [email protected] www.computershare.cQtn/walmart
Associate Stock Purchase Plan Summary Statement
Holder Account Number
OOlC.'Sdlll.Wpvl I I5-5_51'7/|K^3M>/Ii}>i77y
Account Summary January 01,2018 - December 31,2018 for Account
Shares Price Per Share
Market Held Value
Beginning Balance Ending Balance
$98.75 $93,15
$77.52 $37.35
0.785 0.401
Purchases and Additions Payroll Deductions Voluntary Cash Purchases Dividend Reinvestments Plan Transfers and Other Additions
Benefits Provided bv Walmart Walmart Contributions
Number of Transactions
Shares Added
Amount Invested
$1 03 0.010 4
Sales and Deductions
Number of Transactions
Gross Proceeds
Fees and Commissions
Taxes Withheld
Net Shares Proceeds
Share Sales Maintenance Fee Plan Transfers
1 0.394 $35,00 $35,00
Comments Please note you are no longer able to use your SSN/SIN to access your account on the automated phone system. Current associates will need their Walmart Identification Number, which can be found on WalmartOne or the WIRE, or the Computershare Account Number printed above If you no longer work for Walmart you will use your Holder Account Number when calling Computershare. Or, for the easiest way to manage your account, go to www computershare com/walmart
Please save this statement for lax purposes, or access your account over the web.
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 196 of 273 PageID #: 11897
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 197 of 273 PageID #: 11898
FEB i 9 2019 "WAO-EXCL00052*
CLAIMS CENTER
Exclusion Cover Page
Case Name; Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date,)
Name of Person Filing Exclusion: Carol Poe
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 198 of 273 PageID #: 11899
February 12,2019
Walmart Securities Settlement
Claims Administrator
do Gilardi & Co. LLC
EXCLUSIONS
3301 Kerner Blvd.
San Rafael, CA 94901
I, Carol Poe, request exclusion from the Class in the Walmart Securities Settlement.
Share Quantity: 5.30332-Cost Basis: 323.76 - Activity Date: 12/28/2011
Share Quantity: 5.68886 — Cost Basis; 354,70 - Activity Date: 03/30/20X2
Sincerely,
Rl Carol Pot
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 199 of 273 PageID #: 11900
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•WAO-EXCL00053* FEB 1 9 2019
CLAIMS CENTER
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Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Dale)
Name of Person Filing Exclusion: Debra A Kauer
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 201 of 273 PageID #: 11902
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 203 of 273 PageID #: 11904
•WAO-EXCL00054"
FEB ) 9 2013
CLAIMS CENTER
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date;
Name of Person Filing Exclusion: Ticker Tape Investment Club Carol Poe (Secretary)
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 204 of 273 PageID #: 11905
February 12,2019
Walmart Securities Settlement
Claims Administrator
c/o Gilardi & Co, LLC
EXCLUSIONS
3301 Kerner Blvd.
San Rafael, CA 94901
Ticker Tape Investment Club requests exclusion from the Class in the Walmart Securities Settlement
Share Quantity: 0J3931 - Cost Basis; 20.71 - Activity Date: 12/28/2011
Share Quantity: 0.36397 - Cost Basis: 22.69 - Activity Date: 03/30/2012
Sincerely,
/'
c/ Carol Poe, Secretary
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 205 of 273 PageID #: 11906
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 206 of 273 PageID #: 11907
•WAO-EXCL00055*
FEB 11 2019
. CLAWS CENTER
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Datej
Name of Person Filing Exclusion: Sarah Hewitt
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 207 of 273 PageID #: 11908
Miss Sarah Hewitt
Walmart Securities Settlement Claims Administrator c/o Gilardi & Co. LLC EXCLUSIONS 3301 Kerner Blvd. San Rafael CA 94901 USA
I3,h February 2019
RE: Class Action S:l2-cv-05l62-SOH Walmart Securities Settlement
Regarding the above action, please may I request that you exclude me from the Walmart Securities Settlement. I enclose copies of Computershare statements for my Walmart share holdings covering the period December 2011 to April 2012. I hope this is sufficient information to exclude myself.
To confirm, my full details are below:
Name : Miss Sarah Hewitt
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Miss Sarah Hewitt
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 208 of 273 PageID #: 11909I Computershare Walmart 1 Computershare Trust Company, N.A.
PO Ba)( 43080 Providence, RJ 02940-308G Telephone, 0800 923 1515
email: [email protected] www.compuiershare.com/walmart
ASDA Plan Summary Statement
SARAH HEWITT o LU
-t CO -D
Holder Account Number
302 I t I I I I
Account Summary 01 January 2011 - 30 December 2011 for Account
Shares Price Per Share
Market Value Held
S53,93 $59.76
$7904.90 $9219.00
Beg»nning Balance Ending Balance When converted to Pounds Sterling your account has a market value of 5815.35 (See back of statement currency exchange information)
146.577 154.267
Shares Purchases and Additions
Number of Transactions
Amount Invested Added
$176,91 Dividend Reinvestments Plan Transfers and Other Additions
4 3.340
Benefits Provided bv Walmart CSOP Matunty $22889 1 4,350
Number of and Deductions Transactions Sales Gross
Proceeds Taxes
Withheld Net Fees and
Commissions Shares Proceeds Share Sales Plan Transfers
Comments Still getting paper copies of your statements, annual meeting material, and other communications from Computershare? Go to www.computershare.com/walmart and log in to your account. Click on (he "My Details" lab, select "E-Communications"' then agree to the Terms & Conditions to enroll in electronic delivery. Help Walmart's sustainability efforts by eliminating one piece of paper at a lime.
Please save this statement for tax purposes, or access your account over the web
Transaction History From; 01 Jan 2011 To: 30 Dec 2011
Total Shares
Held
Deduction Amount
Total Transaction
Shares
Transaction Amount (S)
Deduction Net Price Per Transaction Description Date
Type Amount ($) Share ($) (£)
01 Jan 2011
03 Jan 2011
04 Apr 2011 06 Jun 2011 08 Aug 2011
Amojnl Received: 140.S1
Balance Forward Dividend Reinveatmenl Dividend Reinveslmenl Dividend Reinvestment
CSOP Matunly Currency: GBP Exchange Rale: 1.627875
146,577 147.267 148136
148.988
153.338
44.34 6.65 Tax 37.69 54.609
52,564
53,944
52.620
0,690 53.75 8.06 Tax 45.69 0,869
8 1 1 Tax 45-96 0,852 54.07
228 90 228.90 4 360
101382.1 _ M All JOVJ-ISMMJJH1)!!
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 209 of 273 PageID #: 11910
W M T
Selling Shares You can sell your shares through Compulershare's aulomaled phone syslem. or by speaking to a Customer Service Representative You can also sell your shares online 31 www.compulershate.coin/walmart.
• To sell your shares over the phone contact Computershare on 0500 890011. listen to the message, then dial 800-438-6278 and iollow the prompts to sell Customer Service Represenlatives are available Monday through Friday. 8:00 am - 6:00 pm CST (2:00 PM - midnight UK time).
• You can also sell online by logging into your account at www comoulershare com/walmarl. Click on the "Sell Shares' link to enter your trade
There are two methods lo choose from when selling your shares through Computershare:
Market Order Trades- Your slock will be sold as soon as your request can reasonably be processed at the market price in effect at that time II the market is dosed when you enter the request, your sale transaction will be processed at the start of the next day thai the slock market is open. There is a S45 (U.S.) fee for selling, plus live cents per share which will De deducted directly from the sales proceeds The charge includes a S15 currency conversion fee to Pound Sterling
Batch Trades- Your slock will nol be sold immediately as described above. Generally, if Computershare receives your request lo sell shares of slock before 1:00 p.m Central Time (7 P.M. UK time) on a business day. your sale (tansaction will lake place on the same day. If your request is received on or after 1 00 P.M. Central Time (7 P M. UK lime) or if your request is made on a day the slock market is nol open, your sale transaction will lake place on the next day that the stock market is open. The sale price for a share of slock sold in this manner will be the average price of all shares of stock sold by Computershare for you and all other ASDA Colleagues on the date of your sale transaction. There is a S35 (U.S.) fee for selling, plus five cents per share which will be deducted directly from the sales proceeds The charge includes a $15 currency conversion fee lo Pound Sterling.
Make sure your account is tax certified to avoid withholding from dividends and sale proceeds. See below for information regarding tax certification.
Tax Certification If you are a permanent resident of any country other than the United Slates, you are required lo complete a W8-BEN. The upper right comer of the reverse indicates if your account is certified. If nol. Computershare is required by the United Stales Internal Revenue Service to withhold 28% from dividends and sale proceeds. You can complete an electronic W8-BEN by logging in lo your account at www.comDutefshare.com/walmarl. You can also conlac! Computershare or the Share Team at ASDA House lo request a paper copy, which will need lo be returned lo Computershare
W8-BEN forms expire every three years. Computershare will mail you a new form during the last quartet of the year in which yout current form is due lo expire Although you will receive a hard copy in the mail you can also tecerlily your account online
Currency Conversion Sale proceeds from the ASDA plan are automalically converted to Pounds Sterling unless otherwise requested The Hinds are typically converted one business day after the sale. The exchange rates displayed in newspapers, online, and other publications are usually intra-bank tales and are nol normally what an individual would receive
The market value of your account in Pounds Sterling shown on the reverse is based on the exchange rate as ol the end ol the statement period The rate used is what an individual would have been eligible lo receive based on the value of their account in US Dollars al thai lime
Voluntary Investments Once you hold shares in the Plan you can make voluntary investments through Computershare The slock purchased will be held in your Plan account Your employer will not make matching contributions to these investments Voluntary investments cannot exceed SI 26,000 USD pet Plan year. All amounts invested through the Plan will be converted from Pounds Sterling to U S dollars prior lo the time the shares of stock are purchased. The exchange rale will be set as of the dale of the wire when the funds are actually converted. For more information please contact Computershare on free phone number 0800 9231515. To obtain a voluntary purchase form, log in to your account at www-comoutershare.com/walmatt Select "Downloadable Forms" from the Company Info lad, then choose "ASDA Voluntary Purchase Fom'
Annual Maintenance Fee If you no longer work for ASDA or ate a spouse of a former Colleague and have a plan account with Computershare, you may maintain yout account and purchase shares without paying a brokerage fee However, you will be charged S35 once a year as a maintenance fee The S35 fee is automatically deducted from your account in the first quarter of each year by selling a portion of slock equal to S35
Not Sure What to Do? ASDA cannot give advice about buying, selling ot holding shares. If you are unsure what to do, you should consult an independent financial advisor
Computershare Trust Company NA. as agent, upon written request, will provide the name of the executing broker dealer associated with the tran5aclion(s). and within a reasonable amount ol lime will disclose the source and amount of compensation received from third parties in connection with the iransaction(s). if any.
