EX-99.(A)(1)(D) 5 exa1d-noticeofwithdrawal.htm EXHIBIT 99.(A)(1)(D) Exhibit

Exhibit (a)(1)(D)

INSTRUCTIONS TO NOTICE OF WITHDRAWAL OF ELECTION FORM
If you previously elected to accept the offer by Immune Design Corp. (“Immune Design”) to exchange some or all of your outstanding Eligible Options for New Options, subject to the terms and conditions of the Offer to Exchange Eligible Options for New Options, dated June 18, 2018 (the “Exchange Offer”), and you would like to change your election and withdraw the tender of any of your Eligible Options for exchange, you must complete and sign this Notice of Withdrawal of Election Form (the “Notice of Withdrawal”) and return it to Immune Design before 6:00 p.m., Pacific Time, on Tuesday, July 17, 2018. Once the Notice of Withdrawal is signed and complete, please return it to Immune Design by the following means:
By Email (By PDF or similar imaged document file) to: option.exchange@immunedesign.com.
Your tendered Eligible Options will not be considered withdrawn from the Exchange Offer until we receive your properly completed and signed Notice of Withdrawal. If you miss the deadline to submit the Notice of Withdrawal but remain an Eligible Holder, any previously tendered Eligible Options will be cancelled pursuant to the Exchange Offer in exchange for the grant of New Options. You must sign the Notice of Withdrawal in the same manner your name appears on the Election Form you previously submitted. If your signature is by an attorney-in-fact or another person acting in a fiduciary or representative capacity for you, the signer’s full title and proper evidence of the authority of that person to act in that capacity must be identified on this Notice of Withdrawal.
You should receive a confirmation of receipt within three (3) business days of submitting your Notice of Withdrawal. If you have not received a confirmation of receipt before Tuesday, July 17, 2018, please contact us promptly at option.exchange@immunedesign.com to confirm we received your Notice of Withdrawal.
YOU DO NOT NEED TO COMPLETE AND RETURN THIS NOTICE OF WITHDRAWAL UNLESS YOU WISH TO WITHDRAW A PREVIOUS TENDER OF ELIGIBLE OPTIONS FOR EXCHANGE.





IMMUNE DESIGN CORP.
1616 EASTLAKE AVE. E., SUITE 310
SEATTLE, WASHINGTON 98102

NOTICE OF WITHDRAWAL

I previously received from Immune Design the Offer to Exchange Eligible Options for New Options, dated June 18, 2018, and the Election Form. I signed and returned the Election Form, in which I elected to tender some or all of my Eligible Options in exchange for New Options. By submitting this Notice of Withdrawal, I am revoking that election and hereby withdraw from the Exchange Offer with respect to the Eligible Option grants listed below:
Eligible Options
 
Grant Number
Grant Date
Exercise Price
Shares
 
 
 
 
Revoke election
 
 
 
 
Revoke election
 
 
 
 
Revoke election
I understand that, by signing this Notice of Withdrawal and delivering it to Immune Design, I withdraw my acceptance of the Exchange Offer with respect to the Eligible Options listed above. By rejecting the Exchange Offer with respect to the Eligible Options listed above, I understand that such Eligible Options will not be cancelled in exchange for the grant of New Options, and I will retain these Eligible Options subject to their existing exercise price, term, vesting schedule and other terms and conditions. I agree that Immune Design has made no representations or warranties to me regarding my rejection of the Exchange Offer. The withdrawal of the Eligible Options listed above is at my sole and exclusive discretion. I agree that Immune Design will not be liable for any costs, taxes, losses or damages I may incur as a result of my decision to withdraw the Eligible Options listed above.
Return by Email (By PDF or similar imaged document file) to: option.exchange@immunedesign.com

By signing below, I hereby revoke my prior election to tender the Eligible Option grants listed above.


(Signature)
 
(Print Name)
 
(Date)