EX-99.4 6 ex994.htm PROXY FORM

Exhibit 99.4

 

 

 

 

Security Class

 

 

 

Holder Account Number

 

 

   

 

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Form of Proxy - Annual General Meeting to be held on May 26, 2016

 

This Form of Proxy is solicited by and on behalf of Management.

Notes to proxy

1. Every holder has the right to appoint some other person or company of their choice, who need not be a holder, to attend and act on their behalf at the meeting or any adjournment or postponement thereof. If you wish to appoint a person or company other than the persons whose names are printed herein, please insert the name of your chosen proxyholder in the space provided (see reverse).

2. If the securities are registered in the name of more than one owner (for example, joint ownership, trustees, executors, etc.), then all those registered should sign this proxy. If you are voting on behalf of a corporation or another individual you must sign this proxy with signing capacity stated, and you may be required to provide documentation evidencing your power to sign this proxy.

3. This proxy should be signed in the exact manner as the name(s) appear(s) on the proxy.

 

4. If this proxy is not dated, it will be deemed to bear the date on which it is mailed by Management to the holder.

 

5. The securities represented by this proxy will be voted as directed by the holder, however, if such a direction is not made in respect of any matter, this proxy will be voted as recommended by Management.

6. The securities represented by this proxy will be voted in favour or withheld from voting or voted against each of the matters described herein, as applicable, in accordance with the instructions of the holder, on any ballot that may be called for and, if the holder has specified a choice with respect to any matter to be acted on, the securities will be voted accordingly.

7. This proxy confers discretionary authority in respect of amendments or variations to matters identified in the Notice of Meeting or other matters that may properly come before the meeting or any adjournment or postponement thereof.

8. This proxy should be read in conjunction with the accompanying documentation provided by Management.

 

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Proxies submitted must be received by 10:00 AM, Vancouver Time, on May 24, 2016

 

 

 

If you vote by telephone or the Internet, DO NOT mail back this proxy.

 

Voting by mail may be the only method for securities held in the name of a corporation or securities being voted on behalf of another individual.

Voting by mail or by Internet are the only methods by which a holder may appoint a person as proxyholder other than the Management nominees named on the reverse of this proxy. Instead of mailing this proxy, you may choose one of the two voting methods outlined above to vote this proxy.

 

To vote by telephone or the Internet, you will need to provide your CONTROL NUMBER listed below.

 

CONTROL NUMBER

 

 

 

   

 

 

Appointment of Proxyholder

       
I/We being holder(s) of shares of First Majestic Silver Corp. hereby appoint: Douglas Penrose, or failing him, Keith Neumeyer, OR Print the name of the person you are appointing if this person is someone other than the persons listed to the left.    

 

 

 

as my/our proxyholder with full power of substitution and to attend, act and to vote for and on behalf of the shareholder in accordance with the following direction (or if no directions have been given, as the proxyholder sees fit) and all other matters that may properly come before the Annual General Meeting of shareholders of First Majestic Silver Corp. to be held at Terminal City Club, 837 West Hastings Street, Vancouver, B.C. V6C 1B6, on May 26, 2016 at 10:00 AM Vancouver Time, and at any adjournment or postponement thereof.

 

 

VOTING RECOMMENDATIONS ARE INDICATED BY HIGHLIGHTED TEXT OVER THE BOXES.

 

  For Against
     
1. Number of Directors    
To set the Number of Directors at 6. ¨ ¨

 

       
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2. Election of Directors                
  For Withhold   For Withhold   For Withhold
                 
01. Keith Neumeyer ¨ ¨ 02. Ramon Davila ¨ ¨ 03. Robert McCallum ¨ ¨
                 
04. Douglas Penrose ¨ ¨ 05. Tony Pezzotti ¨ ¨ 06. David Shaw ¨ ¨

 

  For Withhold
     
3. Appointment of Auditors    
Appointment of Deloitte LLP as Auditors of the Corporation for the ensuing year and authorizing the Directors to fix their remuneration. ¨ ¨

 

  For Against
     
4. Executive Compensation Advisory Vote    
To approve an advisory resolution with respect to the Corporation's approach to executive compensation. ¨ ¨

 

 

 

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Authorized Signature(s) - This section must be completed for your instructions to be executed.   Signature(s)   Date
         
I/We authorize you to act in accordance with my/our instructions set out above. I/We hereby revoke any proxy previously given with respect to the Meeting. If no voting instructions are indicated above, this Proxy will be voted as recommended by Management.       DD / MM / YY
         

 

     

 

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