Privacy Notice
At Computershare. we take pnvacy seriously. In the course of providing services to you in connection with employee stock purchase plans, dividend reinvestment plans, direct slock purchase plans and/or direct registration services, we receive nonpublic, personal information about you We receive this information through transactions we perform for you, from enrollment forms, automalic debit forms, and Ihtough other communications with you in writing, electronically, and by telephone We may also receive information about you by virtue of your transaction with alBliales of Computershare or other parties. This informalion may include your name, address (residential arid .tiallingi. Sooal Security number, bank account inforraation, stock ownership mlormation and other financial information. With respect both lo current and former customers, Computershare does not share nonpublic personal information with any non-atlilialea third-party except as necessary to process a transaction, service your account or as required or permitted by law Our affiliates and outside service providers with whom we share information are legally bound nol to disdose the information in any manner, unless required or permitted by law or other governmental process. We strive lo teslncl access lo your personal informalion lo those employees who need to know the informafon to provide our services lo you. Computershare maintains physical, electronic and procedural safeguards lo protect your personal informalion. Computershare realizes that you entrust us with confidential personal and financial informalion and we take that tmsl very seriously.
Wole Assets are nol aeposls of Cowpulershsre and are nol insured by Ihe Federal Deposil Insurance Corporation. Ihe Securt/es Investor Protection Corporation, or any other federal or state agency.
00YCKA(2)
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 210 of 273 PageID #: 11911I Computershare Walmart Computershare Trust CampariY. N.A.
PO Box 43080 Providence, Rl 02940-3080 Telephone; 0800 923 1515
email: walmart@computershare,com www,computershare.com/walmart
ASDA Plan Transaction Details
SARAH HEWITT
Holder Account Number
Transaction History (cont.) From: 01 Jan 2011 To: 30 Dec 2011
Deduction Amount
Total Transaction
Shares
Total Transaction Amount ($)
Deduction Net Price Per Transaction Description Date Shares Held Type Amount ($) Share ($) ($)
06 Sep 2011 (cont.) Dividend Reinvestmenl 55.97 8.40 Tax 51.202 47,57 0.929 154.267
102382 _ I _M A IL/0>J-I89/I M 2SWI
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 211 of 273 PageID #: 11912I Computershare Walmart K
I Computershare Trust Company. N.A PO Box 43080 AS DA Plan
Providence, Rl 02940-3080 Teteptione: 0800 923 1515
Summary Statement
email: [email protected] www computershare.com/walmart
3 -c t-1
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Holder Account Number
136 II II II
Account Summary 01 January 2012 - 31 December 2012 for Account
Market Shares Price Per Share Value Held
$9219.00 $22874.72
When converted to Pounds Sterling your account has a market value of 13793.46 (See back of statement currency exchange information)
$59.76 $68.23
Beginning Balance Ending Balance
154.267 335.259
Amount Invested
Number of Transactions
Shares Purchases and Additions Added
$336.23 $11249.00
4,992 Dividend Reinvestments Plan Transfers and Other Additions
5 1 266,000
Net Number of Transactions
Gross Proceeds
Fees and Commissions
Taxes Withheld
Sales and Deductions Proceeds Shares
$6637.50 90.000 56687,00 $49.50 Share Sales Plan Transfers
1
Comments Still getting paper copies of your statements, annual meeting material, and other communications from Computershare? Go to www.computershare.com/walmart and log in to your account, Click on the "My Details'" tab, select "E-Communications" then agree to the Terms & Conditions to enroll in electronic delivery. Help Walmart's sustainability efforts by eliminating one piece of paper at a time.
Please save this statement for tax purposes, or access your account over the web.
Transaction History From: 01 Jan 2012 To: 31 Dec 2012
Total Shares
Total Transaction
Shares
Deduction Amount Deduction Net Price Per
Type Amount {$) I Share ($) Transaction
Transaction Description Date Amount ($) Held ($)
154.267
154.916
155 631
155,289
422 269
Balance Forward
Dividend Reinveslment
Dividend Reinvestment
Dividend Reinvestment Sharesave Distribution
Currency: GBP I
Dividend Reinvestment
01 Jan 2012
03 Jan 2012
04 Apr 2012
04 Jun2012
06 Jun 2012 AnWUnl Received: 7,301.70
04 Sep 2012
27 Sep 2012
Tax 39.42 60.785
60.253
65.765
42.289
0.649 56,31 16 89 18.47 Tax 43.11 0715 61 58
61 86 18.56 Tax 43 30 0 658
266.000 11.249.00
Exchange Rale 1.540600
167 86
6,637 00
11,248.96
1,602 423,891 333,891
50.36 Tax 117 50
6,637 50
73,339
74,300 •90,000 Sale 15.00 Foreign currency
34.50 Transaction Fee
I0S7O-I .'_MAIL/034 |52y(^3:7
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 212 of 273 PageID #: 11913
W M T
Selling Shares You can sell your shares through Compulershare's aulomsled phone system, or by speaking to a Customer Service Represenlalive You can also sell your shares online at wvw.comDulershare.com/walmarl
• To sell your shares over the phone conlact Compulershare on 0500 8900 11, listen to the message, then dial 800-438-6278 and follow Ihe prompts to sell Customer Service Representatives are available Monday through Friday. 8:00 am - 6 00 pm GST (2:00 PM - midnight UK lime).
- You can also sell online by logging into your account at wvwcompulershare.com/walman. Click on Ihe "Sell Shares" link to enter your trade
There are two methods to choose from when selling your shares through Compulershare:
Market Order Trades- Your stock will be sold as soon as your request can reasonably be processed at the market price in effect at that lime. If the market is closed when you enter Ihe requesl, your sale transaction will be processed at the start of the nexl day that the stock market is open. There is a S45 (U.S.) (ee lor selling, plus five cents per share which will be deducted directly from Ihe sales proceeds The charge includes a S15 currency conversion fee to Pound Sterling
Batch Trades- Your stock will not be sold Immediately as described above. Generally, if Compulershare receives your request to sell shares of stock before 1:00 p.m Central Time (7 PM, UK time) on a business day, your sale Iransaclion will take place on Ihe same day. If your request is received on or after 1 00 PM. Central Time (7 PM. UK time) or if your requesl is made on a day Ihe slock market is not open, your sale Iransaclion will lake place on Ihe next day that the slock market is open. The sale price lot a share of stock sold in this manner will be Ihe average price of all shares of slock sold by Compulershare for you and all other ASDA Colleagues on the date of your sale transaction. There is a $35 (U.S.) fee for selling, plus live cents per share which will be deducted ditecliy from the sales proceeds The charge includes a SIS cuirency conversion fee to Pound Sterling
Make sure your account is tax certified to avoid withholding from dividends and sale proceeds. See below for Information regarding tax certification.
Tax Certification
If you are a permanent resident of any counlry other than the United Stales, you are required to complete a W8-BEN. The upper right corner of Ihe reverse indicates if your account is certified, If not, Compulershare is required by the United States Internal Revenue Service to withhold 28% from dividends and sale proceeds. You can complete an electronic W8-BEN by logging in to your account at www.comoulershare.corn/walmart. You can also contact Compulershare or Ihe Share Team at ASDA House to request a paper copy, which will need to be relumed to Compulershare.
W8-BEN forms expire every three years, Compulershare will mail you a new form dunng Ihe last quarter of the year in which your current form is due to expire Although you will receiue a hard copy in the mail you can also recertify your account online
Currency Conversion Sale proceeds from the ASDA plan are automatically converted to Pounds Sterling unless otherwise requested The funds are typically converted one business day after the sale. The exchange rales displayed in newspapers, online, and other publications are usually inlra-bank rales and are not nmmally what an individual would receive.
The market value of your account in Pounds Sterling shown on Ihe reverse is based on the exchange rate as of Ihe end ol the statement period The rale used is what an individual would have been eligible to receive based on the value of their account in US Dollars at that time
Voluntary Investments Once you hold shares in the Plan you can make voluntary investments through Compulershare The slock purchased will be held in your Plan account Your employer will not make matching contributions to these investments Voluntary investments cannot exceed S125.000 USD per Plan year. All amounts invested through the Plan will be converted from Pounds Sterling to U S dollars prior to the time the shares of stock are purchased. The exchange rate will be set as of Ihe dale of Ihe wire when the funds are actually converted. For more information please conlact Compulershare on free phone number 0800 9231515. To obtain a voluntary purchase form, log in to your account at www compulershare com/walmart Select "Downloadable Forms" from the Company Info lab then choose "ASDA Voluntary Purchase Form'
Annual Maintenance Fee If you no longer work for ASDA or ate a spouse of a former Colleague and have a plan account wilh Compulershare, you may maintain your account and purchase shares wilhoui paying a brokerage fee However, you will be charged $35 once a year as a maintenance lee The $35 fee is automatically deducted from your account in Ihe firsl quarter of each year by selling a portion of stock equal to $35
Not Sure What to Do? ASDA cannot give advice about buying, selling or holding shares, if you are unsure what to do, you should consult an independent financial advisor
Compulershare Trust Company N,A as agent, upon written requesl, will provide Ihe name of the executing broker dealer associated wilh the transaction(s). and within a reasonable amount of lime will disclose the source and amount of compensation received from Ihird parties in connection with Ihe Iransaclion(s). if any.
Privacy Notice
At Compulershare, we take privacy seriously. In Ihe course ol providing services to you in connection with employee slock purchase plans, dividend renvestment plans, direct slock purchase plans andior direct registration services, we receive nonpuBlic, personal information about you. We receive this informalion through transactions we perform for you, from enrollment forms, aulomalic debit forms, and through other communications with you in wriling, electronically, and by telephone. We may also receive information about you by virtue of your transaction with affiliates of Compulershare or other parties This information may iijJude your name, address (residential and mailing!, Socia1 Secunty number, bank account nlomialiM, slock ownership informalion ai-d other financial informalion, Wilh respect both lo current and iornier customers. Computersnare does not share nonpublic personal information wilh any non-afiilialed thiro-party except as necessary to process a Iransaclion, service your account or as required or permllled by law Our affiliates and outside service providers wilh whom we share information are legally bound not to disclose Ihe informalion in any manner, unless required or permitted by law or other governmental process. We strive lo reslncl access lo your personal informalion lo those employees who need lo know the informalron lo provide our services to you Compulershare maintains physical, elecitonic and procedural safeguards to protect your personal information Compulershare realizes that you entrust us wilh confidenlial personal and financial information and we take lhat trust very seriously.
