Funko Inc. Securities Settlement

PART I: CLAIMANT INFORMATION


The Claims Administrator will use this information for all communications regarding this Claim Form. If this information changes, you MUST notify the Claims Administrator in writing. Complete names of all persons and entities must be provided.


NAME SECTION



ADDRESS SECTION


CONTACT AND ACCOUNT SECTION




PART II: SCHEDULE OF TRANSACTIONS IN FUNKO COMMON STOCK


2. PURCHASES – Separately list each and every purchase or acquisition of Funko common stock from after the opening of trading on November 1, 2017 through and including the close of trading on June 29, 2018. (Must submit documentation.)



Must click Add Purchase to submit your transactions.


Date of Purchase or Acquisition Number of Shares Purchased or Acquired Purchase or Acquired Price Per Share Total Purchase or Acquired Price Action




4. SALES – Separately list each and every sale/disposition of Funko common stock from after the opening of trading on November 1, 2017 through and including the close of trading on June 29, 2018. (Must submit documentation.)



Must click Add Sale to submit your transactions.


Date of Sale Number of Shares Sold Sale Price Per Share Total Sale Price Action




5. END HOLDINGS – Number of shares of Funko common stock held at the close of trading on June 29, 2018. If none, write “0” or “zero.” (Must submit documentation.): *




UPLOAD SUPPORTING DOCUMENTS


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

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




Files To Be Uploaded Size Action

III. SUBMISSION TO JURISDICTION OF THE COURT AND ACKNOWLEDGMENTS

1. By electronically signing and submitting this Claim Form, the claimant(s) or the person(s) acting on behalf of the claimant(s) certify(ies) that: I (We) submit this Claim Form under the terms of the Plan of Allocation of Net Settlement Fund described in the accompanying Notice. I (We) also submit to the jurisdiction of the Superior Court of Washington in and for King County (the “Court”) with respect to my (our) claim as a Class member(s) and for purposes of enforcing the releases set forth herein. I (We) further acknowledge that I (we) will be bound by and subject to the terms of any judgment entered in connection with the Settlement in the Action, including the releases set forth therein. I (We) agree to furnish additional information to the Claims Administrator to support this claim, such as additional documentation for transactions in eligible Funko common stock, if required to do so. I (We) have not submitted any other claim covering the same transactions in Funko common stock and no other person has done so on my (our) behalf.



V. RELEASES, WARRANTIES, AND CERTIFICATION

1. I (We) hereby warrant and represent that I am (we are) a Class member as defined in the Notice, that I am (we are) not excluded from the Class, that I am (we are) not one of the “Released Defendant Parties” as defined in the accompanying Notice.

2. As a Class member, I (we) hereby acknowledge full and complete satisfaction of, and do hereby fully, finally, and forever compromise, settle, release, resolve, relinquish, waive, discharge, and dismiss with prejudice the Released Plaintiffs’ Claims as to each and all of the Released Defendant Parties (as these terms are defined in the accompanying Notice). This release shall be of no force or effect unless and until the Court approves the Settlement and it becomes effective on the Effective Date.

3. I (We) hereby warrant and represent that I (we) have not assigned or transferred or purported to assign or transfer, voluntarily or involuntarily, any matter released pursuant to this release or any other part or portion thereof.

4. I (We) hereby warrant and represent that I (we) have included information about all of my (our) purchases, acquisitions, and sales of Funko common stock that occurred during the relevant period and the number of shares of common stock held by me (us) to the extent requested.

5. I (We) certify that I am (we are) NOT subject to backup tax withholding. (If you have been notified by the Internal Revenue Service that you are subject to backup withholding, please strike out the prior sentence.)

I (We) declare under penalty of perjury under the laws of the United States of America that all of the foregoing information supplied by the undersigned is true and correct.




ACCURATE CLAIMS PROCESSING TAKES A SIGNIFICANT AMOUNT OF TIME. THANK YOU FOR YOUR PATIENCE.

REMINDER CHECKLIST:
1. Please electronically sign this Claim Form by typing your name.

2. DO NOT USE RED PEN OR HIGHLIGHTER ON THE SUPPORTING DOCUMENTATION.

3. Attach only copies of supporting documentation as these documents will not be returned to you.

4. Keep a copy of your confirmation page for your records.

5. If you move after submitting this Claim Form please notify the Claims Administrator at info@FunkoSecuritiesSettlement.com of the change in your address. Otherwise, you may not receive additional notices or payment.