EX-99.D.(II) 2 a14-9453_1ex99dddii.htm EX-99.D.(II)

Exhibit 99.d.(ii)

 

Control No.

 

Maximum Primary Subscription Shares Available

 

THE OFFER EXPIRES AT 5:00 P.M., EASTERN TIME, ON JUNE 23, 2014*

 

H&Q HEALTHCARE INVESTORS
NON-TRANSFERABLE RIGHTS TO SUBSCRIBE FOR SHARES

 

EXERCISE FORM

 

Dear Shareholder:

 

You are entitled to exercise the Rights issued to you as of May 30, 2014, the Record Date for the Trust’s rights offering, to subscribe for the number of shares of beneficial interest (“Shares”) of H&Q Healthcare Investors (“Trust”) shown on this Exercise Form pursuant to the Primary Subscription upon the terms and conditions specified in the Trust’s prospectus dated         , 2014 (“Prospectus”).  The terms and conditions of the rights offering (“Offer”) set forth in the Prospectus are incorporated herein by reference.  Capitalized terms not defined herein have the meanings attributed to them in the Prospectus.  As a holder of Rights, you are entitled to purchase one Share for each three Rights you exercise.  In accordance with the Over-Subscription Privilege, as a holder of Rights, you are also entitled to subscribe for additional Shares, if Shares remaining after exercise of Rights pursuant to the Primary Subscription are available and you have fully exercised all Rights issued to you.  If sufficient Shares remain after completion of the Primary Subscription, all over-subscriptions will be honored in full.  If sufficient Shares are not available after completion of the Primary Subscription to honor all over-subscriptions, the Trust may, at the discretion of the Board of Trustees, issue up to an additional 25% of the Shares in order to cover such over-subscription requests.  To the extent the Trust determines not to issue additional Shares to honor all over-subscriptions, the available Shares will be allocated among those who over-subscribe based on the number of Rights originally issued to them by the Trust, so that the number of Shares issued to shareholders who subscribe pursuant to the Over-Subscription Privilege will generally be in proportion to the number of Shares owned by them on the Record Date.  The Trust will not offer or sell any Shares which are not subscribed for pursuant to the Primary Subscription or the Over-Subscription Privilege.

 

SAMPLE CALCULATION

 

Primary Subscription Entitlement (1-For-3)

 

Number Of Shares Owned On The Record Date 100

 

Number Of Rights Issued* 99 ÷ 3 = 33 New Shares

 

* Automatically Rounded Down To The Nearest Number Of Rights
Evenly Divisible By Three.

 

SUBSCRIPTION PRICE

 

The Subscription Price will be 95% the volume weighted average share price of a Share on the New York Stock Exchange on June 24, 2014 (“Pricing Date”) and the three preceding business days.

 

METHOD OF EXERCISE OF RIGHTS

 

IN ORDER TO EXERCISE YOUR RIGHTS, YOU MUST COMPLETE AND SIGN THIS EXERCISE FORM ON THE BACK AND RETURN IT TOGETHER WITH PAYMENT AT THE ESTIMATED SUBSCRIPTION PRICE FOR THE SHARES TO THE SUBSCRIPTION AGENT, BOSTON FINANCIAL DATA SERVICES, INC.  BEFORE 5:00 P.M., EASTERN TIME, ON June 23, 2014 (“EXPIRATION DATE”).*

 

Full payment of the Estimated Subscription Price per share for all Shares subscribed for pursuant to both the Primary Subscription and Over-Subscription Privilege must accompany this Exercise Form and must be made payable in United States dollars by money order or check drawn on a bank located in the United States payable to H&Q Healthcare Investors. For additional information, see the Prospectus.

 

THESE SUBSCRIPTION RIGHTS ARE NON-TRANSFERABLE

 

 

Account #:

 

 

 

Maximum Primary Shares Available:

 

 

 

Number of Rights Issued:

 

 

 

(continued on back)

 



 

Stock certificates for the shares acquired pursuant to the Primary Subscription will be mailed promptly after the expiration of the Offer and after full payment for the Shares subscribed for has been received and cleared.  Certificates representing Shares acquired pursuant to the Over-Subscription Privilege will be mailed as soon as practicable after full payment has been received and cleared and all allocations have been effected.  Any excess payment to be refunded by the Trust to a shareholder will be mailed by the Subscription Agent to such shareholder as promptly as possible.

 

BY FIRST CLASS MAIL:

 

BY EXPRESS MAIL OR
OVERNIGHT COURIER:

 

 

 

Boston Financial Data Services

H & Q Healthcare Investors

Attn: Corporate Action Event Center

PO BOX 55025

Boston, MA 02205-9967

 

Boston Financial Data Services

H & Q Healthcare Investors

Attn: Corporate Action Event Center

30 Dan Rd.

Canton, MA 02021

 

Delivery to an address other than one of the addresses listed above will not constitute valid delivery.

 

PLEASE PRINT ALL INFORMATION CLEARLY AND LEGIBLY

 

SECTION 1:   OFFERING INSTRUCTIONS   (check the appropriate boxes)

IF YOU WISH TO SUBSCRIBE FOR YOUR FULL ENTITLEMENT:

 

o   I apply for ALL of my entitlement of new Shares pursuant to the Primary Subscription                  x $              † = $

(no. of new Shares)

 

o   I apply for new Shares pursuant to the Over-Subscription Privilege**                                             x $               † = $

(no. of additional Shares)

 

IF YOU DO NOT WISH TO APPLY FOR YOUR FULL ENTITLEMENT:

 

o   I apply for                                           x $                † = $

(no. of new Shares)

 

AMOUNT ENCLOSED $     

 

SECTION 2: SUBSCRIPTION AUTHORIZATION

 

I acknowledge that I have received the Prospectus for this Offer and I hereby irrevocably subscribe for the number of new Shares indicated above on the terms and conditions set in the Prospectus.  I understand and agree that I will be obligated to pay any additional amount to the Trust if the Subscription Price as determined on the Pricing Date is in excess of the $             Estimated Subscription Price per Share.

 

I hereby agree that if I fail to pay in full for the Shares for which I have subscribed, the Trust may exercise any of the remedies provided for in the Prospectus.

 

Signature of subscriber(s)

 

 

 

 

 

 

 

 

 

 

 

 

Telephone number (including area code) (    )

 

If you wish to have your Shares and refund check (if any) delivered to an address other than that listed on this Exercise Form you must have your signature guaranteed by a member of the New York Stock Exchange or a bank or trust company.  Please provide the delivery address above and note if it is a permanent change.

 


*                                                                                         Unless the Offer is extended by the Trust.

 

**                                                                                  You can only over-subscribe if you have fully exercised your Primary Subscription Rights.

 

                                                                                         NOTE: $            per share is an estimated price only.  The Subscription Price will be determined on June 24, 2014, the Pricing Date (which is the first business day after the Expiration Date, unless extended), and could be higher or lower depending on the changes in the net asset value and market price of a Share.

 

Any questions regarding this Exercise Form and the Offer may be directed to

the Information Agent, AST Fund Solutions, LLC, toll-free at (877)361-7969.