Note Assets are nol Oeposils of Compulershait and are not insured by the Federal Depos't Insurance Corporalion. Ihe Secunlies Inve-slor Prolecllon Corporation, or any other federal or stale agency-
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 213 of 273 PageID #: 11914t Computershare Walmart •
Computershare Trust Company, N.A. PO Box 43080
Providence, Rl 02940-3080 Telephone: 0800 923 1515
email; walmartcScomputershare.com www.computershare.com/walmari
AS DA Plan Transaction Details
SARAH HEWITT
Holder Account Number
Transaction History (cont.) From: 01 Jan 2012 To: 31 Dec 2012
Deduction Amount
Total cu Transaction Share (J) Shares
Total Transaction Deduction Net Price Per Date Transaction Description Shares Held Amount ($) Type Amount ($) ($)
27 Dec 2012 (cont.) Dividend Reinvestment 13272 39.82 Tax 92.90 67.905 1.368 335 259
IIIH7IU .>_M A117034152/043328/1
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 214 of 273 PageID #: 11915
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CtAIMS CENTER
'WAO-EXCL00056" l:llll.li
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Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Datej
Name of Person Filing Exclusion: Kathy Harding
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 216 of 273 PageID #: 11917
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 217 of 273 PageID #: 11918
(f omputershare Employee Online
Account Summary WALMART INC
ASSOCIATE STOCK PURCHASE PLAN
Show Me
O For the Year
® Date Range 07 From Dec ^ 2011
20 To Apr ^ 2012 v
Search »
Below is the summary of your plan activity for the date range selected. To request a different date range or view a
YTD summary, please make your selection above. All currency amounts shown represent US dollars.
Account Summary
Description Share Held Price Per Share Market Value
Beginning Balance
Ending Balance
Purchases and
Additional Shares
0.027000 58.51 1.57
0.219000 62 45 13.68
Number of Transactions Shares Added Amount Invested
Payroll Deductions
Voluntary Cash Purchases
Dividend Reinvestments
1 0.167000 10.00
2 0.02
Plan Transfers and
Other Additions
Benefits Provided by Walmart
Walmart Contributions 1 0 025000 1.50
Number of
Transactions
Gross
Proceeds
Fees and
Commissions
Taxes
Withheld Proceeds
Net Sales and Deductions Shares
Share Sales
Plan Transfers
Market Data Provider
Copyright© 1996-2019 Comoutershare Limiled All ngliis reserved
Terms and Conditions | Privacy | Accessibililv
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 218 of 273 PageID #: 11919
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 219 of 273 PageID #: 11920
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CLAIMS CENTER
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Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date)
Name of Person Filing Exclusion: John Siegwarth
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 220 of 273 PageID #: 11921
John Siegwarth
ebmary i /,
Walmart Securities Settlement Claims Administrator c/o Gilardi & Co LLC EXCLUSIONS 3301 KemerBlvd San Rafael CA 94901
I wish to EXCLUDE myself from this Class Action law suit:
If you have any questions please contact me.
Sincerely,
/
m iohn Siegwarth
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 221 of 273 PageID #: 11922
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 222 of 273 PageID #: 11923
"WAO-EXCL00058"
-my ; FEB 2 5 2019
CLAIMS CENTER J
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code; WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date,)
Name of Person Filing Exclusion: David Clarke Freeman
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 223 of 273 PageID #: 11924
I David Clarke Freeman request exclusion from the Class in the Walmart Securities Settlement.
David Clarke Freeman
02/17/2019
1
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 224 of 273 PageID #: 11925
*1
Computershare ' I #• Walmart * i Computershare Trust Company, N.A, PO Box 43080
Providence, Rl 02940-3080 Telephore BOO 438 B279
email; walmart<a)computershate.com www.compuTersharexom/walmart
Associate Stock Purchase Plan Summary Statement
IMPORTANT TAX RETURN DOCUMENT ENCLOSED
D B b 7 D Q lAVII
Holder Account Number
Your account is uncemTied Taxes will b& withheld from sale proceeds and dividend paymenlis.
ll'JlCS()l03_ltl,S.IL.WMT 3l2SfM_3RR'02ft30fl,lO?«i%S
Account Summary 01 January 2011 - 30 December 2011 for Account]
Shares Price Per Share
Market Value Held
$53.93 $59.76
When converted to Canadian Dollars your account has a market value of 371.59 (See back of statement currency exchange information)
Beginning Balance Ending Balance
0.623 $33,60 $372.78 6.238
Purchases and Additions
Number of Transactions
Shares Amount Invested Added
Payroll Deductions Voluntary Cash Purchases Dividend Reinvestments Plan Transfers and Other Additions
Bgpefits Provided t?Y Walmart Walmart Contributions.
26 $263.09 4.838
$2.81 4 0.053
26 0 724 $3947
Sales Number of and Deductions Transactions Share Sales — Plan Transfers —
Taxes Gross Proceeds
Fees and Commissions
Net Shares Withheld Proceeds
Comments Still getting paper copies of your statements, annual meeting material, and other communications from Computershare? Go to www.computershare.com/walmarl and log in to your account. Click on the "My Details" tab, select "E-Communlcations" then agree io the Terms & Conditions to enroll in electronic delivery. Help Walmaii's sustainability efforts by eliminating one piece of paper at a time. ' ' "
Please save this statement for tax purposes, or access your account over the web.
+ 1 8 9 U D R WM T
OOSHOA
Holder Name: DAVID C FREEMAN Optional Cash Purchase Please detach this portion and mail to the address shown below.
If you wish to make an optional cash purchase at this lime, please make your check payable to Computershare. No third party checks will be accepted. Funds must be presented in SUS dollars. Please write your Holder Account Number and the Company Name on your check,
This foim should ONLY be used for WaS-Mart Stores, Inc. Associate Stock Purchase Plan The enclosed conlribuiion will ONLY be applied lo the account referenced to the right.
Holder Account Number
IND
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 225 of 273 PageID #: 11926 Holder Acco jnl Numbor
*
li
Your account is uncertified. Taxes will be withheld from sale pioceeds and dividend payments
Transaction History From: 01 Jan 2011 To: 30 Dec 2011
Transaction i ! Deduction Total Total
Shares Net Price Per
Share ($} Transaction Transaction Description Date
Amount {$) Type i Amount ($) (5) Held Shares
Balance Forvrard Dividend Reinveslmeni
Payroll Deduction Company Conlnbulion
Payroll Deduction Company Conlnbulion
Payroll Deduci'On Company Coniribulion
Payroll Deduction Company Conlnbulion
Payroll Dedurlion
Company Coniribulion Payroll Deduclion
Company Coniribulion Payroll Deduclion
Company Coniribulion Dividend Remveslmeni
Payroll Deduclion Company Conlnbulion
Payroll Deduchon Company Conlnbulion
Payroll Deduclion Company Conlnbulion
Payroll Deduclion Company Conlnbulion
Dividend Reinveslmeni Payroll Deduclion
Company Conlnbulion Payroll Deduction
Company Conlnbulion Payroll Deduclion
Company Conlnbulion Payroll Deduction
Company Contribution Paymll Deduclton
Company Coniribulion Payroll Deduclion
Company Coniribulion Payroll Deduclion
Company Coniribulion Dividend Reinveslmeni
Payroll Deduclion Company Conlnbulion
Payroll Deduction Company Coniribulion
Payroll Deduclion
Company Coniribulion Payroll Deduction
Company Conlnbulion Payroll Deduclion
Company Conlnbulion Payroll Deduclion
Company Coniribulion Psyro'J Deduction
Company Conlnbution
0623 01 Jan 2011 03 Jan 2011 04 Jan 2011 04 Jan 2011 18 Jan 2011 18 Jan 2011 01 Feb 2011 01 Feb 2011 15 Feb 2011 15 Feb 2011 01 Mar 2011 01 Mar 2011 15 Mar 2011 15 Mar 2011
29 Mar 20 H 29 Mar 2011
CM Apr 2011
12 Apr 2011 12 Apr 2011 26 Apr 2011 26 Apr 2011 10 May 2011 10 May 2011 25 May 2011 25 May 2011
06 Jun 2011 07 Jun 2011 07 Jun 2011
21 Jun 2011 21 Jun 2011 05 Jul 2011 05 Jul 2011 19 Jul 2011 19 Jul 2011 02 Aug 2011 02 Aug 2011 16 Aug 2011
16 Aug 2011 30 Aug 2011 30 Aug 2011
06 Sep 2011 13 Sep 2011 13 Sep 2011 27 Sep 2011 2? Sep 2011 12 Ocl2011 12 Oct 2011 25 Oct 2011 25 0cl 2011 08 Nov 2011 08 Nov 2011
22 Nov 2011 22 Nov 2011 06 Dec 2011 06 Dec 2011
002 fa* 013 0.11 54 609 54 736 54 736 55 259 55259 56 281 56 281 54.904 54 904 52270 52 270 52097
52 097
52 238 52 238 52 564
53.617 53 517 53 894 53 894 55 365 55 3S5
54 523 54.523 53 944 54 150
54150
53.030 53,030 53446
53.446
53 766 53.766 52.100 52,100 52.001
52.001 52882 52.882 51.202 51,489 51489 52,407 52,407 55.737 55737 56.911 56911 58.890 58 890 56 824 56 824 58 688 58 688
0.002 0.625 10 04 10 04 0183 0 808 151 151 0028 0836
1011 0.183 1019 10,11 152 152 0028 1 047
9.98 9.98 0177 1 224 150 150 0.027 1.251
1012 1 435 1012 0.184 152 0028 1 52 1 463
0.197 1 660 10 28 10 28
154 1 54 0029 1689
1012 10.12 0.194 1883 152 1.52 0.029 1912
10 24 1024 0.196 2103 1.54 154 0029 2137
009 Tax 2.147 0 6 2 0.53 0.010 10,42 10,42 0.195 2 342 156 1.56 0.029 1371
10 48 10.48 2.565 0.194 157 1.57 2.594 0.029
1042 10.42 0.188 2.782 I 56 1.56 0.028 2 810
10 24 10.24 0,188 2,998 154 1.54 0,028 3.026
0.1$ 103 fa* 0.88 0.016 3 042 0.189 3.231 10 25 10.25
1.54 0028 3,259 1.54 10.25 10,25 0.193 3.452
3.481 154 1.54 0.029 3.676 10.40 10.40 0195
1.56 1.56 0 029 3.705
10,53 10,53 0196 3,901 1.58 1.58 0029 3.930
10 42 0,200 4.130 10.42 1.56 1.56 0030 4.160
10.18 1018 0196 4.356 4,385 1,53 1,53 0029
10,21 4,578 10.21 0 193 1.53 1.53 0029 4.607
0 23 rax 1.52 1.29 0025 4.632 10.09 0.196 4.628 10.09
1.51 151 0029 4.857 9.81 0,187 5.044 9.81 1.47 1.47 0028 5.072 969 0,174 5.246 9.69
5,272 1.45 1.45 0 026 0172 5.444 9,80 9.80
0.026 1.47 5.470 1,47
966 5.637 9,as 0167 1.48 1.48 0 025 5.662 9.63 5.831 963 0169 1.44 5856 144 0025 9.81 9 81 0 167 6.023 1.47 147 0 025 6048
UOICSIII Di.nreJL.WM r 21J8lir0267MWmM6
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 226 of 273 PageID #: 11927
Transaction History (cont.) From; ouan 2011 To: 30 Dec 2011
Total Transaction
Shares
Total Shares
Held
Deduction Amount
Net | Price Per
Type I Amount ($) I Share ($) Transaction Amount ($)
Deduction Date Transaction Description
($)
6.213 0165 58.963 58.963
9.71 9.71 20 Dec 2011 20 Dec 2011
Payroll Deduction Company Contribulion
(conl.) 6.238 0.025 1.46 1.46
*
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 227 of 273 PageID #: 11928 Computershare ^ I Walmart %. • i Computershare Trusl Company, N.A.
