PROOF OF CLAIM AND RELEASE FORM
A. GENERAL INSTRUCTIONS & INFORMATION
1. You are urged to read carefully the accompanying Notice Of Proposed Partial Settlement Of
Class Action, Motion For Attorneys’ Fees And Expenses, And Final Approval Hearing (the “Notice”). All
capitalized terms used herein shall have the same meaning as defined in the Notice.
2. To file a claim and recover under the Settlement of this Litigation, you must submit this Proof of
Claim Form and Release (the “Proof of Claim”). However, such filing is not a guarantee that you will
share in the proceeds of the Settlement in the Litigation.
3. You must mail your completed and signed Proof Of Claim postmarked on or before
April 16, 2016, addressed to the Claims Administrator at:
In re Galena Biopharma, Inc. Securities Litigation
c/o KCC Class Action Services
PO Box 40007
College Station, TX 77842-4007
4. If you are a Class Member and you do not timely request exclusion, you will be bound by the
terms of any judgment entered in the Litigation.
5.
If you are not a Class Member, do not submit a Proof of Claim.
6. If you need assistance filling out this Proof of Claim, please contact the Claims
Administrator.
B. INSTRUCTIONS FOR FILLING OUT THE PROOF OF CLAIM FORM
Important additional information regarding the Settlement and this Proof of Claim is
contained in the accompanying Notice. Please refer to the Plan of Allocation set forth in
the accompanying Notice for a detailed explanation of how a Claimant’s Recognized Loss
will be calculated.
1. In order to be eligible to participate in the distribution of the Settlement Fund, a claimant
(“Claimant”) must have purchased or otherwise acquired Galena common stock during the period
between August 6, 2013 and May 14, 2014, both dates inclusive (the “Class Period”).
2. The submission of a Proof of Claim does not ensure that your claim will be upheld or that
you will share in any recovery. All claims are subject to verification and investigation. You may be
requested to provide further information.
3. All claims must be made by persons or entities who were beneficial owners (as opposed to
record holders or nominees) of shares of Galena common stock. (Brokerage firms, banks and other
nominees are requested to transmit copies of the Notice and Proof of Claim to their present or former
customers who were such beneficial owners. See Notice, p. 8). If shares of Galena common stock
were owned jointly, all joint owners must complete and sign the Proof of Claim.
4. Executors, administrators, guardians, conservators and trustees may complete and sign the
Proof of Claim on behalf of persons or entities represented by them, but they must identify such
persons or entities and provide proof of their authority (e.g., powers of attorney or currently effective
letters testamentary or letters of administration) to do so.
5. You must file a separate Proof of Claim for each differently named account or ownership,
such as an individual account, an IRA account, a joint account, a custodial account, etc. Joint
tenants, co-owners or custodians UGMA should file a single claim. Claimants who file one or more
claims (e.g., one in Claimant’s name and one for an IRA or joint ownership) must identi fy the other
claims filed.
1
6. There will be no Recognized Loss attributed to any Galena securities other than common
stock.
7. The date of purchase and/or sale of shares of Galena common stock is the “trade” date and
not the “settlement” date.
8.
The first-in, first-out basis (“FIFO”) will be applied to both purchases and sales.
9.
Exercise of option contracts will be considered to be purchases or sales of common stock.
10. The date of covering a “short sale” is deemed to be the date of purchase of Galena common
stock; and the date of a “short sale” is deemed to be the date of sale of Galena common stock.
Shares originally sold short will have a Recognized Loss of zero.
11. No cash payment will be made on a claim where the potential distribution is less than $1 0.00.
12. You must attach to your claim form copies of brokerage confirmations, monthly statements
or other documentation of your transactions in Galena common stock in order for your claim to be
valid. If such documents are not available, a complete list of acceptable supporting documentation
can be found on the Settlement website: www.galenasecuritieslitigation.com. Failure to provide
this documentation could delay verification of your claim or could result in rejection of your claim.
13. If you have any questions or need additional Proofs of Claim, contact the Claims
Administrator via phone at (844) 830-5235 or email at [email protected]. You may
make photocopies of this form.
2
Must be received by the
Claims Administrator
postmarked no later than
April 16, 2016
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In re Galena Biopharma, Inc.
Securities Litigation
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PROOF OF CLAIM AND RELEASE
Please Type or Print in the Boxes Below
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C. CLAIMANT IDENTIFICATION
Last Name
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D. SCHEDULE OF TRANSACTIONS IN GALENA COMMON STOCK
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G. REPRESENTATIONS
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to participate in the Settlement.
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ACCURATE CLAIMS PROCESSING TAKES A SIGNIFICANT
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