PO Box«0B0 Providence, Rl 07940-3060
Telephone: 800 438 6Z78 email [email protected]
www.computershare.com/wplmart
Associate Stock Purchase Plan Summary Statement
• 23=103 = GROUPJ^INFO—
DAVID C FREEMAN
Holder Account Number
II
Your accounl is uncertified. Taxes will be withheld from sale proceeds and dividend payments.
r . i r r s M i i i i _ , r , i i U M I • • •M-N.J
Account Summary 01 January 2012 - 29 June 2012 for Account
Shares Held
Price Per Share
Market Value
Beginning Balance Ending Balance
When converted to Canadian Dollars your account has a market value of 611.61 (See back of statement currency exchange information)
S59.76 $69.72
6 238 S372.78 S611.24 8.767
Purchases and Additions
Number of Transactions
Shares Added
Amount Invested
Payroll Deductions Voluntary Cash Purchases
13 S'29 2S 2.110
Dividend Reinvestments Plan Transfers and Olher Additions
S6 30 3 0.101
~ Walmart ContrlbatioTis 0.318 13 $19.39
Sales and Deductions Share Sa'es Plan Transfers
Number of Transactions
Fees and Commissions
Taxes Withheld
Gross Proceeds
Net Shares Proceeds
Comments Still getting paper copies of your statements, annual meeting material, and other communicalions from Computershare? Go to www.computershare.com/walmart and log in to your account. Click on the 'My Details" tab, select "E-Communications" then agree to the Terms & Conditions to enroll in electronic delivery. Help Walmart's sustamability efforts by eliminating one piece of paper at a time.
Please save this statement for tax purposes, or access your accounl over the web.
+ 1 8 9 U D R WM T
OCSHOJ
Holder Name: DAVID C FREEMAN Optional Cash Purchase Please detach this portion and mail to the address shown below.
If you wish to make an optional cash purchase at this time, please make your check payable to Computershare. No third party checks will be accepted. Funds must be presented in SUS dollars. Please write your Holder Accounl Mumber and the Company Name on your check.
This lorm should ONLY be used for Wal-Marl Stores, Inc. Associate Slock Purchase Plan The enclosed contribution will ONLY be applied to the account referenced lo (he right
Holder Account Number
IND
1
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 228 of 273 PageID #: 11929I Computershare Walmart -'iH. 1 CompmetshareTiusi Company, N A
PO Box <13080 Piovidrace. HI 02940 3080 leleplibne: 800 438 6278
email: walmarl@computersh<ire.com www.compuietshaie.com/walmait
Associate Stock Purchase Plan Tfansaclton Details
DAVID C FREEMAN
Holder Account Number
Your accGunl is uncertified. Taxes will be wrthhsld from sale promcb and dividend paymonls.
Transaction History From: 01 Jan 2012 To; 29 Jun 2012
Deduclion Amounf
Total Transaction
Shares
Total Shares
Transaction Deduction Type
Net Price Per Amount {$) 1 Share ($)
Date Transaction Description Amount (S) (5) Held
01 J0n2Oi2 03 Jan 2012 03 Jan 2012 03 Jan 2012 17 Jais 2012 »7 Jan 2012 3: Jan 2012 3'. JB-ZD.E 14 Feb 2012 14 Fee 2012 28 Feb2012 28 FeblOli 13 Mat 2012 13 Ua'2012 2B MB- 2012 23 Va- 2052 W V2&12 10 Ac-2012 10 A? 2012 24 Acf 20'2 24 Ap-2012 08 May 2012 OB May 2012 22 May 2012 22 May 2012 04 Jun 2012
05 Jun 2012 OS Jun 2012 19 Jun 2012 19 Jun 2012
Balance Forward Dividend Retnveslmenl
Payroll Deduclion Company Conifibulion
PayToll Deduction Canpany Conlributlon
Pawoli DeSiJctian. Cwroan) Cdnlribubon
Payroll Oeductor, Company ContriDutKjn
PsyroS Osduction Company Conlribulion
Payroil Deduclion Company Ceniri&L'tion
PayTi4 DedcJctiof Company ComribUOor!
Reiri.eiimeni Fgyrpl DeiJ-CUOn
Company Ccninbubon Payroll Oeducljon
Company Conlribulion Payroll Deduclion
Company Conliibution Payroll Deduclion
Company Conlribulion Dividend Reinveslmenl
Payroll Deduclion Company Conlribulion
Payroll DeOuOior) Company Conlribufofi
6238 221 0 33 "a* 188 BO'BS
60 613 60B13 59 5?85S 60 e?c »8&j 52 024 52024 S&KC 5B,e02 60 791
60 791 gi
61 BO 253 60 033 60 033 58 327 SB,327 58,918
58.9 IS 63,603 63.603 65 765 65.734 65.734 67.936 67.036
D C3- 6 26J 991 591 0163 6 432 1.49 us 0 025 6 457
5.35 9,85 D 165 6 622 1.46 • 4g :GZ5 56J7 9.97 tC7 v 'S i £ £ * 1 1 50 ' 5: C 025 6 83r 999 B5S 0161 6 597 1.50 1,50 0.024 7021
10,03 10.03 0171 7.192 1.50 1.50 0026 7218
7 3S4 7405 T5" 75M
10 03 10,08 0.166 1.51 ' 5i C 025
1006 2 1&1 •OK 1 51 '51 0025
DQ3J 0167
2 57 ceo Tai 207 10.0* 100" 7795 1,» 1 so 0,025 7 824
10.09 10.09 0.173 7 997 1,51 151 0.026 8 023
IOOO 10,00 0.170 8193 1.50 150 0.025 8218 982 982 0154 8372 1 47 1,47 0.023 8.395 3.27 0.92 Tax 2,35 0.036 8.431 964 9.64 0.147 8,578 1,45 145 0 022 8600 9.83 9B3 0.145 8.745 I 147 147 0.022 8.757
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 229 of 273 PageID #: 11930
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 230 of 273 PageID #: 11931
•WAO-EXCL00059
' (VT*
L FEB 2 5 2019
CLAIMS CENTER
L
5
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date,)
Name of Person Filing Exclusion: Le Phung
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 231 of 273 PageID #: 11932
Le Phung
Walmart Securities Settlement Claims Administrator c/o Gilardi & Co. LLC EXCLUSIONS 3301 Kerner Blvd. San Rafael CA 94901 USA
15,h February 2019
RE: Class Action 5:12-cv-05162-SOH Walmart Securities Settlement
Regarding the above action, I writing to inform you that I would like to opt out from the Walmart Securities Settlement. I enclose copies of Computershare statements for my Walmart share holdings covering the period December 2011 to April 2012. I hope this is sufficient information to exclude myself.
To confirm, my full details are below:
Name: Le Phung
Yours Sincerely
Le Phung
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 232 of 273 PageID #: 11933
I Computershare * Walmart s. I Computershare Trust Company. NA
PO Box 43000 Providence, Rl 02940-3080 Telephone: 0800923 1515
email: [email protected] www.computershate.com/walmart
ASDA Plan Summary Statement
LE PHUNG a Ln
Ln
Holder Account Number
9999<1
Account Summary 01 January 2011 - 30 December 2011 for Account
Shares Price Per Share
Market Value Held
$53.93 $59,76
$500.52 $888,45
Beginning Balance Ending Balance
When converted to Pounds Sterling your account has a market value of 560.43 (See back of statement currency exchange information)
9.281 14.867
Number of Transactions
Shares Amount Invested
Purchases and Additions Added
$12.77 0,242 Dividend Reinvestments Plan Transfers and Other Additions
4
Benefits Provided by Walmart $28120 1 5 344 CSOP Maturity
Net Gross Proceeds
Fees and Commissions
Taxes Withheld
Sales and Deductions
Number of Transactions Shares Proceeds
Share Sales Ptan Transfers
Comments Still getting paper copies of your statements, annual meeting material, and other communications from Computershare? Go to www.computershare.com/walmar1 and log in to your account. Click on the "My Details" tab, select "E-Communications" then agree to the Terms & Conditions to enroll in electronic delivery. Help Walmart's sustainability efforts by eliminating one piece of paper at a time.
Please save this statement for tax purposes, or access your account over the web.
Transaction History From: 01 Jan 2011 To: 30 Dec 2011
Total Transaction
Shares
Tot Deduction Amount
Transaction Amount ($)
Deduction Type Amount |$)
Net Price Per Share ($)
Shart Transaction Description Date He (5)
Balance Fofward Dividend Reinvestment Dividend Reinvestment Dividend Reinvestment
CSOP Matunty Currency GBP Exchange Rale: 1.627875
9,z; 01 Jan 2011
03 Jan 2011 04 Apr 2011 06 Jun 2011 08 Aug 2011
Amount Received: 172.75
9,3: 2.81 0.42 Tax 2.39 54.609 52.564 53.944 52,620
0.044 9.3i Tax 2,99 0.055 3.40 0.51
0.51 Tax 2,91 0.054 9.4: 142 261.22 5,344 I4J-281.22
•KHCSOIOS RPSD S4,WMT.002J 14 JW'flJI?ISliTUWI
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 233 of 273 PageID #: 11934
W M T
Selling Shares You can sell your shares ttirough Coripulershare's aulomaled phone syslen. or by soeaking to a Cuslcmer Service Reuresenlalive You can also sell your shares onli ai www cOTputetygre SBifiBlBafl-
To sen your shares over the phone contact Compulershare on 0500 8900 11. islen lo Ihe iressage. ihen dial 800-438^278 and lollow the pranpls to set Cuslcmer Service Recresenlatu are available MooOay through Friday 8 00 am - 6 00 pm CST (2:00 PM - trwlnghl UK limel
There are two melhods to choose trcm when selling your shares through Computershate:
Martret Order Trades- Your stock wil be sold as soon as your request can reasonably be processed at the marltet price in effect at that lime II Ihe maitet is closed wnen you enter Ihe requesi, your i.
nansacSwi will be process^ al the start of Hie nc«l day that the stock market is open There is a S45 (U.S.) tee for seing, ptus fve cents per share which wil be oeducttd tSrecHy Vom the sales procee-The charge includes a $15 currency conversion (ae lo Pound Sterling
Batch Trades- Vour slot* will not be sod immedialeiy as described above Generally, it Computershate receives your request to sell shares ot slack Cefere 1:00 p.m Central Time (7 PM UK I»TB) OI busmess day, your sale transadior wfll take place on the same day. It your request is received on or al'£r t 00 PM Central Time (7 PM UK time) or if your request is made on a day the stock marke not open your sale iransacton wil take place on Ihe next day that Ihe slock market is open The sale price tor a share of stock solo m this manner will be Ihe average price of all shares o' stock sold Computershare tor you aiM all other ASOA Co leagues on ihe dale o* your sale 'jansadon There is a $35 (U S | fee for sefcng, plus 6ve cents per share wheh wil be decucted (ttecty from the sales procee
Tte charge kidudes a $15 currency conversion lee to Pound Sterling
Make sure your account is tai certified to avoid withholding from dividends and sale proceeds. See below lor mlormatton regarding lai certlficalion.
Ta» Certification If you aie a permanent resident of any country other than the United States you are required to complete a W8-BEN The uppsr nght comer of the reverse iTdicates if your account is cerafied. If n Compuleishare is required by the Urnted Stales Intern Revenue Service to withhold 28% from dividencs and sale proceeds You can coroplele an eleOromc W8-BEN by logging in to youi accounl
www.comoulershare.com'walmart. You can also contact Computeishare or the Share Team at ASDA House to request a paper copy which will need to be relumed to Computershate.
W8-BEN torms expire every three years. Computershare wil mail you a new form durrg me last quarter of the year in which your aitrent form is due to expire Although you will receive a hard copy m I
mail you can also recertify your account online
Currency Conversion Sale proceeds from the ASOA plan are automatically converted :o Pounds Sterling unless other*-se -equesled Ihe funds ate typically converted one busness day after the sale. The exchange rales display in newspapers, online, and other publications are usually inlra-bank rates and ate not nonraty what an individual would receive.
The market value of your accounl in Pounds Sterling shown on the reverse is based on the exchange rate as of the end of Ihe statement penod The rate used B what an individual would have been eligi
to receive based on the value of Iheir account in US Dollars at that time
Voluntary Investments Once you hold shares in the Plan you can make voluntary investments through Computershate The stock purchased will oe nek) m your Plan acccum Your employer will nol make matdwig conlnbuK to these Investments. Voluntary investments cannot exceed 5125.000 USD per Plan year. All amounts invested through the P'ai will be converted from Pounds Sterling to U S ddlats pricr lo the time I shares of slock are purchased- The exchange rale w# be set as of the dale of Ihe wire when the lunds ate actually converted For mote mtotmaticn please contact Compulershare on free phene numl
0800 9231516. Purchase Form1
Selecl Downloadable Forms" from the Company Info lab. then choose 'ASDA Votuni
Annual Maintenance Fee II you no longer woik for ASDA ot are a spouse of a former Colleague and have a plan account with Computershare, you may maintain your account and purchase snares wiinoul paying a brokerage li However, you wil be charged S35 once a year as a manlenance fee The $35 lee is automatically deducted from your account m the first quarter of each year by seing a pcrton of slock equal to $35
Not Sure What lo Do? ASDA cannot give advice about buying, seliirg or holding shares, il you are unsure what to do. you should consul! an independent financial advisor
Corrputershare Tiusl Company, NA as agsnl, upon written request, will provide the name of the executing broker dealet associated with the Iransaclionlsl and within a reasonable amount of Ime • disclose the source and amount of compensation received from third patties m connection with Ihe transactiorls), if any
Privacy Notice
At Cotnputersnare, we lake privacy seriously- m the course ol ptovidmg services lo you m cotmeclKin with employee stock purchase pians, dividend reinvest me ni plans area skx* pura-ase plans andior direct regslralon services, we receive nonpublic personal infomulion about you We receive this irtomialon through transactions we perfomi lot you, from anroHmeii fotms, aulomalc detut forms, and through other commuiKaCons wrji you in writing- eearonicaily, and by telepnone We may also receive mlormation atoul you by virtue ol your transaction with affiiiaies ol Compulershare or other parties Tha mtomialion may inCude your name, address (residential and mai'ingj, Sooal Secunty number, bank acaxint mlormaton, sloe* ownership Inlotmalion and other linsnoa mlomiation. With respect Both lo current and totmer customer Compulershare does not share nonpubic personal mfermaoon with any non-altiliaied third-paly except as necessary to process a transacton serve* your account or as requred 0- perrvtled by aw Our aSkales ai outside service providers with whom we share infarmation are legally Coind not to disOose the mfatnialion o any manner, unless requeed or perrmtied oy law ot odier governmental process We slnve to lestrd access lo you- personal mtomialion to those employees who need to know the mlotmaiion to provide out sennces lo you Compulershare maintains physical, eiectronc and procedural safeguards lo protect your personal mlotmaiion. Co-noutershare realees lhal you entrust us witi conMeniial personal and fnancal Motmalon and we lake Ihal trusl veiy seriously
Note Assets are not deoonfs ol Ca70U>en',a,v and are nw msoreif by Ihe federal DeoosA insurance Cowomar. Hie Securties Imnsur P-aecnon Conxxwion or anv ot/ier fedeta' or sue agency
00YCKA|2|
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 234 of 273 PageID #: 11935
Cpmputershare I Walmart •v I Computershare Trust Company, N.A. PO Box 43080 ASDA Plan
PfOvidence, Rl 02940-3080 Telephone: 0800 923 1515
email- [email protected] www,computershare com/waim3rt
Summary Slatement
a -f LE PHUNG in Ln
-0
Holder Account Number
99999
Account Summary 01 January 2012 • 31 December 2012 for Account
Price Per Share
Market Value
Shares Held
$888.45 $1040.51
$59.76 $68.23
14.867 15.250
Beginning Balance Ending Balance When converted to Pounds Sterling your account has a market value of 627.43 {See back of statement currency exchange Information)
Shares Amount Invested
Number of Transactions
Purchases and Additions Added
0.383 $24.97 5 Dividend Reinvestments Plan Transfers and Other Additions
Net Fees and Commissions
Taxes Withheld
Sales Number of and Deductions Transactions
Gross Proceeds Proceeds Shares
Share Sales P!an Transfers
Comments Still getting paper copies of your statements, annual meeting material, and other communications from Computershare? Go to www.computershare.com/walmarl and log in to your account, Click on the "My Details" tab, select "E-Communicalions'' then agree to the Terms & Conditions to enroll in electronic delivery. Help Walmart's sustainability efforts by eliminating one piece of paper at a time.
Please save this statement for lax purposes, or access your account over the web.
Transaction History To: 31 Dec 2012 From: 01 Jan 2012
Total Transaction
Shares
Tot Deduction Amount
Net Price Per Type Amount {$) Share ($) j
Deduction Transaction Amount ($)
Share Transaction Description Date Hei ($)
14,8t Balance Forward
Dividend Reinvestment
Dividend Reinvestment
Dividend Reinvestment
Dividend Reinvestment Dividend Reinvestment
01 Jan 2012
03 Jan 2012
04 Apr 2012
04 Jun 2012
04 Sep 2012
27 Dec 2012
0.076 14.9-0.81 Tax 4.62 50.7S5
60.253
65.765
73.339 67.905
5,43 0.084 15.0; Tax 5,05 5.94 0.89 0,077 15.1( Tax 5.07 5.97 0.90 0.070 I5.i: Tax 5.10 600 0.90 0.076 15,21 6,03 Tax 5.13 0.90
IXJICSOIIB rps-D A4.VVMT l54»St«7'l>lfSmiJ4<i(W:>
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 235 of 273 PageID #: 11936
W M T
Selling Shares You can sen youi snares Kirougti Conputersnare s aulo-nalefl phone system, at by speakirig to a Cjstomer Service Represenlalive You can also sell ycut shares onli
To sell your shares over the phone contact Compuleishate on 0500 8900 11, Ssten to the message, then dial 800-438-6278 and follow the prompls to se« Custwnet Service Represenlativ ate available Monday through Friday, 8 CO am - 6 00 om CST (2:00 PM - midraghl UK time)
There are two methods to choose trom when selling your shares through Computershare:
Market Order Trades- Your stock will be sold as soon as your request can reasonably be processed at the markel price in effect at that time- II the market Is closed when you enter the request, /our si transaction will be processed at the start of the next day that the stock market is open. There is a S45 (U,S.) fee for selling, plus five cents per share which will be deducted directly from the sales proceei The charge includes a $15 currency conversion fee to Pound Sterling
Batch Trades- Your stock will not be sold immediately as descnbed above. Generally, if Compulershare receives your request to sell shares of stock before 1 :CI0 p.m Central Time (7 P M, UK time) or business day, your sale transaction will take place on the same day. If your request is received on or after 1:00 P.M. Central Time (7 PM. UK lime) or if your request is made on a day the stock markei not open, your sale transaction will take place on the no*t day thai the stock market is open. The sale price 'or a share of stock sold in this manner will be the average price ol all shares of stock sold
Computershare for you and all other ASDA Colleagues on the dale of your sale l/ansadion There is a S35 (U,S,| fee for selling, plus live cents per share which will be deducted directly from the sales procesi The charge includes a S15 currency conversion fee to Pound Storling
Make sure your account Is tax ccrtided to avoid withholding from dividends and sale proceeds. See below for information regarding tax certification
Tax Certification If you are a permanent resident ol any country other than the United States, you are required to complete a WB-BEN. The upper right corner of the reverse indicates if yout accounl is certified. If n Computershare is reflisred by the United States Internal Revenue Service to withhold 28% from dividends and sale proceeds. You can complete an etodromc W6-BEN by logging in to your accounl www.comouleniharB.conVwalmart. You can also contact Compuleishate Of the Share Team at ASOA House to request a paper copy which will need :o be returned to Computershare
W8-BEN forms exp«e every three yeais Computershare will mail you a new form dumg the last quartet of the year in whicn your current (oim is due to e<pire Altlxiugh you will receive a hard copy In ( mail you can also teceilily your account online
Currency Conversion Sale proceeds frotn the ASOA plan are aulomaiicaliy converted to Pounds Sienrg unless Dthetwse requested The funds are typically converted one bus«iess day alter the sale. The exchange rales display in newspapers, onlne. and olhet pubhcalms are usually inira-bank rates and are not noitnaHy what an individual would recede.
The matkel vakjs of your accounl m Pounds Stertng shown on the reverse is based on the exchange rate as of the end of the stalen eni period The rate used is wTat an individual would have been eligil
to receive based on the value of tnei' account in US Dollars at that time
Voluntary Investments Once you hold shares m the Plan you can make vduntaty investments through Computershare The stock purchased wiH be held n your Plan account Your employer will not make matching contnbulc to these mvestments Voluntaiy investments cannot exceed S125.000 USD pet Plan year. All amounts invested Ifwough the Plan will be converted from Pouncs Sterting to U S ddlats pnor to the time I shares ol slock are ourchased The exchange rate will be set as of the date of the wire when the funds ate actually convened, for more nlotmaticr please contact Computershare on free phene riumt
0800 923 1515. To obtain a voluntary purchase •otrv log m to your accounl at www comoutersha'e com Walmail Select Downloadable Fotms' from the Cotrpany Info lab, then choose "ASOA Volunli Purchase Form
Annual Maintenance Fee If you no longer work for ASDA oi ate a spouse ol a fomer Colleague and have a plan account with Conputetshare. you may maintain your accounl and purchase snares without paying a brokerage fi However, you will be charged S35 once a year as a maintenance fee The 535 fee is automatically deducted from your account in the lirsl quarter of each year by selling a portion of stock equal to 535
Not Sure What to Do? ASOA cannot give advice about buying, selling or holding shares. If you are unsure what to do, you should consult an independent financial advisor
Computershare Ttusl Company N,A, as agent, upon wntten request, will provide the name of the executing broker dealer associated wiih the Uansaclion(s), and within a reasonable amount of lime i cBsdose the source and amount of compensation received from third patties In connection with the transactlon(i). If any
Privacy Notice
At Computershare, we lake privacy senously In the course of providing services to you in connection with employee stock purchase plans, dividend reinvestfnenl plans, direct slock purchase plans and'or direct reglstralion services, we receive nonpuDlic. personal informalion about you. We receive this information Ihtough transactions we perform lot you, from enrollment forms, automatic debit forms, and through other communications with you In writing, elecltonically, and by telephone We may aso receive Information about you by virtue of your iransaction with affiliates ol Compulershare or other parties. This information may include your name, address (reaidenlal and mailing). Soaal Secunty number bank account irformation, stock ownership Information and other fmanoal informalion- With respect both to cuirent and fottner customer Compulershare does not share nonpublic personal information wilh any non-atfillated ihiid-paity except as necessary to process a bansacton service your account or as retired y permitted by law Ojr affiles ar outside se'vice oroviders with wnom we share rfiofmation ate legally bound not to disdose the nferriialion m ary rranner unless requiied or peoriPed oy law Of othei gorfetnmenlai process We stnve to restrct access to your personal infotmation to those employees who reed to know the inlamabon to piovide our setvees to you Computershare maintains physical, electronic and procedural sategjaros to protect your personal information. Compulershare realizes that you entrust us with corhcentiai personal and financial infotmaton and we take ^lal trust very senously.
Ncm Assels art not deposits ol Compii(»rs/iare and are not reuced by rhe Federal Deposit Insurance Corporation, toe Securities Imtslor Praecnon Cotpotahon. or any other lecerai or stale agency
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 236 of 273 PageID #: 11937
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 237 of 273 PageID #: 11938
• - ' I 'yIA
FEB 15 2019
CLAIMS CENTER
•WAO-EXCL00060"
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Datej
Name of Person Filing Exclusion: Carol E Williams
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 238 of 273 PageID #: 11939•
•
For the attention of Claims Administrator:
Request for Exclusion from the Class in the Walmart Securities Settlement
I. Carol Elaine Williams during the Class Period from December 8,2011, through and including April 20,2012 possessed 1.062 to 1.073 shares acquired as part of Asda Benefits Colleague Share Ownership Plan (CSOP) which existed at that time and has since ceased, (documents enclosed)
1 made no purchases or sales during the Class Period.
1 do not want to participate in this settlement. 1 want to be excluded and therefore have nothing to do with the case. It is my understanding that, 1 will receive no payment and be charged no fees.
1 trust I will receive confirmation that my Request for Exclusion has been actioned.
Signed:
0
Carol E Williams
Dated: 15 February 2019
Encs: 5 sheets.
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 239 of 273 PageID #: 11940I Cpmputershare Walmart f
n- Computershare Trust Company, N.A. PO Box 43080
Providence. Rl 02940-3080 Telephone: 0800 923 1515
email; [email protected] www.computershare.conVwalmart
ASDA Plan Summary Statement
CAROL ELAINE WILLIAMS 3 aJ -o
i pKor X O H h 0 Holder Account Number
392 " I I
Account Summary 01 January 2011 - 30 December 2011 for Account
Shares Price Per Share
Market Value Held
$53.93 $59.76
When converted to Pounds Sterling your account has a market value of 40.04 (See back of statement currency exchange information)
Beginning Balance Ending Balance
$264.70 $63.47
5.279 1.062
"Number of~ Transactions
Shares Added
Amount Invested
Purchases and Additions Dividend Reinvestments Plan Transfers and Other Additions
4 $5.00 0,093
Benefits Provided bv Wafmart CSOP Maturity $55.56 1 1.056
Number of and Deductions Transactions Sales Gross
Proceeds Fees and
Commissions Taxes
Withheld Net
Shares Proceeds Share Sales Plan Transfers
$271.30 $20.30 $251.00 1 5.366
Comments Stilf getting paper copies of your statements, annual meeting material, and other communications from Computershare? Go to www.computershare.com/walmart and log in to your account. Click on the "My Details" tab, select "E-Communications" then agree to the Terms & Conditions to enroll in electronic delivery. Hetp Walmart's sustainability efforts by eliminating one piece of paper at a time.
Please save this statement for tax purposes, or access your account over the web.
Transaction History From: 01 Jan 2011 To: 30 Dec 2011
Total Transaction
Shares
Total Shares
Deduction Amount Transaction
Amount ($) Deduction Net Price Per
Type Amount ($) Share ($) Transaction Description Date
($) Held
01 Jan 2011 03 Jan 2011 04 Apr 2011 06 Jiin2011 W Aug 2011
Balance Forward Dividend Reinvestment Dividend Reinvestment Dividend Reinvestment
5.279 Tax 1,36 54.609
52.564 53.944 50.560
0.025 1,60 024 5.304 1.94 0031 5.335 0-29 Tax 1.65
0.031 5.366 195 0.29 Tax 1.66 Sale 271.30 20.30 Transaction Fee 25100 -5.366 0.000
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 240 of 273 PageID #: 11941I Cjomputershare Walmart f
Compi/tershare Trust Company, N.A-PO Box 43080
Providence, Rl 02940-3080 Tefephone: 0800 923 1515
email: [email protected]
ASDA Plan Transaction Details
www computers hars com/waJ ma rt
CAROL ELAINE WILLIAMS
Holder Account Number
Transaction History (cont.) From: 01 Jan 2011 To: 30 Dec 2011
Deduction Amount
Total Transaction
Shares
Total Transaction Amount ($)
Deduction Net 1 Price Per Amount ($) | Share ($)
Date Transaction Description Shares Held Type ($)
06 Sep 2011 (cont.} Dividend Reinvestment 0.39 0.06 Tax 0.33 51.202 0.006 1.062
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 241 of 273 PageID #: 11942I Cpmputershare Walmart i
n- Computershare Trust Company, N.A. PO Box 43080
Providence, Rl 02940-3080 Telephone: 0800 923 1515
email; [email protected])m www computersliare com/walmart
ASDA Plan Summary Statement
CAROL ELAINE WILLIAMS o UJ Ui fc-" _0 Cfe
JEAS paof Holder Account Number
139 ll,,lll,l,lllll,l,lllllll,l,lll,ll,,ll
Your accounts tax certification will expire 31st Dflcwnbef of 2012.
Account Summary 01 January 2012 - 29 June 2012 for Account
Shares Price Per Share
Market Value Held
Beginning Balance Ending Balance
$59.76 $69.72
When converted to Pounds Sterling your account has a market value of 47.27 (See back of statement currency exchange information)
1.062 $63.47 $75.23 1.079
Purchases and Additions
Shares Added
Amount Invested
Number of Transactions
Dividend Reinvestments Plan Transfers and Other Additions
3 0.017 $1.06
Sales and Deductions
Number of Transactions
Gross Proceeds
Fees and Commissions
Taxes Withheld
Net Shares Proceeds
Share Sales Plan Transfers
Comments Still getting paper copies of your statements, annual meeting material, and other communications from Computershare? Go to www.computershare.com/walmart and log in to your account. Click on the "My Details" tab, select "E-Communications" then agree to the Terms & Conditions to enroll in electronic delivery. Help Walmart's sustainability efforts by eliminating one piece of paper at a time.
Please save this statement for tax purposes, or access your account over the web.
Transaction History From: 01 Jan 2012 To: 29 Jun 2012
Total Shares
Deduction Amount
Total Transaction
Shares
Transaction Deduction Type | Amount ($)
Net Price Per Share ($}
Transaction Description Date Amount ($) ($) Held
01 Jan 2012 03 Jan 2012 04 Apr 2012 04 Jun 2012
Balance Forward Dividend Reinvestment Dividend Reinvestment Dividend Reinvestment
1.062 0.39 0.06 Tax 0.33 60.785
60.253 65.765
0.005 1 067 0.42 0.06 Tax 0.36 0.006 1.073
0.06 Tax 043 0 37 0.006 1.079
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 242 of 273 PageID #: 11943
r
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DiwtUtinci HiaU>f>i
' WALMART INC.
V ransaction
History
)ividend
<is(ory
Withheld Taxes •e Record Oale Currency Dividend Rate Record Date Position Net Dividend Paid
'ayment 5 05 Dec 2014
listory USD 0.480000 1.129000 0.03 0.46
USD 0.32 1.90
0.430000 1.123000 0.08 0,46 03 Sep 2014 08 Aug 2014 USD
09 May 02 Jun 2014 USD 0.480000 1.117000 0.08 0.46
2014
01 Apr 2014 11 Mar 2014 USD 0.480000 1 111000 0.08 0.45
02 Jan 2014 06 Dec 2013 USD 0.470000 1105000 0.08 0.44
USD 0.32 1.31 Year Total
03 Sep 2013 09 Aug 2013 USD 0470000 1.099000 0.08 0,44
10 May 03 Jun 2013 USD 0.470000 1 094000 0.14 0.37
2013
01 Apr 2013 12 Mar 2013 USD 0.470000 1.089000 0.14 0.37
Year Total USD 0.36 1.18
27 Dec 2012 07 Dec 2012
04 Sep 2012 10 Aug 2012
04 Jun 2012 11 May 2012
04 Apr 2012 12 Mar 2012
03 Jan 2012 09 Dec 2011
USD 0.397500 1.084000 0.05 0,37
USD 0.397500 1.079000 0.06 0.37
USD 0.397500 1,073000 0.06 0.37
USD 0,397500 1,067000 0,06 0.36
USD 0 365000 1.062000 0.06 0.33
USD Year Total -
06 Sep 2011 12 Aug 2011
06 Jun 2011 13 May 2011
04 Apr 2011 11 Mar 2011
0.30 1.80
USD 0.365000 1,056000 0.06 0.33
USD 0,365000 5,335000 0,29 1.66
USD 5.304000 0,29 1,65 0.365000
Market Data Provider
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 243 of 273 PageID #: 11944V Computershare Story Tax Forms Company Participant
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Tiansaction Hislory , WALMART INC.
"ransaction
History
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tislory \TIONAL PROGRAM *
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For purchases and sales, Transaction Date is the date your trade was executed while the Effective Date is the settlement date. All currency amounts
shown represent US DOLLAR.
Historical Transactions
Transaction Date Effective Date Description FMV Amount Share Price Transaction Shares
04 Apr 2012 10 Apr 2012 DIVIDEND REINVESTMENT 60.2531 0.36 60.2531 0.006 DfclAlL
03 Jan 2012 06 Jan 2012 DIVIDEND REINVESTMENT 60.7845 0.33 60.7845 0.005 OEIAIl
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 244 of 273 PageID #: 11945
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•WAO-EXCL00061
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C..-,i?/)S CENTER x
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date^
Name of Person Filing Exclusion: John W Huey Patricia Ann Huey
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 246 of 273 PageID #: 11947
JOHN W. HUEY
ATTORNEY
February 21, 2019
RE: Walmart Securities Settlement
Dear Sir:
I represent both myself and my wife Patricia Ann Huey. We have
received the Notice of Proposed Settlement of Class Action with regard
to the matter of City of Pontiac General Employees Retirement System
vs. Wal-Mart Stores, Inc.
We request exclusion from the class in the Walmart Securities
Settlement.
hn W. Kuey
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 247 of 273 PageID #: 11948
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 248 of 273 PageID #: 11949
•WAO-EXCL00062*
FEB 2 5 ^019
CLAIMS CENTER I Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date^
Name of Person Filing Exclusion: Avelina B Ocampo Francis Ocampo JT TEN
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 249 of 273 PageID #: 11950
walmat suits
FEBRUARY 19^2019
Walmart Securities Settlement Claims Administrator c/o Gilardi & Co. LLC EXCLUSIONS 3301 Kerner Blvd. San Rafael, CA 94901
Subject: No. 5:12-cv-0S162-SOH CLASS ACTION
Gentlemen:
Thank you for your letter regarding the above subject.
We are not interested in participating, hence, we are excluding ourselves in this legal proceedings.
We this letter^ we hope that we have complied with your requirement.
Sincerely yours.
AVELINA B. OCAMP' FRANCIS OCAMPO/DT TEN
f, s. CU&MUI
Page 1
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 250 of 273 PageID #: 11951
Computershare ! I Walmart I Computershaie Trust Company, N.A. PO Box 43080
Providence. Rl 02940-3080 Telephone; 800 438 6278
email: [email protected] www.computershare.cam/walmart
Associate Stock Purchase Plan Sunvnary Statement
05^3^1 = GROUPJJNFO
AVELINA B OCAMPO & FRANCIS QCAMPO
Holder Account Number
Account Summary 01 January 2012 - 29 June 2012 for Account
Market Value
Price Per Share
Shares Held
Beginnfng Balance Ending Balance
79.163 85.300
$4730.78 $5947.12
$59.76 $69.72
When converted to Canadian Dollars your account has a market value of 5950.69 (See back of statement currency exchange information)
Shares Added
Purchases and Additions
Number of Transactions
Amount Invested
$258.59 Payroll Deductions Voluntary Cash Purchases Dividend Reinveslmenls Plan Transfers and Other Additions
13 4.216
$80.30 3 1.290
Benefits Provided bv Walmart Walmart Contributions $38.80 0.631 13
Fees and Commissions
Number of Gross Proceeds
Taxes Withheld
Sales and Deductions Transactions
Net Shares Proceeds
Share Sales Plan Transfers
Comments Still getting paper copies of your statements, annual meeting material, and other commurecabons from Computershare? Go to www.computeT5hare.com/walmart and log in to your account. Click on the 'My Details' tab. select "E-Communicalions" then agree to the Terms & Conditions to enroll in electronic delivery. Help Walmart's sustainability efforts by eliminating one piece of paper at a time.
Please save this statement for tax purposes, or access your account over the web.
+ 1 8 9 U D R W M T
OOSHOA
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 251 of 273 PageID #: 11952
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 252 of 273 PageID #: 11953
•WAO-EXCL00063
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Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date^)
Name of Person Filing Exclusion: Carl Lee Schulze Mary L Schulze(Deceased)
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 253 of 273 PageID #: 11954
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 256 of 273 PageID #: 11957
iai©[iirw GE •WAO-EXCL00064*
FEB 2 5 2019
CLAIMS CENTER
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date^)
Name of Person Filing Exclusion: Mary Ann Galvin
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 257 of 273 PageID #: 11958
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 259 of 273 PageID #: 11960
•WAO-EXCL00065
whf B FEB 2 5 2019 fciAIMS CENTER J L
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Datej
Name of Person Filing Exclusion: Phillip T Kriley
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 260 of 273 PageID #: 11961
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 262 of 273 PageID #: 11963
•WAO-EXCL00066*
- - etfrf FEB 2 5 2019
CLAIMS CENTER
Exclusion Cover Page
Case Name: Walmart Securities Settlement
Case Code: WAO
Exclusion Deadline: March 14, 2019 (Postmarked Date)
Name of Person Filing Exclusion: Susan Jackson
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 263 of 273 PageID #: 11964
Walmart Securities settlement Claims Administrator c/o Gilardi & Co. LLC "Exclusions" 3301 Kerner Blvd. San Rafael, CA 94901
Tuesday, February 19, 2019
To Whom This May Concern;
This is a request for exclusion from the Class in the "Walmart Securities Settlement."
Enclosed you will find my only proof of stock/sale in and around the time of issue available to me at this time.
It is my understanding that I will not receive any payment from the Settlement and cannot object to the Settlement and I will not be legally bound by anything that happens in this lawsuit. I may also be able to sue the Defendant and the other Released Defendant Parties about the Released Claims in the future.*
Sincerely,
^usan Jackson
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 264 of 273 PageID #: 11965I Computershare Walmart • I Computershare Trust Company, NA
PO Box 43D80 Providence. Rl 02940-3080
Telephone: 800 438 6278 email: walmart@compulershaf0,com
www.compuiefshafe.conVwalmarl
Associate Stock Purchase Plan Transaction Details
SUSAN K JACKSON
Holder Account Number
Transaction History From: 01 Jan 2012 To: 31 Dec 2012
Deduction Amount
Total Transaction
Shares
Total Shares Transaction
Amount {$) Deduction Net Price Par
Share ($) Date Transaction Description
Type ! Amount ($) {$) Held
01 Jan 2012 03 Jan 2012 02 Mar 2012 21 Mar 20»
Balance Forward Dividend Reinvestment
Maintenance Fee
3.473 1.27 036 Tax 0.91 60.785
59.010 60.440
0.015 3,488 35.00 35,00 Transaction Fee
15,00 Foreign currency 30,15 Transaction Fee
-0.593 2,895 Sale 174,97 129.82 •2.895 0,000
04 Apr 2012 04 Jun 2012 04 Sep 2012 27 Dec 2012
1.15 Dividend Reinvestment Dividend Reinvestment Dividend Remveslmenl Dividefld Reinvestment
0.63 60.253 65 765 73.339 67 905
0.32 Tax 0.014 0.014 0.01 0.01 0.000 0.014 0.01 0.01 0.000 0.014 0.01 0.01 0.000 0.014
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 265 of 273 PageID #: 11966
The StaKeholders Program is open to all associates at Wal-Mart based on eligibility criteria and allows associates to share in the profit of the store each year. It is important that all associates, especially those new to Wal-Mart, understand the program as it is one piece of your total compensation package that can be worth up to S2,000.
To be eligible to participate in the Program this year you must have been hired before July 31a 2008. be continuously employed by Wal-Mart through January 31. 2009 and have accumulated at least 500 hours of work. Some of you may have transferred stores during the year - that's okay. If you were able to work 500 houre then you will still be eligible for stakeholders in the store you spent the most time. If you are unsure as to where you will receive Stakeholders from, please worV with your Personnel Manager.
For those of you that may have been on a leave of absence you may also qualify, however. In most cases your share amount will be reduced by the length of time you were on leave. If you were on leave, see your Personnel Manager. They can help you understand what you would be entitled to.
The type of share you are eligible for depends on your length of service with Wal-Mart, and the average hours wotlted per week. Below is a table that helps to clarify how you will qualify
Years of Service 24 months or more
Avg. Hrs Less than 6 months
6 months to 12 months
12 months to 18 months
18 months to 24 months
Full Share Full Share Avg. of 28 hrs or more None Half Share Full Share
Half Share Three Quarter Share
Full Share Avg. less than 28 hrs None Quarter Share
The dollar value of the share you are eligible for depends on the prontaCility of the store £acn store can earn a pool of money based on store profitability The pool of money is then distnbuted among all eligible associates in the store To determine the dollar value of a full share divide the pool of money by the number of full-time equivalent shares in the store. For example, a store eams a pool of money equal tc S200.000 and has 200 full-time equivalent shares The full share value would be equal to Si 000 (S200.000/200)
In order to determine an individual associate s share, you simply multiply their share type by the full share value. From the above example, an assoaate who is eligible for a half share would receive S500 (Si .000*0 50) and if they are eligible for the full share they would get Si .000
We encourage you to seek additional information from ycur Personnel Manager, People Manager. Store Manager or SWAS Leader if you are unsure of how the Stakeholders Program works. If you are not sure if you have the required number of hours to qualify, check with your Personnel Manager. And if you are not quite there yet, worlc with your Store Manager to see if you can pick up some additional hours.
Our success depends on how well we perform to grow profitable sales. Thank you for all you have done this year to contnbute to Wal-Mart's success.
• •
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 266 of 273 PageID #: 11967
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PURCHASE PLAN
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Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 267 of 273 PageID #: 11968 Computershare + I Walmart • %. I Computershare Trust Company, N.A,
PO Box 43080 Providence, Rl 02940-3080
Telephone: 800 438 6278 email: [email protected]
www.computershare.com/walmart
Associate Stock Purchase Plan Summary Statement
SUSAI
Holder Account Number
/ '
Your account is uncertified. Taxes will be withheld from sale proceeds and dividend payments.
OOICSOIO.V RPS ILWMT 171254 371/033058/094574
Account Summary 01 January 2010 - 31 December 2010 for Account _______________ fi*
Shares Price Per Share
Market Value Held
$53.45 $53.93
Beginning Balance Ending Balance When converted to Canadian Dollars your account has a market value of 213.85 (See back of statement currency exchange Information)
4.656 $248,86 $219.87 4.077
Purchases and Additions
Number of Transactions
Shares Amount Invested Added
Payroll Deductions Voluntary Cash Purchases Dividend Reinvestments Plan Transfers and Other Additions
$3.56 4 0.067
Benefits Provided bv Walmart Walmart Contributions
Sales and Deductions
Number of Transactions
Gross Proceeds
Fees and Commissions
Taxes Withheld
Net Shares Proceeds
Share Sales Maintenance Fee Ran Transfers
$35.00 $35.00 1 0.646
Comments Still getting paper copies of your statements, annual meeting material, and other communications from Computershare? Go to www.computershare.com/walmart and log in to your account. Click on the "My Details" tab, select "E-Communications" then agree to the Terms & Conditions to enroll in electronic delivery. Help Walmarfs sustainability efforts by eliminating one piece of paper at a time.
Please save this statement for lax purposes, or access your account over the web.
+ OOSHQA
Holder Name: SUSAN K JACKSON Optional Cash Purchaso Ptease detach this portion and mall to the address shown below.
I l _U- _ A « . I t L
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 268 of 273 PageID #: 11969
COST BASIS INFORMATION for 2010 H Mlmtmz-
• • • ' K ; . Vi-;
Account Name: SUSAN K JACKSON Holder Account Number;
This cost basis Information is not being reported to the Internal Revenue Service.
Shares Purchased Cost Basis Sale Dale Gross Proceeds To From
35.28 22 Dec 2008 05 Mar 2010 35.00 12 Nov 2008
Cost Basis:
Compulershare has ktenlilied the investment amount related to your salels), based on the first in, first out (FIFO) method. This means the first shares purchased in your account are the first out (sold). Please see below for further details on how we calculate this investment amount and the limitations we may have in providing this information.
Understanding your cost basis This informalion (please refer to Disclaimer of Liability, below) supplemenls the gross proceeds information provided to you on your Form 1099-B (see reverse). To determine a cost basis, we need to record the amount originally invested to purchase the shares that were sold. However, there may be times when the investment amount will not be available. For example:
• If you have the message "insufficient History" under the cost basis column, some or all of the shares sold were purchased or acquired prior to October 1, 2006, when we converted from an old record keeping system to our current system.
• If you have the message "Transaction Details Unavailable" you had at least one transaction occur in your account that may not have had an investment amount associated with it, such as transfers, name changes, and certificate deposits.
Definition of Terms • Cost Basis - The acquisition cost (including reinvested dividends) of the shares you sold. • Sale Date - The trade date of your sale. This informalion is reported to you in Box 1a of your 1099-B. • Gross Proceeds - This represents the gross proceeds as reported to you in Box 2 of your 1099-B. • Shares Purchased From - This date represents the first trade date of either shares purchased or dividends reinvested using FIFO to create this cost basis. • Shares Purchased To - This date represents the last trade date of either shares purchased or dividends reinvested using FIFO to create this cost basis.
DISCLAIMER OF LIABILITY; This information has been provided by Compulershare from informalion on our records, without warranty, express or implied. Information contained herein is not intended in any way to provide tax, legal or investment advice. You are solely responsible for the accuracy of any cost basis information reported on your tax returns. Computershare strongly recommends that anyone relying on the information contained herein first venly its correctness through their own sources. In addition, we recommend that you consult with your income tax return preparer as to the appropriate use of this information in light of your own specific Income tax situation.
See over for Form 1099-B
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 269 of 273 PageID #: 11970I Computershare Walmart N
Associate Stock Purchase Plan Computershare Trust Company, N.A.
PO Box 43080 Providence, Rl 02940-3080
Telephone: 800 438 6278 email; [email protected]
www computershare com/walmart
Transaction Details
SUSAN K JACKSON
Holder Account Number
Your account is uncertified. Taxes will be withheld from sale proceeds and dividend payments.
Transaction History From; 01 Jan 2010 To: 31 Dec 2010
Deduction Amount
Total Transaction
Shares
Total Shares
Transaction Amount ($)
Deduction Net Price Per Date Transaction Description Type Amount ($) Share ($) ($) Held
01 Jan 2010 04 Jan 2010 05 Mar 2010 05 Apr 2010 01 Jun 2010
07 Sep 2010
Balance Forward Dividend Reinvestment
Maintenance Fee Dividend Reinvestment Dlvidond Reinvestment Dividend Reinvestment
4.656 1.27 0.36 Tax 0.91 54.309
54.170 55.594 51.231 52.171
0.017 4.673 35.00 35.00 Transaction Fee -0.646 4.027 1.22 0.34 Tax 0.88 0.016 4.043 1.22 0.34 Tax 0.88 0.017 4.060 1.23 0.34 Tax 0.89 0.017 4.077
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 270 of 273 PageID #: 11971 Computershare ^ I Waimart • n- Computershare Trust Company, N.A.
PO Box 43080 Providence, Rl 02940-3080
Telephone: 800 438 6278 email: wal-maiKScomputershare.com
www.computershare.com/walmart
IMPORTANT TAX RETURN DOCUMENT ENCLOSED
D 3 3 0 S f l Recipient SUSAN K JACKSON Tor a change of address please call the above number or visit us at
htlp://wvw.cotnputershare.com/walmart.
Holder Account Number
Recipient's ID No. Unceitiffed accounts are subject to withholding taxes on dividend payments and sales proceeds (if applicable).
OfllCSnlOJ.RPS.IL WMT.I7I2S4_37I/0J30M/WI457J
2010 m lt '
•V
Corrected (if checked) • Payer's Federal ID No.
OMB No. Form 1099 - DIV • Dividends and Distributions 2010
Deoartmcot of Iho Treasury - Internal Revonuo Sorvioo This l« linpottanl tax infonnitlon and l< Mng furnished to the kitemal Revenue Service. If you ate required to Me a return. I negligence penalty or other unction may be imposed on you if this income Is taxable and the IRS detetmlnes that R has not been reported.
N Total Ordinary N Qualified 111 Nondividend pj FEDERAL INCOME IjForeignTax T] Foreiyi Courtry Ti Cash Ujurfalion Dividends ($) Dividends (J) Distributions ($) TAX WITHHELD (J) Paid($) or U.S. Possession Distii.($)
Copy B - For Recipient
Payer's Details
0.00 1.38 4.94 0.00 4.94 WAL-MART STORES INC C/O COMPUTERSHARE
P.O. BOX 430tO PROVIDENCE Rl 02940-3010
Detailed breakout of income reported lo the IRS (provided for your records)
Company Paid Service Charges ($)
Discount on Reinvestment
Amounl Paid By Amount Check/EFT ($) Reinvested ($)
Company Paid Fees (J)
0.00 0.00 4.94 0.00 0.00
Payer's Federal ID No. OMB No.
Corrected (If checked)
Form 1099-B - Proceeds From Broker and Barter Exchange Transactions 2010 | NOTE; The Pa>w wil mport tha amount in Box 2 to lie IRS. The difference between the joss proceeds amount r Box 2 and the net proceeds you received represents any fees, charges, or wthhoWng laxes you may have paid. Copy B - For Recipient
Cuslp: 931142103 All Sales reported to IRS as Gross Proceeds Security sold: Wal-Mart Stores, Inc.
li»| Date of Sale [l] Stocks, 3 FEDERAL INCOME HI or Exchange Bonds, etc. ($) TAX WITHHELD ($)
Description Payer's Details
05 Mar 2010 35.00 0.00 0.646 shares sold at $54,170 COMPUTERSHARE P.O. BOX 43010
PROVIDENCE Rl 02940-3010
+ 012BWA (Rev 9/10)
INSTRUCTIONS: lOM-DIV Recipient's Identiflcation Number: For your protection Ms lomi may show only tie last tour digits ol your taxpayer Idennreallon number However, the issuer has reported your compiete idendflcation number to the IRS and. where applicable, to stale and/or local governments. A m l m i m k a i r U a v e h r t u f a n a r f n i i n t nr nHvir unwind numhAr lhf> navor aacinruwi In HktinniiiRh vmir acr/Minl
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 271 of 273 PageID #: 11972 Computershare + I Walmart *
Associate Stock Purchase Plan Summary Statement
Computershate Trust Company, N.A. PO Box 43080
Providence, Rl 02940-3080 Telephone; 800 438 6278
email: [email protected] www.computershare.com/walmart • 3 5 S S f l
SUSAN K JACKSON
Holder Account Number
(KIK S(III]1 rpvll WMT.(W()MI 443/nj252IM)KW54
. , B-m Account Summary 01 January 2013 • 07 January 2014 for Account • •
Market Value
Shares Price Per Share Held
$68.23 $0.96 0.014 Beginning Balance Ending Balance When converted to Canadian Dollars your account has a market value of 0.00 (See back of statement currency exchange Information)
Number of Transactions
Shares Added
Amount Invested
Purchases and Additions Payroll Deductions Voluntary Cash Purchases Dividend Reinvestments Plan Transfers and Other Additions
Benefits Provided bv Walmart Walmart Contributions
Gross Proceeds
Taxes Withheld
Number of and Deductions Transactions
Fees and Commissions
Net Sales Shares Proceeds
Share Sales Maintenance Fee Plan Transfers
$1.00 $1.00 1 0.014
Comments Did you know when you sell shares you can avoid mail delays and having to cash physical checks by getting your sale proceeds sent directly to your bank account (ACH) for a fee of $2? Just like Fed Ex delivery, you'll receive your funds in three business days. By choosing ACH you will save $18 compared to the courier fee. First, add/update your bank instructions by logging in to your account at www.computershare.com/walmart, and select "Banking Details" from the "My Details" tab. Then, when you enter a sale online or over the automated phone system, select "Direct Deposit' as your delivery method.
Please save this statement for tax purposes, or access your account over the web. + OOSHQA
Holder Name: SUSAN K JACKSON Optional Cash PurChaSG Please detach this portion and mall to the address shown below.
Holder Account Number If vou wish to make an ootlonal cash ourchase at this time, olease make vour check oavable to
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 272 of 273 PageID #: 11973I Cpmputershare Walmart IN
Associate Stock Purchase Plan Transaction Details
Computershare Trust Company, N.A. PO Box 43080
Providence. Rl 02940-3080 Telephone: 800 438 6278
email; [email protected] www.computershare.com/walniaft
SUSAN K JACKSON
Holder Account Number
Transaction History From; 01 Jan 2013 To: 07 Jan 2014
Deduction Amount
Total Transaction
Shares
Total Shares
Transaction Deduction Net Price Per Type Amount ($) Share ($)
Transaction Description Date Amount ($) ($) Held
01 Jan 2013 01 Mar 2013
Balance Forward Maintenance Fee
0.014 1.00 1.00 Transaction Fee 71.740 •0.014 0.000
Case 5:12-cv-05162-SOH Document 449-4 Filed 02/28/19 Page 273 of 273 PageID #: 11974
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